Cardiovascular ultrasound Seminar Admission Requirements

Admissions requirements for the Cardiovascular Ultrasound seminar are as follows: proof of graduation from a state-accredited institution in a health-related science or proof of work in medical field including physicians, echo sonographers, and physician assistants.


The period of the seminar will provide sufficient training time for cardiac calculations haemodynamics ultrasound physics, and cardiac scanning. Students will earn to perform the echocardiogram at the schoo! under the supervision of an echo-tech.


Seminar Objective and Course Description

The objective of the Global Cardiovascular Ultrasound seminar is to enhance student careers in the field and will train the medical care system staff to increase their knowledge of understanding the hemodynamics, accurate cardiac calculations while performing the echo cardiograms (heart scanning) at the school. They will do the cardiac scanning calculations and measurements of cardiac chambers and blood flow through the cardiac valves.


Subjects covered in the class lectures include the basis principles of physics pertaining to medical diagnostic ultrasound, the normal and abnormal functions of the heart, myocardial wall motion abnormality and cardiac measurements in two dimensional and M-Mode dimension measurement.


Pathology of the Heart & blood Vessels

Abnormal Hemodynamic


Pericardial Diseases

Pericarditis, pericardial effusion, grading of the effusion.

Constrictive pericarditis, calcified, tuberculosis, the pericardial, hemodynamic changes & compensatory mechanisms.


Congenital heart diseases

Embryology, Abnormalities of the Atria and the ventricles

Abnormal blood flow and right & left outflow tract obstruction

Infra-cardiac shunts, ASD,VSD & PDA

Cardiac Valves abnormalities

Surgical procedures


Cardiac Valves diseases

The students learn in detail about the diseases which affect the valves Mitral valve disease, Aortic valve disease, Tricuspid valve disease and Pulmonary valve disease.


Valve repair, valve replacement

Types of artificial valves used for different cardiac valves


Ischemic cardiac diseases

Coronary Artery disease, Atherosclerosis, Spasm of the arteries and due to other collagen diseases.


Myocardial Infarction, Complications of MI ,rupture of papillary muscle, septum, wall, aneurysm resulting in cardiac tamponade etc..


Cardiac wall motion abnormalities, a detail explanation with the drawing of cardiac wall segments.

Types of wall motion abnormalities.

Associated problems, thrombi, obstruction, Arrhythmia & conduction disturbance.


Inflammatory Heart Disease

Diseases affecting the layers of the heart

Endocarditis, Myocarditis & Pericaiditis


Cardiomyopathy

Dilated, Constrictive, Restrictive

Hypertrophic, Obstructive and non-obstructive Cardiomypathy

Cardiac Masses

Benign and Malignant


Hypertension, Systemic and pulmonary hypertension.

A detail explanation of the hemodynamic changes including the tissue perfusion arterioles, venules and the lymphatics, detail explanation of role of the lymphatics components and circulation back to the heart.


Pericardial Diseases

Pericarditis, pericardial effusion, grading of the effusion.

Constrictive pericarditis, calcified, tuberculosis, the pericardial, hemodynamic changes & compensatory mechanisms.


Interventional procedures

CABAG, valvular replacement

Catheterization. pacemaker placement and Cardiac Transplants.


Diseases of the Aorta

Congenital and Acquired

Aneurysm of the Aorta

PDA and Coarctation of the Aorta.

Pediatric Pathology, cardiac malformation and abnormal hemodynamics


Ultrasound Physics & Instrumentation

History of ultrasound application in Medical field


Sound beam formation

Near field, Far field and Focal Zone

Beam focusing


Physical properties of ultrasound

Properties, definition and the explanation of the following terms used

Cycle, Wavelength, Velocity, Frequency and the Harmonics.

Velocity of sound in human tissue

Propagation speed in different media, Air, Tissue & blood.


Acoustal properties of tissue

Detail lectures, the drawings used to help the students to understand the following

Impedance

Reflection

Refraction

Absorption

Impedance & interfaces

Specular Echoes Scattered Echoes

Resolution and Attenuation


Transducers

Design

Types of transducers

Focused single crystal, Annular Array

Phased Array transducers and Mechanical transducers

Piezoelectric effect

Beam focusing

Near field & Far field

Lateral Resolution and Axial Resolution

Axial Resolution

Elements

Beam Steering


Definitions and detail explanation of the following

Frequency, Wave length

A-mode

B-mode

M-mode

Bandwidth


Hertz

Power

Range and velocity

Laws: Ohm's law, Poieseuille's law, Bernoulli's


Doppler Instrumentation

Pulsed Wave

Continuous Wave

Signal processing, the following are covered in detail

Integral time analysis

Decibel gain

Digital signal

Dynamic range

Fast Fourier transformation

Post scan processing

Scan converters

Zero crossing detector

Time gain compensation, TGC graph and reason to use in patients


Principles of Doppler

Doppler effect

Doppler equation


Doppler Instrumentation


Continuous Wave

Advantages of continuous wave is detection of high velocity

Disadvantages is range definition



Pulsed Doppler

Limitations, Aliasing Nyquist effect, effect on flow and velocity, PRF

High pulsed repetition frequency pulsed Doppler, effect on Nyquist effect


Doppler Display

Doppler Control


2-D Doppler and color flow

Color flow mapping, sampling methods, Artefacts and limitations

Processing,displays and Instrumentation

Imaging, Doppler and color flow artifacts

Computer manipulation of data, storage, displays and recording devices

Quality control, troubleshooting and preventive maintenance


Biologic Effects and Safety mechanism & bio-effects

Electrical and mechanical hazards


Quality Improvement

Instrumentation precautions


Normal and Abnormal functions of the Heart evaluation by Echocardiogram

M-Mode

Colour Doppler and Colour Flow

Cardiac Calculations by Echo


Basic and advanced techniques and imaging planes

Normal values, quantitative measurements and calculations

Qualitative evaluation of cardiac chambers and myocardial wall elements


Haemodynamic information derived from Echcardiograms

Normal Parameters

Measurements and Equations, detail explanations with drawings and hand-outs


2-D imaging, recognition and assessment of the following

Pericardial disease, pericardial effusion grading


Cardiomyopathy

Congenital heart disease

Cardiac masses

Valvular heart disease

Inflammatory heart disease

Ischemic heart disease

Myocardial infarction and wall motion abnormality

Left ventricular function, FS and ejection fraction

Systemic and Pulmonary hypertension

Prosthetic valves


Cardiac Doppler and Color Echocardiogram


Normal and abnormal blood flow patterns

Normal values, quantitative measurements and calculations


Advanced Techniques in Echocardiogram


Trans-esophageal Echocardiogram TEE

Ultrasound Contrast study


Stress Echocardiogram

Indication and contraindication

Protocols, Bruce and modified Bruce

Tread mill stress test


Pharmacologic stress testing using the following

Dipyridamole

Dobutamine

Thallium

Cardiolyte


ECHOCARDIOGRAMS

Scanning Protocols, detail explanation with drawings and Vascular & Echocardiogram,

Segmental approach of heart  

Basic and advanced techniques and imaging planes

Normal values and quantitative measurements and calculations