PEP 475/503 EKG Interpretation
Department of Health, Exercise and Sports Sciences

Instructor: Len Kravitz, Ph.D.
Class Times: MWF 10:00 - 10:50am
Class Location: JC B100
Email: lkravitz@unm.edu
Web Site: www.unm.edu/~lkravitz (UNM > EKG)
Phone: 277-4136
Office Hrs: Mon 1:30 to 3:30pm and Wed 12:30 to 2:30pm and by appointment
Office: JC 1160
Prerequisite: Fundamentals of Exercise Physiology PE-P 326L (or equivalent)

Course Description:
This course is designed to fill the needs of students who desire the ability to interpret the resting normal and abnormal EKG, as well as provide an overview of heart anatomy, function and neurophysiology.

An understanding of cardiac physiology and electrocardiography is an important aspect of clinical exercise physiology. Emphasis in this course is on understanding and interpreting EKG tracings.
This course is closely associated with the College of Education Mission in "the study and practice of education through teaching, research, and service. It is the goal of the Exercise Science Program and College of Education to prepare students for participation in a complex and challenging society. The Core Values statement of the college of education is posted at: coe.unm.edu and click Core Values link

Course Objectives:
1. Review of the heart anatomy and the cardiac cycle as they relate to the electrical conducting system
2. Properly prepare a subject for a 12-lead EKG
3. An understanding of cardiac muscle contraction
4. A comprehensive analysis of the heart’s propagation of an action potential
5. A comprehensive overview of EKG interpretation involving the recognition of the most common abnormalities
6. Introduction to basic clinical exercise physiology.

Instructional Format
Three 50 minute lectures/week consisting of lecture instruction on cardiology, electrocardiography and experiences in the interpretation of the 12-lead EKG using various multimedia (software, power point, etc.). In addition, the EKG laboratory experiences and cases studies allow students the opportunity to incorporate the theoretical information into a practical atmosphere. Also, practical EKG questions and analytical thinking problems will be assigned throughout the semester.

Textbook and Workbook (BOTH REQUIRED)
Huff, J. ECG workout: Exercises in arrhythmia interpretation (7th edition). Wolters Kluwer, 2017
WORKBOOK: PEP 475/503 Workbook. Go to the Copy Center in Dane Smith Hall, Room 124 to purchase ($5). Dane Smith Hall is across the street from University House, the residence of the UNM President.

Other Useful Texts:
Garcia and Holtz. Introduction to 12-Lead ECG, Jones and Bartlett Publishers
Dubin, D. Rapid interpretations of EKG’s 6th edition. Cover Publishing Co
Shade, B. Practicing ECGs. McGraw-Hill Higher Education

Daily Quizzes 15 pts
Exam 1 20 pts
Exam 2 20 pts
Exam 3 20 pts
Final Exam 25 pts
Total Points 100 pts

Due to the nature of this class, all exams have a comprehensive component!

Grading Scale
97 — 100 A+ 73 — < 77 C
93 — < 97 A 70 — < 73 C-
90 — < 93 A- 67 — < 70 D+
87 — < 90 B+ 63 — < 67 D
83 — < 87 B 60 — < 63 D-
80 — < 83 B- < 60 F
77 — < 80 C+

No Make-ups: No make-ups for exams or quizzes without written medical (or equivalent, such as athletic team away game, scheduled wedding, special event, etc.) excuse. Three unexcused absences will result in a student being dropped from the class. Quizzes may be given at the beginning, middle or end of class. Students must be in attendance for the entire class to get quiz credit. Approved make-ups must be completed within 2 class meetings.

EKG Workbook Grading Policy: To get credit for each EKG workbook page assignment the page much be completed in entirety. Anything left blank on a page means the entire page gets a '0'. Each page is worth 15 quiz points. Workbooks DUE on dates announced in class. NO late Workbooks Accepted!

Academic Integrity: Academic dishonesty defined from the UNM Student Code of Conduct: “dishonesty in quizzes, tests or assignments; claiming credit for work not done or done by others; hindering the academic work of other students; misrepresenting academic or professional qualifications within or without the University; and nondisclosure or misrepresentation in filling out applications or other University records." The Exercise Science faculty support the importance of academic integrity. A student violating academic dishonesty guidelines will receive an “F” for the course. A second violation will result in the student being withdrawn from the Exercise Science program.

Special Needs: Qualified students with special needs should see the instructor as soon as possible.

Professional Courtesy: Students are expected to be on time for class and stay till the end of class. Please, no food or drinks (other than water bottles) in class. Also, please take care of your personal needs before the beginning of class. As well, I expect you to show professional courtesy towards your fellow students (i.e., no feet on chairs or pack packs in the way of others). Cell phones cannot be used for calculations in class at any time. Please bring a calculator to class daily as we will use it a lot.

In accordance with the Dean of Students office, the Department of Health, Exercise and Sports Sciences will not tolerate the use of cell phones, pagers, or other electronic devices in the classroom. Using cell phones, pagers, or other electronic devices in the classroom “is disruptive student behavior that interferes with the educational process of other students or prevents faculty or staff from performing their professional responsibilities” Remember, please bring a calculator to class daily as we will use it a lot. Dr. Kravitz Cell phone policy is as follows: If your cell phone goes OFF during class or if I catch you texting, you will receive ONE warning. A second violation and you will need to deactivate your CELL phone before class and place on the PROJECTOR table in the classroom during the lecture. Pick up your CELL phone after class.

Consultation: If you have questions, or need help, please see Dr. Kravitz promptly!

On Time Arrivals: Class will start on time with a quiz or course announcements. Students arriving late are a class disruption. Three late arrivals (without a legitimate excuse) will result in the student being dropped from the class. See Dr. Kravitz if you are traveling from work or across campus to accommodate your situation.

Graduate Student Project: Complete a Research Review on an agreed upon topic with instructor. At least 5 and no more than 10 current references. Follow APA writing style. Length of paper from 5 to 10 pages. Paper should be topically organized. Quiz grade for Graduate students will be 10 points plus up to 5 points for the Research Review. Due date for Research Review is Finals week.

UNM Administrative Mandate on Required Vaccinations
All students, staff, and instructors are required by UNM Administrative Mandate on Required Vaccinations (https://bringbackthepack.unm.edu/vaccine/vaccine-requirement.html) to be fully vaccinated for COVID-19 as soon as possible, but no later than September 30, 2021, and must provide proof of vaccination or of a UNM validated limited exemption or exemption no later than September 30, 2021 to the UNM vaccination verification site (https://lobocheckin.unm.edu/checkin/svpfa/24).

Students seeking medical exemption from the vaccination policy must submit a request to the UNM verification site (https://lobocheckin.unm.edu/checkin/svpfa/24) for review by the UNM Accessibility Resource Center (https://arc.unm.edu/). Students seeking religious exemption from the vaccination policy must submit a request for reasonable accommodation to the UNM verification site (https://lobocheckin.unm.edu/checkin/svpfa/24) for review by the Compliance, Ethics, and Equal Opportunity Office (https://oeo.unm.edu/). For further information on the requirement and on limited exemptions and exemptions, see the UNM Administrative Mandate on Required Vaccinations (https://bringbackthepack.unm.edu/vaccine/vaccine-requirement.html)

UNM Requirement on Masking in Indoor Spaces
All students, staff, and instructors are required to wear face masks in indoor classes, labs, studios and meetings on UNM campuses, see the masking requirement (https://bringbackthepack.unm.edu/protecting-the-pack/vaccination-and-masking-requirements.html). Qualified music students must follow appropriate specific mask policies issued by the Chair of the Department of Music and the Dean of the College of Fine Arts.

Students who do not wear a mask indoors on UNM campuses can expect to be asked to leave the classroom and to be dropped from a class if failure to wear a mask occurs more than once in that class. With the exception of the limited cases described above, students and employees who do not wear a mask in classrooms and other indoor public spaces on UNM campuses are subject to disciplinary actions.

Communication on change in modality: The President and Provost of UNM may direct that classes move to remote delivery at any time to preserve the health and safety of the students, instructor and community. Please check [fill in your communication system] regularly for updates about our class and please check https://bringbackthepack.unm.edu regularly for general UNM updates about COVID-19 and the health of our community.

Optional additional COVID-19 mask language:
Acceptable masks and mask wearing in class: A two-layer mask that covers the nose and mouth and that is cleaned regularly is acceptable, as are disposable medical masks, KN95, KF94, FFP1 and FFP2 masks. A face shield is not sufficient protection. It is vital that you wear your mask correctly, covering your nose and mouth. Removing your mask for an extended period to eat or drink in class violates the university mask requirement and endangers others.

Consequences of not wearing a mask properly: If you don't wear a mask, or if you do not wear a mask properly by covering your nose and mouth, you will be asked to leave class. If you fail to wear a mask properly on more than one occasion, you can expect to be dropped from the class. If you insist on remaining in the classroom while not wearing a mask, class will be dismissed for the day to protect others and you will be dropped from the class immediately.The instructor will try to have a few disposable masks available on a first-come, first-served basis.

Accommodations: In accordance with University Policy 2310 and the Americans with Disabilities Act (ADA), academic accommodations may be made for any student who notifies the instructor of the need for an accommodation. It is imperative that you take the initiative to bring such needs to the instructor's attention, as I am not legally permitted to inquire. Students who may require assistance in emergency evacuations should contact the instructor as to the most appropriate procedures to follow. Contact Accessibility Resource Center (https://arc.unm.edu/) at 277-3506 or arcsrvs@unm.edu for additional information.

UNM is committed to providing courses that are inclusive and accessible for all participants. As your instructor, it is my objective to facilitate an accessible classroom setting, in which students have full access and opportunity. If you are experiencing physical or academic barriers, or concerns related to mental health, physical health and/or COVID-19, please consult with me after class, via email/phone or during office hours. You are also encouraged to contact Accessibility Resource Center (https://arc.unm.edu/) at arcsrvs@unm.edu or by phone 277-3506.

Title IX:
Our classroom and our university should always be spaces of mutual respect, kindness, and support, without fear of discrimination, harassment, or violence. Should you ever need assistance or have concerns about incidents that violate this principle, please access the resources available to you on campus, especially the LoboRESPECT Advocacy Center and the support services listed on its website (http://loborespect.unm.edu/). Please note that, because UNM faculty, TAs, and GAs are considered "responsible employees" by the Department of Education, any disclosure of gender discrimination (including sexual harassment, sexual misconduct, and sexual violence) made to a faculty member, TA, or GA must be reported by that faculty member, TA, or GA to the university's Title IX coordinator at the Office of Compliance, Ethics, and Equal Opportunity (https://oeo.unm.edu/title-ix/title-ix-reporting-obligations.html) For more information on the campus policy regarding sexual misconduct, please see: https://policy.unm.edu/university-policies/2000/2740.html.

Students who ask for help are successful students. I encourage students to be familiar with services and policies that can help them navigate UNM successfully. Many services exist to help you succeed academically, such as peer tutoring at CAPS and http://mentalhealth.unm.edu. There are plenty of ways to find your place and your pack at UNM: see the "student guide" tab on my.unm, students.unm.edu, or ask me for information about the right resource center or person to contact.

Doing the Right Thing: UNM has policies to preserve and protect you and the academic community available in the Student Pathfinder as well as in the Faculty Handbook. These include policies on student grievances D175 (undergraduates) and D176 (graduate and professional students), academic dishonesty (D100), and respectful campus (CO9). Please ask for help in understanding and avoiding plagiarism (passing the work or words of others off as your own work or words) or other forms academic dishonesty. Doing something dishonest in a class or on an assignment can lead to serious academic consequences. Come talk with me about your concerns or needs for academic flexibility or talk with support staff at one of our student resource centers before you do something that may endanger your career.

Final Exam is comprehensive: Material From Entire Semester

Tentative Lecture Time Table Provided on EKG HOME page
Final Exam in EKG is COMPREHENSIVE of Entire Semester

COVID-19 Symptoms and Exposure, Academic Flexibility and Student Support:
UNM's COVID-19 Rapid Response Team (RRT), comprised of medical and emergency response professionals, will operate in Fall 2021 and in coordination with the New Mexico Department of Health and its contact tracing team. RRT evaluates a range of COVID-19 transmission and positive data, addresses exposure events from positive students and manages follow-up around communication, medical care, testing, and isolation.

All positive cases in the state are reported to the New Mexico Department of Health, which provides follow-up contact tracing. Faculty are not responsible for identifying potential contacts of students who report having tested positive for COVID-19.
If a student is feeling sick and is experiencing symptoms of illness, consider extending flexibility around academic deadlines. Provide information about student support resources (see http://goweb.unm.edu/studentguide/ and https://students.unm.edu for quick links), including mental health resources, student resource centers, peer tutoring, and crisis support and offer affirming referrals to services.
Students experiencing symptoms associated with COVID-19 should not attend class or come to campus and should be advised to consult with SHAC at (505) 277-3136 or their regular medical provider. Individuals do not need to seek medical attention if they are asymptomatic.

Students who are asymptomatic but afraid of having been exposed to COVID-19 can self-monitor for symptoms and seek medical attention if symptomatic at SHAC at (505) 277-3136). Encourage students concerned about COVID-19 to consult the New Mexico Department of Health website for information about vaccination efficacy and COVID-19 symptoms and transmission. Share information about widely available and free COVID-19 testing and vaccination.

Symptoms of Covid-19 two to four days after exposure
Cough, shortness of break or difficulty beathing, fatigue, body (muscle) aches, headache, loss of taste or smell, nausea or vomitting, diarrhea

Warning signs of Covid-19 to seek Emergency Help
Trouble breathing, pesistent pain in the chest, new confusion, inability to wake or stay awake, pale, grey or blue-colored skin