Syllabus of Cath Lab Technician

Syllabus for the Post of Cath Lab Technician

MODULE – 1

Electrocardiography ( 12 Marks)

1. Basic and Principle
2. Electrode / Lead Placements
3. Normal ECG : Wave Form
4. Normal ECG : Intervals
5. ECG Machined : Functions, Frequency response, Recording Speed, Sensitivity, Standardisation, Stylus Lag (Heat Stylus)
6. ECG and Chamber Hypertrophy
7. ECG and Arrhythmia
8. ECG in Myocardial Infraction, Myocardial Ischemia
9. ECG in Miscellaneous Conditions: Metabolic, electrolyte changes
10. ECG for Technician: Summary

MODULE – 2

Exercise ECG ( 12 Marks)

1. Equipments / Types of Exercise ECG
2. Indication / Contradiction
3. Lead placement – Rationale, Limitation
4. Monitoring during EX.ECG: clinical / ECG / Parameters
5. Exercise ECG Protocol: Indications / Advantage and Disadvantage
6. Exercise Physiology
7. Exercise ECG: Preparation of Patient / Equipment / Defibrillators, Emergency Drugs
8. Exercise ECG : Detection of Various Arrhythmais, Iscemia and plan of action
9. Exercise ECG
10. Endpoints : Recognition and Action
11. Post Exercise ECG : Observation, Instructions

MODULE – 3

Echocardiography ( 10 Marks)

1. Principle of Echocardiography
2. Transducers
3. Anatomical Planes for viewing in Echocardiography
4. Normal m-Mode Echo Study: Anatomy / Function : Measurements.
5. Echo for Cardiac Function – systolic and diastolic
6. Echo in Heart Disease : Acquired
7. Echo in Heart Disease : Congenital
8. Contrast Echocardiography : Technique and Indications
9. Transesophageal Echocardiography
10.  Echo Echocardiography : Technician’s Role
11. Disposables
12. Record Keeping
13. Stock – Indents, Stock Maintenance, Stock
14. Verification

MODULE – 4

Principle of Doppler ( 12 Marks)

Measurement of Flows and Gradients

1. Assessment of gradients, shunts, valve areas, cardiac output
2. Assessment of valve regurgitations Utility of Doppler in Assessment of Cardiac Disease
3. Tissue Doppler
   Stress Echocardiography : Protocol, 2D Echo Views, Analysis
   Trans – esophageal Echo
   1. Indication / Contraindication
   2. Patient Preparation
   3. Transducer : Maintenance, Sterlization, Handling etc
   4. Monitoring
   5. Emergency Drugs
   6. Utility

Intra Vascular Ultrasound, Intracoronary Doppler Wire

MODULE – 5

Holter Recording ( 04 Marks)

1. Principles of Holter
2. Utility and indications
3. Analysis of Holter

MODULE – 6

Cardiac Cathereization

PART – I ( 15 Marks)

1. Cardiac Catherisation : Laboratory Setup / Types Procedures
2. Sterile Techniques in Cath Lab / Sterile Areas, Sterile Procedure, Sterile trolley setting, Scrubbing, gowns and Gloves, scrubbing and draping patients, handling sterile disposables etc.
3.  Sterlilisation and re-use of hardware
4. Equipments : Cath – Lab equipments
5. Defibrillator / Pacemaker / IABP / Boyle’s Apparatus / Suction Machine / Oxygen
6. Infusion Pumps / Programmed Stimulators, Pacing System Analysers
7. Equipments in Cath – Lab
8.  Hemodynamic Recorders
9.  Transducers
10. Recording of Pressure Wave Form
11. Range / Gain / Speed / Systolic / Diastolic and Mean Pressures in Chambers and Vessels
12. Hazard management
13. Radiation Protection
14.  Infection Prevention
15. Injury Prevention : Electrical / Mechanical
16. Wastes Management
17.  Plastics
18. Biological Wastes
19.  Glass / Needle / Syringes
20.  Technician’s Role
21. Patient Monitoring
22. Procedure Related : Data Collection
23.  Acquisition and entry of Data, Procedure Books, Log Books, Registers etc.
24. Stock of all disposables Eg. Catheters etc.
25.  Stores (Disposable Items)
26.  Accounting (Used Items)
27. Equipment Maintenance
28.  Cine Angiography: Cine Filiming, Cine Film Processing and Cine Film Viewing, Cine film library
29.  Contrast Media

MODULE – 7

Cardiac Cathereization

PART – II ( 15 Marks)

1. Cardiac Catheterisation Procedure: Diagnostic Studies.
2. Cardiac Catheterisation Procedures: Therapeutic / Interventional Procedures
3. Acquisition of Cath Data: Cardiac Output / Oximetry and Shunts
4. Acquisition of Cath Data: Pressures and Wave Forms; Recording Technique, Analysis
5. Angiography: Technique / Views / Contrast Media
6. Cardiac Catheterisation
7. Hardware: Catheters / Connections / Sheaths / Stopcocks / Wires / Angioplasty Catheters
8. Complication of Cardiac Catheterisation: Recognition and Management
9. Cardiopulmonary Resuscitation
10.  Special Procedures:
11. Pericardial Tap
12. Atrial Septostomy
13. Endomyocardial Biopsy
14. Balloon Angioplasty ( Valve)
15. Coronary Angioplasty
16. Case Study of Simple Cardiac Disease
17. ASD, MS, Tetralogy of Fallot
18. Hardware of Cardiac Catheterisation And Interventions
19. Venus and Arterial Check Flow Sheaths, Mainfolds, 3 – way Stock Cocks etc
20. Guide Wires and Dilators
21. Puncture Needles ( Vascular Access Needles)
22. Woven Darcon Cathetes: GL, NIH, Lehman, Woven, Darcon Electrode Catheters.
23. Flow Directed Catheters ( Swan Ganz Type) Balloon Angio Catheters
24. Polyurethane Catheters: Pig Tail, Judkins, Coronary, Amplatz Coronary, Brachial Coronory. Sones Catheters.
25. Guide Wires: Short, Normal Lendth, Exchange Length ‘J’ Tipped Movable Core, Tips, Deflectable Types.
26. Valvuloplasty Catheters, Atrial Septostomy Cathetes
27. Coronary Angioplasty: Guide Catheters, Guide Wire, Balloon Dilatation Catheters, Indflators, Y Connectors.
28. Stents: Bare Stents, Mounted Stents, Other Types of Stents.

MODULE – 8

Cardiac Catheterisation  Part III Pacing and Electrophysiology ( 10 Marks)

1. Arrhythmias: Brady and Tachy Arrythmias
2. Indication for Temporary / Permanent Pacing Tecnique: Temporary Pacing
3. Permanent Pacing : VVI AAI Pacing ( Single Chamber Pacing)
4. Permanent Pacing : DDD, other Modes of Pacing
5. Pacemaker Clinic: Management of Pacemaker Patients, Programmers.
6. Intracardiac Electrogram – Technique
7. Electrophysiological Studies
8. Radio Frequency Ablation for arrhythmia’s
9. Implantable Cardioverter Ddfibrillator

MODULE – 9 ( 10 Marks)

1. Cardiac Arrest
2. Cardio Respirator Resuscitation
3. Hypotension / Hypertensive Crisis
4. Cardiac Tamponade
5. Anaphylaxis
6. Emergency Drugs
7. Intra – aortic Balloon Pump
8. Records Keeping: Indents, Stocks, Log Books, Procedure Books etc.

NOTE: – It may be noted that apart from the topics detailed above, questions from other topics prescribed for the educational qualification of the post may also appear in the question paper. There is no undertaking that all the topics above may be covered in the question paper