Overview
Echocardiographers are required to perform complex assessments to aid in the diagnosis of cardiac pathology associated with congenital heart disease in both the pediatric and adult populations. In this unit you will study the link between disordered embryological development, congenital heart disease, and corrective interventional procedures. You will build upon your knowledge exploring corrective and palliative interventions and post-operative evaluation of congenital heart disease using advanced cardiovascular assessment techniques including 3-D, strain, contrast, exercise stress testing, echocardiography and trans-oesophageal echocardiography (TOE). You will apply advanced haemodynamic calculations to given clinical scenarios, guiding cardiac management. You will acquire knowledge of the principles of cardiac electrophysiology and investigation methods used in paediatric and adult congenital cardiac disease. You will apply your knowledge to simulated clinical scenarios and case studies and compare and contrast the choice of procedure within an ethical framework of best practice and patient safety.
Details
Pre-requisites or Co-requisites
Pre-Requisites: ECHO13006 Adult Echocardiography AND ECHO13002 Cardiac Assessment Skills 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 - 2018
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).
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
Assessment Overview
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.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
- Differentiate the aetiology and related cardiac assessment data of congenital cardiac pathologies across the life span of a patient
- Explain other diagnostic and therapeutic procedures involved in the assessment of congenital heart disease
- Contrast echocardiographic views, cardiac assessment techniques and surgical intervention utilised in complex and congenital heart disease
- Apply haemodynamic calculations used in complex cardiac assessment
- Critically evaluate the treatment options and examination protocol appropriate to different types of congenital heart disease.
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 Assessment Tasks to Learning Outcomes
| Assessment Tasks | Learning Outcomes | ||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| 1 - Written Assessment - 40% | |||||
| 2 - Online Test - 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 - Written Assessment - 40% | ||||||||||
| 2 - Online Test - 60% | ||||||||||
Textbooks
A Sonographer's Guide to the Assessment of Heart Disease
Edition: First (2016)
Authors: Bonita Anderson
Echotext
Brisbane Brisbane , QLD , Australia
ISBN: 978-0-9923222-0-5
Binding: Hardcover
Echocardiography in Adult Congenital Heart Disease
(2010)
Authors: Wei, Li, Michael Henein, Michael A. Gatzoulis
Springer
London London , UK
ISBN: 9781849966528
Binding: Hardcover
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
All submissions for this unit must use the referencing style: Vancouver
For further information, see the Assessment Tasks.
p.boucaut@cqu.edu.au
Module/Topic
Introduction to Congenital Heart Disease:
- Foundation concepts and the segmental sequential analysis
- CHD views, vessels and terminology
- Circulation in the foetus and the first few weeks of life
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Events and Submissions/Topic
Cathy West Tutorial - AEST 8pm
- see Moodle site for confirmation of tutorial date
Module/Topic
Simple shunts:
- Atrial septal defects
- Ventricular septal defects
- Patent ductus arteriosus and other shunts
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Atrial Septal Defects in the Adult - Recent Progress and Overview (PDF can be found on Moodle)
Echo Research and Practice - Echocardiographic assessment of left to right shunts. (PDF can be found on Moodle)
Events and Submissions/Topic
Module/Topic
Isolated lesions:
- AVSD
- Ebstein anomaly
- Coronary arteries – Kawasaki’s and ALCAPA
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Events and Submissions/Topic
Module/Topic
LV outflow lesions:
- The left ventricle- sub-valvular and valvular lesions
- The aorta – supra-valvular AS and coarctation
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Events and Submissions/Topic
Cathy West Tutorial - AEST 8pm
- see Moodle site for confirmation of tutorial date
Module/Topic
RV outflow lesions:
- DCRV – Double chambered right ventricle
- Pulmonary stenosis: Infundibulum to branch
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
The Right Heart in Adults with Congenital Heart Disease (PDF can be found on Moodle)
Events and Submissions/Topic
Cathy West Tutorial - AEST 8pm
- see Moodle site for confirmation of tutorial date
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Complex lesions 1:
- Truncus arteriosus
- Pulmonary atresia
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Events and Submissions/Topic
Module/Topic
Complex lesions 2:
- d-TGA
- cc-TGA
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
ASE 2016 Guidelines - Multi Modality Imaging Transposition of the Great Arteries (PDF can be found on Moodle)
Events and Submissions/Topic
Cathy West Tutorial - AEST 8pm
- see Moodle site for confirmation of tutorial date
Written Assessment Due: Week 7 Friday (31 Aug 2018) 5:00 pm AEST
Module/Topic
Complex lesions 3:
- Tetralogy of Fallot
- Univentricular Hearts
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
ASE 2014 Guidelines - Multi Modality Imaging Tetralogy of Fallot (PDF can be found on Moodle)
Managing Adult Fontan Patients: Where do we stand? (PDF can be found on Moodle)
Events and Submissions/Topic
Module/Topic
Venous anomalies:
- Anomalies of the pulmonary veins
- Anomalies of the systemic veins
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Events and Submissions/Topic
Cathy West Tutorial - AEST 8pm
- see Moodle site for confirmation of tutorial date
Module/Topic
CHD outside the echo lab:
- Congenital Services overview
- Other tests used in CHD: MVO2, CMR, CT, EPS
- Syndromes associated with CHD. Marfan’s, Noonan’s, Downs, Williams, Turners, Scoliosis, etc.
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Non-invasive Imaging In Congenital Heart Disease (PDF can be found on Moodle)
Events and Submissions/Topic
Module/Topic
Bringing it all together:
- Clinical case studies
- Revision material
Chapter
Anderson, B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 15, Introduction to Congenital Heart Disease
Additional resource:(previously purchased for ECHO13006)
Lang, R. (2016). ASE's Comprehensive Echocardiography. Philadelphia, PA: Elsevier Saunders. Section XXVI Chapters 164-169, pages 701-738
Case Study resources:
https://www.bsecho.org/congenital-heart-disease/
http://heart.bmj.com/content/80/suppl_1/S12
Events and Submissions/Topic
Cathy West Tutorial - AEST 8pm
- see Moodle site for confirmation of tutorial date
Module/Topic
- Revision
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
You will need to allocate 120-minutes to complete the online test between Monday 8th of October and Friday the 12th of October at 3pm. (This equates to 12 minutes per 10 mark question)
Online Test Due: Review/Exam Week Friday (12 Oct 2018) 3:00 pm AEST
Module/Topic
Chapter
Events and Submissions/Topic
Cathy West is the acting principal sonographer at the renowned Royal Brompton Hospital in London. Cathy began her career in cardiac sonography 20 years ago, at the Prince Charles Hospital in Brisbane, Australia. Cathy specialises in adult congenital heart disease, and is a popular international speaker.
In this unit, Cathy will be presenting pre-recorded lectures covering a variety of congenital cardiac pathologies and their associated Echocardiographic assessment. Live tutorial sessions will be hosted by Cathy as outlined in the schedule displayed on Moodle site. These will be recorded and subsequently posted under the corresponding week on Moodle site. The tutorials will focus on clarification of theoretical concepts and assessment requirements. Clinical case studies will also be shown, demonstrating practical application of the theoretical content.
Both Cathy West and the Unit coordinator Paula Boucaut will be monitoring posts on the 'Q&A' forum. Content specific questions may require a response from Cathy.
Given Cathy resides in London, please note that some responses may have a time delay of several days.
For questions of a personal nature, please do not hesitate to contact the Unit coordinator Paula Boucaut directly by email: p.boucaut@cqu.edu.au or phone 07 3023 4108.
1 Written Assessment
Complex congenital heart conditions can have profound effects on the cardiovascular system. Fortunately, in the present era, good long-term survival is observed with surgical intervention. You are to choose a pathology from the list below, and produce an essay using a variety of appropriate sources which cite evidence above and beyond the lecture content presented.
Topic choices:
- Complete atrioventricular septal defect
- Tetralogy of Fallot
Your essay must:
- List the cardiac malformations associated with the condition chosen prior to repair.
- Describe the effect this condition has on the cardiovascular system – e.g. Explain what happens to the cardiac physiology that drives the need for corrective surgery.
- Identify other commonly associated anomalies that may be seen with this pathology.
- Describe the procedure(s) used for repair of the condition chosen. (assume no co-existing lesions)
- Describe the approach required for echocardiography in adults with the repaired lesions. Where multiple repair strategies exist, choose one. Your answer should include the most common complications post repair.
- Describe deviations from the standard adult echo protocol (i.e. off-axis or non-standard views), that may be required to adequately image this condition and its associated repair.
- Identify and describe how other alternative cardiovascular imaging techniques may add value to the assessment of these patients.
- Discuss long-term morbidity and mortality
Word Count:
Maximum 2000 words count +/- 10%. Marks are allocated in the marking rubric for word count. Submissions too brief or too verbose will not attract the available marks and excess words will not be assessed. Word count does not include headings or references but does include diagram explanations.
Referencing:
Referencing is a vital component of any academic work and plagiarism is taken seriously by the university. Please refer to the CQUniversity Academic Misconduct Procedure.
The required referencing style (in-text and bibliographic) is Vancouver.
A CQUniversity Academic Learning Centre (ALC) Vancouver Style Referencing Guide is available on the unit Moodle site. Further referencing assistance can be obtained by contacting the ALC.
A marking rubric for this assessment task can be found on the Moodle site.
Week 7 Friday (31 Aug 2018) 5:00 pm AEST
Electronic submission via unit Moodle site
Week 9 Friday (14 Sept 2018)
You will be assessed on your ability to:
- locate and evaluate pertinent information from appropriate and current sources
- produce a well written and evidence based essay using appropriate technical terms, spelling, grammar and referencing
- construct a detailed and relevant discussion of all key points as outlined in the task description
- prioritise content within the word count
A marking rubric is available on the unit Moodle site for your information.
- Differentiate the aetiology and related cardiac assessment data of congenital cardiac pathologies across the life span of a patient
- Explain other diagnostic and therapeutic procedures involved in the assessment of congenital heart disease
- Contrast echocardiographic views, cardiac assessment techniques and surgical intervention utilised in complex and congenital heart disease
- Critically evaluate the treatment options and examination protocol appropriate to different types of congenital heart disease.
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
2 Online Test
Each health profession possesses a body of knowledge, the fundamentals of which must be learnt and understood. The echocardiographic profession has selected concepts relevant to your future scope of practice. You will build upon these concepts in your future clinical capacity.
An online test will be conducted to assess your understanding of content in this unit. The test can be accessed through the assessment tab on Moodle at the assigned time.
- The online test will comprise of 10 questions and will be open for 120 min (allowing 12 minutes per question). You have ONE attempt and once started the test cannot be paused or restarted.
- Questions may be composed of multiple components, multiple choice, short answer, image interpretation or essay style format. You will have up to 40 lines available for written answers per question.
- As the test is online and open book, you will find it useful if you have produced your own notes from the lectures and that you are familiar with the unit information.
- The questions may be drawn from any content presented during the term including but not limited to lectures, additional resources provided or tutorial presentations.
- Questions will be drawn from a pool of questions to allow tests to be different for each student.
- You may benefit from having a calculator available when sitting the test
This assessment is to be undertaken as an individual. As with all other university examination, colluding with other students on non-group work tasks is considered academic misconduct, and may lead to action being taken the Deputy Dean of Learning and Teaching.
Review/Exam Week Friday (12 Oct 2018) 3:00 pm AEST
The test open on Monday 8th October at 9 am (in week 12) and will close on Friday 12th October at 3pm.
Results will be available once marking, moderation and collation of grades has occurred.
You must provide short to medium length typed responses to a series of online questions.
Multiple choice and film viewing questions may be included and you are required to be familiar with both normal and pathological echocardiographic and anatomical images.
Each question is worth 10 marks (giving a max total of 100 marks available).
Responses will be assessed according to:
- use of appropriate terminology and descriptors as well as grammar, spelling, relevance of response and competence in addressing all elements of the question
- the student’s ability to appropriately interpret sonographic images/graphs/tables and then to succinctly compose an appropriate response based on their learning from the unit.
- Differentiate the aetiology and related cardiac assessment data of congenital cardiac pathologies across the life span of a patient
- Explain other diagnostic and therapeutic procedures involved in the assessment of congenital heart disease
- Contrast echocardiographic views, cardiac assessment techniques and surgical intervention utilised in complex and congenital heart disease
- Apply haemodynamic calculations used in complex cardiac assessment
- Critically evaluate the treatment options and examination protocol appropriate to different types of congenital heart disease.
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
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?
