Detailed Outline (RCIS)

  1. Cardiovascular Anatomy and Physiology
    1. Innervation
      1. Conduction system
      2. Sympathetic
      3. Parasympathetic
    2. Coronary Anatomy
    3. Physiology
      1. Pressure and pulse waveforms
      2. Hemodynamic parameters
      3. Frank-Starling principle
      4. Contractility
      5. Preload and afterload
      6. Electrophysiology – action potential
      7. Normal fetal circulation
  2. Cardiovascular Diseases Pathophysiology
    1. Pathology and treatment
      1. VaIvular heart disease
      2. Myocardial and pericardial disease
      3. Artificial valves and surgery
      4. Coronary artery disease –atherosclerosis
      5. Heart failure and shock
      6. Myocardial infarction
      7. Hereditary disease
        1. Pulmonary
        2. Arterial
        3. Stroke
      8. Systemic and pulmonary hypertension
      9. Congenital heart disease
      10. Aortic diseases
      11. Tumors
      12. Aneurysms
      13. Cerebrovascular accident
      14. Ventricular Thrombus
      15. Cardiac tamponade
    2. Acid Base Disturbance
      1. Respiratory acidosis
      2. Respiratory alkalosis
      3. Metabolic acidosis
      4. Metabolic alkalosis
  3. Diagnostic Techniques
    1. Catheterization Techniques
      1. Terminology
      2. Protocol
      3. Contraindications
      4. Preparation and pre-medication
      5. Complications
      6. Arterial lines
      7. Cutdown - Sones
      8. Percutaneous- Seldinger
      9. Position of catheters in the heart
      10. Right heart catheterization
      11. Left heart catheterization
        1. Grafts
        2. Coronary
        3. Internal mammary
        4. Venous
      12. Electrophysiology
      13. Pediatric
      14. Hemostasis - closing
      15. Exercise
      16. Endomyocardial biopsy
      17. Provocative maneuvers
    2. Angiography
      1. Imaging Systems
        1. Radiation Production
        2. X-Ray Beam Characteristics
        3. Screen-Film Characteristics
        4. Film Processing
        5. Imaging system performance
      2. Digital imaging systems
      3. Image Production and Evaluation
      4. Selection of Technical Factors
        1. Density
        2. Contrast
        3. Recorded Detail
        4. Distortion
        5. Film and Screen Selection
        6. Automatic exposure controls/technique
      5. Complications
      6. Contrast media
      7. Injection Techniques
        1. Patient positioning
        2. Angiographic angulations
        3. Injector set-up/programming
      8. Angiographic Procedures
        1. Left ventriculography
        2. Coronary arteriography
        3. Aortography
        4. Peripheral arteriographyy
        5. Pulmonary angiography
    3. Electrocardiography
      1. Arrhythmias
      2. Ischemia, infarction patterns
      3. Blocks
      4. Measurements, waveforms and calculations
      5. Artifacts, techniques
      6. Hypertrophy
      7. Pacemakers
  4. Intervention
    1. Techniques and Devices
      1. AICD
      2. Intra-aortic counter pulsation
      3. Cardiopulmonary support circulation
      4. Intravascular ultrasound
      5. Doppler flow wire
      6. Pacemakers
        1. Temporary
          1. Transvenous
          2. Transcutaneous
        2. Permanent
          1. Indications
          2. Implantation
    2. Defibrillation and Cardioversion
    3. Percutaneous Transluminal Angioplasty
    4. Thrombolytic Therapy
    5. Surgical Correction
      1. Congenital heart disease
      2. Coronary bypass
      3. VaIvular repair
    6. Valvuloplasty
    7. Pericardiocentesis
    8. Stents
    9. Atherectomy
    10. Laser
  5. Hemodynamic Data
    1. Cardiac Output Determinations
      1. Fick
      2. Angiographic
      3. Thermaldilution
      4. Comparison of methods
      5. Shunts
      6. Regurgitant fraction
      7. Ejection fraction
    2. Calculations
      1. Oxygen capacity
      2. AV02 difference
      3. Cardiac output
      4. Systemic and pulmonary resistance
      5. Systemic and pulmonary blood flow
      6. Shunts
      7. Regurgitant fraction
      8. Ejection fraction
      9. Valve area
      10. Normal calculated values
    3. Pressures
      1. Normal and abnormal –waveforms, pressure levels, etc.
      2. Time pressure relationships
      3. Pullback identification
      4. VaIvular gradients
      5. Insufficient valves
      6. Constrictive/restrictive pressures
      7. Heart failure pressures
      8. Provocative maneuvers
      9. Pressure analysis
  6. Pharmacology
    1. Drug Classifications
      1. Adrenergic
      2. Cholinergic
      3. Vasopressors
      4. Vasodilators
      5. Diuretics
      6. Antihypertensives
      7. Local anesthetics
      8. Anticoagulants
      9. Antiplatelet
      10. Thrombolytics
      11. Nitrates
      12. Antiarrythmics
      13. Calcium channel blockers
      14. Contrast agents
      15. Cardiac glycosides
      16. Controlled substances
      17. Oxygen
      18. Beta blockers
    2. Types and Administration Routes
      1. Indications and Contra indications
      2. Preparation and Dosage
      3. Complications
      4. Actions
    3. Contrast Administration
      1. Types and properties of contrast agents
      2. Indications and Contraindications
    4. IV Therapy
      1. Indications and Contraindications
      2. Venipuncture
      3. Solution Preparation
      4. Flow Rate
      5. Complications
  7. Equipment and Instrumentation
    1. Radiographic Equipment
      1. Cine Cameras
      2. Operating Console
      3. X-ray Tube
      4. X-ray Oenerator, Rectifier, and Transformer
      5. Automatic Exposure Controls
      6. Beam Restriction Devices
      7. Basic Principles of X-Ray Production
      8. Recognition of Malfunctions
      9. Fluoroscopic Timer
      10. Electrical Hazards
    2. Film Processing
      1. Film Storage
      2. Screens and Cassettes
      3. Radiographic Identification
      4. Film Processor
    3. Automatic Pressure Injectors
      1. Parts
      2. Function
      3. Operation
    4. Catheters, Guidewires, Needles
      1. Types
      2. Construction
      3. Use
    5. Implantable Devices
      1. Caval Filters
      2. Central Venous Catheters
      3. Embolic Materials
      4. Stents
      5. Permanent Pacemakers and Defibrillators
    6. Cardiac Output Equipment
    7. Pressure Recorders
    8. Temporary Pacemakers
    9. External Defibrillators
    10. Transducers
    11. Quality Control
      1. Concepts and Principles of Quality Control
        1. Basis of QC
        2. Problem Solving Strategies
      2. Collection & Analysis of QC Data
        1. Development of Indicators
        2. Data Collection Methods
        3. Data Analysis
        4. Assessment of Outcomes
        5. Required QC Tests
        6. Frequency of QC Tests
        7. Suggested Performance Criteria for QC Tests
      3. Evaluation of Radiographic images
        1. Criteria for Diagnostic Quality
        2. Improving Radiographic Quality
        3. Image Characteristics
        4. Image Production
        5. Image Display
      4. Film Processors
      5. Test Objects
        1. Sensitometer
        2. Densitometer
        3. Light meter
      6. Transducers
        1. Balance
        2. Preparation
      7. Lab Equipment
        1. Oximeter
        2. ACT

  8. H. Patient Care and Patient Assessment
    1. Evaluation and assessment
      1. Signs and symptoms of heart disease
        1. Arterial and venous pulses
        2. Auscultation and murmurs
      2. Central nervous system assessment
    2. Documentation and catheterization protocols
    3. Arterial and venous line management
    4. Hemostasis
    5. Legal and Professional Responsibilities
      1. Patient identification
      2. Verification of requested examination
      3. Legal and medical ethics
    6. Patient Education, Safety and Comfort
      1. Communication with patients
      2. Assessment of patient condition
      3. Proper body mechanics for patient transfer
      4. Patient privacy
      5. Prevention and Control of Infection
        1. Transmission of Infection
        2. Universal precautions
        3. Disinfection, Asepsis, and Sterile Technique
        4. Handling of Biohazardous Materials
        5. Type of Isolation
    7. Emergency Procedures
      1. Patient Monitoring
      2. Contrast reactions and complications
      3. Protocol, treatment and medications
      4. Cardiopulmonary Resuscitation (CPR)
      5. Advanced Cardiac Life Support (ACLS)
        1. Universal algorithm
        2. Defibrillation and cardioversion
        3. Airway management
        4. Pharmacology
    8. Patient Assessment Implications, normal and abnormal values
      1. Vital Signs
      2. Access assessment (venous and arterial)
      3. Normal Lab Values
      4. Lab Results
        1. Electrolytes
        2. Blood gases
        3. Blood chemistry
      5. Physiologic Monitoring
      6. Maintenance of Accessory Medical Devices
    9. Radiation Protection
      1. Patient Protection
      2. Biological Effects of Radiation
      3. Minimizing Patient Exposure
      4. Personnel Protection
        1. Sources of radiation exposure
        2. Basic methods of protection
        3. Radiation exposure and monitoring
      5. Units of measurement
      6. Dosimeters (types, proper use)
      7. NCRP Recommendations for Personnel Monitoring
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