British Columbia Institute of


CARD 2202 - Cardiology Diagnostic Testing Methodology

Cardiology/Cardiovascular Part-time Studies Course

School of Health Sciences

Course Details

This course introduces the learner to the methodology of non-invasive cardiology diagnostic testing. The primary focus is on electrocardiography, ambulatory ECG monitoring, exercise stress testing and special procedures. Students will learn the fundamental principles behind the most commonly performed non-invasive diagnostic tests from the perspective of the cardiology technologist. Emphasis will be placed on procedural techniques, trouble-shooting skills and clinical applications. Online simulation exercises have been created to provide the student practice in ECG placement as well as case study exercise stress testing (ETT). The student will also examine special considerations such as the implementation of imaging in combination with exercise testing and the use of non-invasive diagnostic testing research tools.


60% in BHSC 1119 and BMET 1107 and CARD 1101 and CARD 1103





Fall 2018

Below is one offering of this course for the Fall 2018 term.

CRN 31926

Tue Sep 04 - Fri Nov 23 12 Weeks

Class Meeting Times

Dates Days Times Locations
Sep 04 - Nov 23 Distance


Lisa Gowans

Course Outline

TBD – see Learning Outcomes in the interim




  1. Guided learning format.
  2. This online D2L course is for students in the Cardiology Diploma program. Students are responsible for ensuring prerequisite courses are completed PRIOR to registration. See course description for a list of individual prerequisites. IMPORTANT NOTE: Registration is available on an individual course basis for those who wish to take continuing education credits. Registration does not imply admission to the program. This course may be subject to cancellation if registration numbers are low.
  3. Important course information will be sent to you prior to your course start date. Check your myBCIT email account to access this information.

Learning Outcomes

Upon successful completion of this course, the student will be able to:

  • Describe lead theory, Einthoven’s triangle and the hexaxial reference system.
  • Understand the role of the technologists with respect to ECG, ambulatory monitoring and exercise tolerance testing.
  • Identify instruments and basic components of electrocardiograms, ambulatory monitoring, tilt table testing and exercise tolerance testing,
  • Identify the important/urgent information to consider and report inclusions for ambulatory monitoring and ETT.
  • Specify and simulate accurate placement for 12 lead electrocardiogram.
  • Specify 15 lead (right side and posterior) and pediatric lead placement.
  • List indications and alternate placement for other ECG placements including: Lewis lead, Frank X, y and z leads, esophageal, deep inspiration/expiration, Brugada, vagal maneuvers, drug injections, pericardiocentesis and cardioversion.
  • List indications and alternate placement for special needs procedures including: dextrocardia, trauma, burns, mastectomy, lung disease, geriatric, oncology etc.
  • Describe various types of artifact, elimination and need for addition 12 lead.
  • Explain the importance of rhythm strips, when and how to use them.
  • Describe the purpose, procedure, and indications for ambulatory monitoring.
  • Identify indications and applications in ambulatory monitoring.
  • Recall scanning methods, systematic approach, report styles and research tools.
  • Describe the purpose, principles and various protocols for exercise tolerance testing.
  • Demonstrate knowledge of indications and contraindications to performing the various non-invasive cardiac diagnostic test.
  • Describe patient preparation, electrode site placement, and artifact prevention as they relate to ETT.
  • List the parameters and physical signs and symptoms to be observed/monitored in ETT during rest/exercise/recovery.
  • Explain normal/abnormal cardiovascular response and ECG manifestations to ETT.
  • Explain the responses due to medication in ETT as well as false negative/false positive results.
  • State the threatening conditions and absolute/relative indications for termination of ETT.
  • Integrate the basic ETT knowledge and techniques (blood pressure, heart sounds, HR, ECG monitoring) through simulated case studies.
  • Recall the proper care/maintenance and troubleshooting techniques of ECG, ambulatory monitoring, ETT and other related equipment utilized by the Cardiology Technologist to optimize clinical data.
  • Identify special consideration as they relate to ETT (CVD, obesity, pulmonary, child, medical imaging, pacemakers and tilt table testing).
  • Describe examples of various cardiac research tools used in the field.

Effective as of Winter 2016

Related Programs

CARD 2202 is offered as a part of the following programs:

School of Health Sciences

  1. Cardiology Technology
    Part-time/Distance & Online Learning   Diploma


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