Cardiovascular Physiology

Department of Health, Physical Education, and Recreation

 

 

I.  Title:  PE 3713 Cardiovascular Physiology

 

Instructor:  Tom Adams    Email:  TADAMS@tunica.astate.edu                   Office Hours:  Posted                          Office:  241

 

II.    Text:  American College of Sports Medicine, Guidlines for Exercise Testing and Prescription. (5th Edition).

American College of Sports Medicine, (1993).  Resource Manual for Guidelines For Exercise Testing and Prescription, 3rd ed., Philadelphia:  William & Wilkins.

Stein, Emanuel, (1992).  Rapid Analysis of Electrocardiograms, 2nd ed., Philadelphia:  Lea & Febiger.

 

Recommended Supplements

 

Class notes filed outside my office.

Berne, Robert, and Levy, Matthew, (1992).  Cardiovascular Physiology, 6th ed., St. Louis:  Mosby-Year Book.

Grauer, K. & Curry, R.  (1992).  Clinical Electrocardiography, 2nd ed., Boston:  Blackwell Scientific Publications.

 

III.  Purpose of the Course:

 

This course is designed to introduce the student to the study of cardiovascular physiology with an emphasis on normal versus abnormal function.  It provides an in-depth study of the cardiovascular system and it’s various responses to acute and chronic exercise.  Prerequisities:  ZOOL 2003, 2001, 2013, 2011, HLTH 3553

 

IV.  Major Objective: The major objective of this course is to prepare the student to integrate a knowlege of cardiovascular, and to a lesser extent, cardiorespiratory physiology into the clinic, commercial, and corporate practice of exercise science. The course requires understandings and knowledges of gross anatomy/physiology and basic exercise physiology.

 

V.  Outline (This may be modified as the course progresses, to meet student and instructor needs.)

 

1.                   Fundamentals of Cardiorespiratory Anatomy

2.                   Cardiac physical characteristics and the functional significance of cardiac structure

2.1.             Gross structure and functional significance

2.2.             Ultrastructure of cardiac electrical and contractile tissue

3.                   Electrophysiology of the Heart

3.1.             Depolarization and repolarization

3.2.             Conducting system of the heart including the tissues of the sino-atrial node, intro-atrial and internodal pathways, atrioventricular node, Bundle of His, right and left bundle branches and the Purkenje network

4.                   Normal and Abnormal Electrocardiography

4.1.             Sequence of excitation and the electrocardiographic inscription

4.2.             Correlation of Electrical and Mechanical Events with EKG Pattern

4.3.             Electrocardiographic lead configurations

4.3.1.        Unipolar

4.3.2.        Bipolar

4.3.3.        Precordial

4.4.             Mean electrical axis of the heart

5.                   Arrhythmias

5.1.             Sinus

5.2.             Atrial

5.3.             Junctional – Premature Junctional Contractactions

5.4.             Ventricular

5.5.             Blocks and Conduction Defects

6.                   Pharmacologic Factors:  Drugs Administered in Cardiovascular Disease Which May Affect GXT or Alter an Exercise Prescription

6.1.             Anti-anginal agents

6.2.             Anti-hypertensive agents

6.3.             Digitalis glycosides and derivatives

6.4.             Anti-lipidemic agents

6.5.             Anti-arrhytmic agents

6.6.             Psychotropic agents

6.7.             Other agents

6.7.1.        Alcohol

6.7.2.        Antihistamines

6.7.3.        Thyroid medications

6.7.4.        Cold remedies

6.7.5.        Nicotine

 

VI.      COURSE REQUIREMENTS AND EVALUATION PROCEDURES:

 

          A.    Course Requirements:

 

                 The student will be expected to:

 

                 Attend and actively participate in classroom discussions and activities.

                 Successfully pass four to six unit examinations.

                 Successfully pass a final comprehensive examination.

Demonstrate knowledge of normal and abnormal resting ECGs and be able to recognize selected ECG abnormalities that occur during exercise testing.

         

          B.    Evaluation Procedures:

 

                 Unit examinations:  100 points each

                 Comprehensive Final:  100 points

                            

                 The total points on all tests and assignments will be added and the final grade will be based upon the following:

                

 

                        90 and above                                                  A

                        80-89                                                    B

                        70-79                                                    C

                        60-69                                                    D

                        <60                                                                 F

 

          C.    Instructional Methodology:

 

                 Lecture and discussion

                 Question and answer

                 Audiovisual presentations

                

          D.    Attendance Policy:

 

                 Attendance is expected.  Participation in this course is considered vital. Students are advised that attendance, in and of itself, does not constitute class participation.  Class participation will vary according to the nature of the course and the instructional methods employed by the course instructor.  Participation however, does require regular attendance. In order to remain consistant with the Arkansas State University Undergraduate Bulletin, regular attendance is defined by the Department as “missing no more than twice the number of lectures, recitations, laboratory sessions, or other regularly scheduled class activities that would normally be scheduled during a week.” As a result, students are allowed four absentees.  All absentees are considered abscenses..  Doctor’s excuses, deaths in the family, illness, etc. all constitute an absentee.  Students missing additional days may have their final grade average dropped (one letter grade for fall and spring terms and two letter grades for summer terms) for each additional day absence.  Students arriving late for class or leaving early will be determined absent. In determining whether excessive absences should result in a failing grade or in a lowered grade, consideration shall be given to the maturity and class standing of the student, the quality of academic work being accomplished by the student, and extenuating circumstances related to such absence.

 

          E.  Make up Policy:

 

                 All outside work or examinations will be completed on announced dates.  Make up work is not available with out prior instructor approval. Exceptions to the policy are rare and will be determined by the the maturity and class standing of the student, the quality of academic work being accomplished by the student, and extenuating circumstances related to missed work.

 

          F.  Special Considerations:

 

                 Students with special considerations such as physical limitations and/or learning disabilities will be considered on an individual basis.  Please contact me for these arrangements.  Assistance will be provided.

 

 

VII.  Special Features:  Classroom specific software has been designed and developed to assist students in the learning of basic heart anatomy and function.  This software will be incorporated as part of the curriculum.  Overheads and other visuals aids will be used through out the lecture components.  All materials are available for students.

 

VIII.  Notes:   While I do not anticipate any changes in the course structure or evaluation materials,  I do, however reserve the right to modify these aspects.  Any modification will be announce in class.  Student feedback is welcomed and encouraged.  This type of information is extremely useful as an instructor develops a course.