Syllabus for Cath Lab Technician Exam.Medical Education Service Kerala PSC

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Main SubjectTopics
Basic and Principle
Electrode/ Lead Placements
Normal ECG: Wave Form
Norinal ECG: intervals
ECG Machined: Functions, Frequency Response, Recording Speed, Sensitivity Standardisation, Stylus Lag(Heat Stylus)
ECG and Chamber Hypertrophy
ECG and Arrhythmia
ECG in Myocardial Infraction, Myocardial,Ischemia
ECG in Miscellaneous Conditions; Metabolic, electrolyte changes
ECG for Technician: Summary
2Exercise ECG Equipments/ Types of Exercise ECG
Indication / Contradiction
Lead placement – Rationale, Limitation
Monitoring during Ex. ECG:
Exercise ECG Protocol: Indications/ Advantage and Disadvantage
Exercise Physiology
Exercise ECG: Preparation of Patient / Equipment/ Defibrillators, Emergency Drugs
Exercise ECG: Detection of Various Arrhythrnais, lschernia and Plan of action
Exercise ECG:
Endpoints: Recognition and Action
Post Exercise ECG: Observation, Instructions
3Echocardiography Principle of Echocardiography
Anatomical Planes for viewing in
Normal M-Mode Echo Study: Anatomy /
Function: Measurements.
Echo for Cardiac Function – systolic and diastolic
Echo in Heart Disease; Acquired
Echo in Heart Disease: Congenital
Contrast Echocardiography: Technique and Indications
Transesophageal Echocardiography
Echo Echocardiography: Technician’s Role:
Record Keeping
Stock-Indents, Stock Maintenance, Stock Verification
Principle of Doppler
Measurement of Flows and Gradients
Assessment of gradients, shunts, valve areas, cardiac output
Assessment of valve regurgitations
Utility of Doppler in Assessment of Cardiac Disease
Tissue Doppler Stress Echocardiography: Protocols, 2D Echo Views,
Trans – esophageal Echo
Patient Preparation
Transducer: Maintenance, Sterilization, Handling
Emergency Drugs or Utility
Italia Vascular Ultrasound, Intracoronary Doppler
4Holier Recording Principles of Holter
Utility and indications
Analysis of Holter Lil
5Cardiac • Cardiac Catheterisation: Laboratory Setup /
.Year Catheterization Types Procedures

Part I – • Sterile Techniques in Cath Lab / Sterile Areas,
Introductory Sterile Procedure, Sterile trolley setting,
Course Scrubbing, gowns and Gloves, scrubbing and
draping patients, handling sterile disposables etc.
Sterilisation and re-use of hardware
Equipments: Cath-Lab Equipments
Defibrillator / Pacemaker / IABP/ BOYLE’s Apparatus / Suction Machine/ Oxygen
UInfusion Pumps / Programmed Stimulators, Pacing System Analysers
Equipments in Cath-Lab
Hemodynamic Recorders
*Recording of Pressure Wave Form
Range/ Gain/ Speed/ Systolic/ Diastolic and
Mean Pressures in Chambers and Vesseles
Hazard Management
Radiation Protection
Infection Prevention
Injury Prevention: Electrical/ Mechanical
Wastes Management
Biological Wastes
Glass/ Needle/ Syringes
Technician’s Role
Patient Monitoring
Procedure Related: Data Collection
Acquisition and entry of Data, Procedure Books, Log Books, Registers etc.
Stock of all disposables Eg. Catheters etc.
Stores (Disposable Items)
Accounting (Used Items)
Equipment Maintenance
Cine Angiography: Chic Filiming, Cine Film Procesing and Cine Film Viewing, tine film library
Contrast Media
6Cardiac • Cardiac Catheterisation Procedure: DiagnosticCatheterisation – Part Studies
Cardiac Catheterisation Procedures:
Therapeutic/ Interventional Procedures
Acquisition of Cath Data: Cardiac output / Oximetry and Shunts
Acquisition of Cath Data: Pressures and Wave Forms; Recording Technique, Analysis
Angiography: Technique/ Views/ Contrast Media
Cardiac Catheterisation
Hardware: Catheters/ Connections/ Sheaths/
Stopcocks/ Wires/ Angioplasty Catheters
Complication of Cardiac Catheterisaiton
Recognition and management
Cardiopulmonary Resuscitation
Special Procedures:
Pericardial Tap
Atrial Sep tostomy
Endomyocardial Biopsy
Balloon Angioplasty (Valve)
Coronary Angioplasty
Case Study of Simple Cardiac Disease –
ASD, MS, Tetralogy of Fallot
Hardware of Cardiac Catheterisation And Interventions
Venus and Arterial Check Flow Sheaths,
Guide Wires and Dilators Puncture Needles (Vascular Access Needles) Woven Darcon Cathetes: GL, NM, Lehman, Woven, Dacron Electrode Catheters Flow Directed Catheters(Swan Ganz Type) Balloon Angio Catheters Polyurethane Catheters: Pig Tail, judkins, Coronary. Amplatz Coronary, Brachial Coronary, Sones Catheters Guide Wires: Short, Normal Lendth, Exchange Length 1 ' Tipped Movable Core, Tips, Deflectable Types Valvuloplasty Catheters, Atrial Septostomy Cathetes Coronary Angioplasty: Guide Catheters, Guide Wire, Balloon Dilatation Catheters, lndflators, Y Connectors.
Stents: Bare Rents, Mounted Stents, Other Types of Stems.
Arrhythrnias: Brady and Tachy Ariythmias
Indication for Temporary / Permanent Pacing Technique: Temporary Pacing
Permanent Pacing: VW AAI Pacing (Single Chamber Pacing)
Permanent Pacing: DDD, other Modes of Pacing
Pacemaker Clinic: Management of Pacemaker Patients, Programmers
lntracarcliac Electrogram – Technique
Electrophysiological Studies
Radio Frequency Ablation for Arrhythmia’s
Implantable Cardioverter Ddlibrillator
Cardiac Arrest
Cardio Respirator Resuscitation
Hypotension/ Hypertensive Crisis
Cardiac Tamponade
Emer gency Drugs
lntra-aortic Balloon Pump