CQUniversity Unit Profile
ECHO11002 Cardiac Structure and Function
Cardiac Structure and Function
All details in this unit profile for ECHO11002 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student).
The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.
General Information

Overview

Accurate assessment of cardiac function requires comprehensive knowledge of anatomy, embryology, and physiology of the heart, lungs and surrounding structures. In addition, an echocardiographer requires familiarity with the spatial relationship of these structures to the heart. This unit exposes you to data acquired from multiple imaging modalities including cardiac ultrasound and angiography. You will learn to perform a standard 12 lead electrocardiogram and recognise normal rhythm. Attendance at a residential school is a requirement of this unit.

Details

Career Level: Undergraduate
Unit Level: Level 1
Credit Points: 6
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Pre-requisite Students must be enrolled in CV69 Bachelor of Echocardiography (Cardiac Physiology)/Graduate Diploma of Echocardiography ANDCo-requisiteBMSC11002 Human Body Systems 2

Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).

Offerings For Term 2 - 2019

Mixed Mode

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Residential Schools

This unit has a Compulsory Residential School for distance mode students and the details are:
Click here to see your Residential School Timetable.

Class and Assessment Overview

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

1. Practical Assessment
Weighting: Pass/Fail
2. In-class Test(s)
Weighting: 40%
3. Examination
Weighting: 60%

Assessment Grading

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.

Previous Student Feedback

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback from Emails, course evaluation

Feedback

Students felt there were some errors in lectures that should have been amended prior to delivery.

Recommendation

Minor errors were identified and corrected. Any remaining materials should be assessed by the Unit Coordinator to ensure correctness and accuracy.

Feedback from Course evaluation, self evaluation

Feedback

Students felt that the ECG assessment should include more theory as it was quite simplified.

Recommendation

Unit profile to be amended to include ECG assessment in the in-class test and final examination.

Feedback from Course evaluation

Feedback

Students enjoyed the hands on experience at residential school.

Recommendation

The 2-day residential school format will be continued in 2019.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Describe the anatomy and physiology of the cardiovascular and respiratory system
  2. Identify anatomical structures on diagrams and medical images of the thorax and cardiovascular system
  3. Describe the embryological development of the cardiovascular system
  4. Explain the formation of an electrocardiogram (ECG) complex, and its representation on a normal 12-lead ECG
  5. Competently perform a 12-lead electrocardiogram.

Linked to National and International Standards
1. ASAR Accreditation Standards for Cardiac Sonography - critical practice Unit 8 - Cardiac
2. European Association of Cardiovascular Imaging Core Syllabus
3. American Registry for Cardiac Sonography Core Syllabus

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5
1 - Practical Assessment - 0%
2 - In-class Test(s) - 40%
3 - Examination - 60%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4 5
1 - Communication
2 - Problem Solving
3 - Critical Thinking
4 - Information Literacy
5 - Team Work
6 - Information Technology Competence
7 - Cross Cultural Competence
8 - Ethical practice
9 - Social Innovation
10 - Aboriginal and Torres Strait Islander Cultures

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8 9 10
1 - Practical Assessment - 0%
2 - In-class Test(s) - 40%
3 - Examination - 60%
Textbooks and Resources

Textbooks

Prescribed

12 LEAD ECG : THE ART OF INTERPRETATION

Edition: 2nd (2015)
Authors: Garcia, Tomas
Jones & Bartlett Learning
Burlington Burlington , MA , USA
ISBN: 0763773514
Binding: Paperback
Prescribed

ECHOCARDIOGRAPHY : THE NORMAL EXAMINATION AND ECHOCARDIOGRAPHIC MEASUREMENTS

Edition: 3rd (2017)
Authors: Anderson, Bonita
Echotext
Australia
ISBN: 0992322219
Binding: Hardcover
Prescribed

THE CARDIAC CATHETERIZATION HANDBOOK

Edition: 6th (2015)
Authors: Morton J. Kern,‎ Paul Sorajja,‎ Michael J Lim
Elsevier
Philadelphia Philadelphia , PA , USA
ISBN: 9780323340397
Binding: eBook
Supplementary

BEFORE WE ARE BORN: ESSENTIALS OF EMBRYOLOGY AND BIRTH DEFECTS

Edition: 9th (2016)
Authors: Keith Moore, T. V. N. Persaud, Mark Torchia
Elsevier
Philadelphia Philadelphia , PA , USA
ISBN: 9780323313377
Binding: eBook
Supplementary

PATHOPHYSIOLOGY OF HEART DISEASE : A COLLABORATIVE PROJECT OF MEDICAL STUDENTS AND FACULTY

Edition: 6th (2015)
Authors: Leonard S. Lilly
Wolters Kluwer Health
Hagerstown Hagerstown , MD , USA
ISBN: 9781451192759
Binding: eBook

Additional Textbook Information

The textbooks prescribed are used throughout the CV69 program in multiple units, and students may have already purchased several of these resources.

You can check and purchase at the CQUni Bookshop here: http://bookshop.cqu.edu.au (search on the Unit code)

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • Zoom
Referencing Style

All submissions for this unit must use the referencing style: Vancouver

For further information, see the Assessment Tasks.

Teaching Contacts
Laurel McDaniel Unit Coordinator
l.mcdaniel@cqu.edu.au
Paula Boucaut Unit Coordinator
p.boucaut@cqu.edu.au
Schedule
Week 1 Begin Date: 15 Jul 2019

Module/Topic

ECG:

  • Lecture 1: The 12-lead ECG
  • Lecture 2: Components and transmission of the ECG

Chapter

Garcia TB. 12-lead ECG: The art of interpretation. Jones & Bartlett Publishers; 2013. p.5-56.

Events and Submissions/Topic


Week 2 Begin Date: 22 Jul 2019

Module/Topic

ECG:

  • Lecture 3: Determining the rate
  • Lecture 4: Determining the axis


Chapter

Garcia TB. 12-lead ECG: The art of interpretation. Jones & Bartlett Publishers; 2013.Chapter 6: The rate; p. 57-61, Chapter 12: The electrical axis; p. 235-252.

Events and Submissions/Topic


Week 3 Begin Date: 29 Jul 2019

Module/Topic

Cardiac Anatomy:

  • Cardiac anatomy
  • The great vessels
  • Superficial heart landmarks, pericardium and heart wall


Chapter

Kelley LL, Petersen C. Sectional Anatomy for Imaging Professionals-E-Book. 4th ed. Elsevier Health Sciences; 2018. Chapter 6: The thorax; p. 682-888.


 
(Available on the unit Moodle site as a CRO)

Events and Submissions/Topic


Week 4 Begin Date: 05 Aug 2019

Module/Topic

Cardiac Cath Lab (CCL):

  • Lecture 1: The cardiac catherisation laboratory
  • Lecture 2: Imaging cardiac anatomy


Chapter

Kern MJ, Sorajja P, Lim MJ. Cardiac catheterization handbook. Elsevier Health Sciences; 2015 Aug 12. p. 1-98.


(Online access available via CQUniversity Library website)

Events and Submissions/Topic


Week 5 Begin Date: 12 Aug 2019

Module/Topic

Cardiac Cath Lab (CCL):

  • Lecture 3: Angiographic angulation
  • Lecture 4: Coronary angiography and ventriculography

Chapter

Kern MJ, Sorajja P, Lim MJ. Cardiac catheterization handbook. Elsevier Health Sciences; 2015 Aug 12. Chapter 3; Coronary angiography and ventriculography; p. 99-173.


(Online access available via CQUniversity Library website)


Events and Submissions/Topic


Break Week Begin Date: 19 Aug 2019

Module/Topic

BREAK WEEK

Chapter

Events and Submissions/Topic

Week 6 Begin Date: 26 Aug 2019

Module/Topic

ECHO:

  • Standard echocardiographic image interpretation 
  • Identification of segmental wall motion in Echocardiography in relation to coronary artery distribution 



Chapter

Anderson B. Echocardiography: the normal examination and echocardiographic measurements. Australia: Echotext Pty Ltd; 2017. p. 32-70, p. 162-170.


Events and Submissions/Topic


Week 7 Begin Date: 02 Sep 2019

Module/Topic

Cardiac Physiology:

  • The cardiomyocyte, Frank Starling Law and phases of the cardiac cycle
  • Pulmonary vs systemic circulation
  • Arterial and venous systems

Chapter

Lilly LS. Pathophysiology of heart disease: a collaborative project of medical students and faculty. Lippincott Williams & Wilkins; 2015. Chapter 1: Normal cardiac structure and function; p. 1-25.



(Available on the unit Moodle site as a CRO)

Events and Submissions/Topic


Week 8 Begin Date: 09 Sep 2019

Module/Topic

Respiratory System:

  • The respiratory system
  • The bony thorax and respiratory muscles
  • The mediastinum, pleural cavities, lungs and bronchi

Chapter

Scanlon VC, Sanders T. Essentials of anatomy and physiology. 7th ed. FA Davis; 2015. Chapter 15: The respiratory system; p. 380-407.


(Available on the unit Moodle site as a CRO)


Kelley LL, Petersen C. Sectional Anatomy for Imaging Professionals-E-Book. 4th ed. Elsevier Health Sciences; 2018. Chapter 6: The thorax; p. 682-888.


(Available on the unit Moodle site as a CRO)

Events and Submissions/Topic


Week 9 Begin Date: 16 Sep 2019

Module/Topic

Embryology:

  • Lecture 1: Heart tube and looping

Chapter

Moore KL, Persaud TV, Torchia MG. Before we are born e-Book: essentials of embryology and birth defects. Elsevier Health Sciences; 2015 Jan 21. Chapter 14: Cardiovascular system; p.184-224.


(Available on the unit Moodle site as a CRO)

Events and Submissions/Topic

In-class test: September 16, 2019 at 9.00 am on your campus of enrolment.


September 19-20, 2019: 2-day Residential School. Mandatory attendance at campus of enrollment.


Week 10 Begin Date: 23 Sep 2019

Module/Topic

Embryology:

  • Lecture 2: Atrial and ventricular septation


Chapter

Moore KL, Persaud TV, Torchia MG. Before we are born e-Book: essentials of embryology and birth defects. Elsevier Health Sciences; 2015 Jan 21. Chapter 14: Cardiovascular system; p.184-224.


(Available on the unit Moodle site as a CRO)

Events and Submissions/Topic


Week 11 Begin Date: 30 Sep 2019

Module/Topic

Embryology:

  • Lecture 3: Aortic arch, coronary artery formation, fetal circulation


Chapter

Moore KL, Persaud TV, Torchia MG. Before we are born e-Book: essentials of embryology and birth defects. Elsevier Health Sciences; 2015 Jan 21. Chapter 14: Cardiovascular system; p.184-224.


(Available on the unit Moodle site as a CRO)

Events and Submissions/Topic


Week 12 Begin Date: 07 Oct 2019

Module/Topic

REVISION WEEK

Chapter

Events and Submissions/Topic


Review/Exam Week Begin Date: 14 Oct 2019

Module/Topic

Chapter

Events and Submissions/Topic

The OFFICIAL Examination Timetable for Standard exams is usually available during week six of term. 

Exam Week Begin Date: 21 Oct 2019

Module/Topic

Chapter

Events and Submissions/Topic

To access your personal examination schedule:

1. Sign into MyCentre at http://mycentre.cqu.edu.au

2. Select ‘My Exam Timetable'

3. You will then arrive at your personalised exam timetable If any further information is required or you need assistance, please do not hesitate to contact Ti Enquiry on 13 27 86.

Term Specific Information

The unit coordinator for ECHO11002 is Laurel McDaniel. Please feel free to use the 'General Discussion' forum as a social space to communicate with other students in this course. Please ensure that your conduct in this forum is consistent with that outlined in the Student Charter. Teaching staff will monitor posts on the 'Q&A' forum. The Q&A forum is a great place to post questions relevant to your study or laboratory sessions. Responses from staff will be made available to all students. Don't be shy in asking questions, as you will often find that other students also share your query. Alternatively, if you have a personal question, please contact the unit coordinator directly by email: l.mcdaniel@cqu.edu.au or phone 08 9260 4079.


This unit has an in-class test on Monday of week 9. Students will be required to attend their campus of enrolment to complete this assessment piece. Please see Assessment Information on the unit Moodle site for specific information. This unit has a mandatory on-campus residential school in Week 9 for 2 full days. You must attend the residential school at your campus of enrolment. Please see the unit Moodle site for specific information.


The tutorial schedule and Zoom ID link can be found on unit Moodle site. All tutorials will be hosted live, recorded and subsequently posted under the corresponding week on Moodle. The tutorials will focus on clarification of course concepts and/or assessment requirements. Clinical case studies may be discussed to highlight the link between content presented and clinical practice.


As this is a foundational unit covering multiple topics, you will require several prescribed textbooks. Some textbooks will also be prescribed resources for subsequent units. Supplementary textbooks listed are free resources available as full text e-books from the CQUniversity Library website. Please check the CQUniversity website for online access before purchasing your hardcopy texts.


To give yourself the best chance of success, ensure that you attend tutorials and undertake all the additional readings/ activities that are provided to you. This is a comprehensive unit covering multiple topics, so please make sure to stay on top of the lectures and activities. Students are expected to spend on average 10 - 12 hours of time each week in their study activities for this unit. 

Assessment Tasks

1 Practical Assessment

Assessment Title
PRACTICAL ASSESSMENT - ECG

Task Description

An electrocardiogram (ECG) is often the first diagnostic test performed in people with suspected heart disease or arrhythmia. This task will assess student competency in performing a 12-lead ECG. Students will be required to accurately perform an ECG recording on a peer patient model provided to them. This skill will taught, revised and assessed during the residential school for this unit. This practical assessment will critique skills including preparation, proper lead placement and attachment producing an ECG free from significant artefactual recordings.


  • Students will be given an appropriate amount of time to complete this practical assessment.
  • This is a PASS/FAIL assessment with no weighting toward the final overall unit grade. A PASS must be obtained to pass the unit overall.
  • One reattempt will be permitted following the first attempt on the same date. Feedback will be given to the student if the first attempt is failed.


Assessment Due Date

Week 9 Residential School. Re-sits will be scheduled to occur on the same day.


Return Date to Students

Students will receive feedback on the day.


Weighting
Pass/Fail

Minimum mark or grade
60%

Assessment Criteria

This is a PASS/FAIL assessment with no weighting toward the final overall unit grade. To PASS, a student must demonstrate a 'beginner level' of competency - minimum 60% GRADE to satisfactorily demonstrate how to perform and produce a 12-lead ECG. 

Students will be assessed using a 12-Lead ECG 'Assessment of Readiness for Clinical' (ARC) tool. Each item in the ARC tool in BOLD must be passed to pass the assessment overall. Students must complete this practical assessment within the time frame given. The performance of an ECG will be video recorded for moderation purposes. There will be only ONE (1) opportunity to re-sit each component. Feedback on the performance of an ECG will be given to the student following an initial fail.

The student will be assessed on correct ECG performance technique including:
  • appropriate skin preparation, finger counting for precordial leads, correct lead placement, correct leads attached to correct electrodes
  • ECG recorded at 25 mm/s with appropriate gain, artefact free ECG trace, basic troubleshooting, hygienic practice and maintaining patient comfort/ modesty


Referencing Style

Submission
Offline

Learning Outcomes Assessed
  • Competently perform a 12-lead electrocardiogram.


Graduate Attributes
  • Communication
  • Problem Solving
  • Information Technology Competence
  • Cross Cultural Competence
  • Ethical practice

2 In-class Test(s)

Assessment Title
IN-CLASS TEST

Task Description

Each health profession possesses a body of knowledge, the fundamentals of which must be learnt and understood. The echocardiographic profession has selected these concepts as relevant to your future scope of practice and you will build upon them in your future clinical capacity. 


The in-class test will be held Monday of Week 9 on your campus of enrolment. Specific time and location details will be posted on the unit Moodle site. Following 10 minutes of test perusal, 60 minutes will be provided to successfully complete this assessment task. This assessment is worth 40% of the overall total grade for this unit.


Content will be related to material covered in lectures during weeks 1-5. This includes identifying anatomical structures of the thorax and cardiovascular system and explaning the formation of an electrocardiogram (ECG) complex and its representation on a normal 12-lead ECG. You will be also be required to describe the characteristics of a 12-lead ECG and determine the rhythm, rate and axis of sample ECGs provided. 

  • The test will be out of 60 marks (allowing a minute per mark).
  • These tests will have a range of question formats including multiple choice and short answer questions. Some answers will require diagrams and/or anatomical images to be labelled or to be drawn and labelled.
  • All in-class tests must be completed at the scheduled time. 
  • In the absence of an approved assessment extension or if you do not complete the test at the scheduled time, your mark will be zero.
  • Note that the in-class test is closed book and no physical or other notes may be brought into the test.


Assessment Due Date

Week 9 Monday (16 Sept 2019) 11:45 pm AEST

The in-class test will take place on your campus of enrollment.


Return Date to Students

Feedback will be provided within two weeks of submission.


Weighting
40%

Assessment Criteria

Students will be assessed on their ability to:

  • identify anatomical structures on diagrams and medical images of the thorax and cardiovascular system
  • describe procedures that occur within the cardiac cath lab and the associated production of cardiac images 
  • describe the formation of a 12-lead ECG
  • use correct terminology when describing ECG waveforms
  • determine rate, rhythm and axis on provided ECGs

Individual mark allocations will be shown on the in-class test provided. 


Referencing Style

Submission
Offline

Learning Outcomes Assessed
  • Identify anatomical structures on diagrams and medical images of the thorax and cardiovascular system
  • Explain the formation of an electrocardiogram (ECG) complex, and its representation on a normal 12-lead ECG


Graduate Attributes
  • Communication
  • Problem Solving
  • Information Literacy
  • Information Technology Competence

Examination

Outline
Complete an invigilated examination

Date
During the examination period at a CQUniversity examination centre

Weighting
60%

Length
180 minutes

Minimum mark or grade
50%

Exam Conditions
Closed Book

Materials
Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments).
Academic Integrity Statement

As a CQUniversity student you are expected to act honestly in all aspects of your academic work.

Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.

When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.

Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.

As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.

What is a breach of academic integrity?

A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.

Why is academic integrity important?

A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.

Where can I get assistance?

For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.

What can you do to act with integrity?