upcoming seminars

Course Details

COURSE # 6: Safe and Effective Management of Patients with Cardiovascular Disease: What Therapists Need to Know - DR. WILLIAM DE TURK


Dr William DeTurk PhD, PT

Course Description

Providing care to patients with cardiovascular disease offers unique challenges to the practicing physical and occupational therapist.  Managing patients who have a history of myocardial infarction, heart failure, or who have pacemakers or similar mechanical devices can be intimidating.  Because patients tend to be less stable, therapists need to recognize sudden changes in patient status and respond to them quickly.  For all these reasons, most therapists need additional orientation and training not provided by entry-level physical therapy programs or on-site facilities. This two-day course will provide a comprehensive overview of management of patients with Acute Coronary Syndrome, peripheral vascular disease, hypertension and other related cardiovascular pathologies.  Detailed information on monitoring strategies, exercise program development and mechanical devices frequently encountered will be provided, together with interventions appropriate to this patient population. Underlying concepts and principles will be presented which will enhance the clinician's knowledge base. Skills and understanding will be obtained through lecture, videotape presentations and laboratory exercises. Case studies will pull together and summarize course components. Instruction will include review of clinically-relevant cardiovascular anatomy and physiology, and exercise physiology including metabolic pathways and energy systems. Participants will gain knowledge in current diagnostic schemes (eg, Acute Coronary Syndrome), medical and surgical management, and interventions appropriate to acute, out-patient and rehab settings. The course will focus on evaluation skills (eg, select heart and lung sounds), and practical electrocardiography (coupled with appropriate responses); attendees will learn how to use vital signs to manage individual treatment sessions as well as how to advance patients through a rehab program by developing exercise prescriptions. Emphasis will be placed on clinical decision-making.  This course is designed for participants with a basic to intermediate level of experience.

Contact Hours

Upon completion of this course, participants will be given a certificate of attendance for 15.0 contact hours. This course has been approved for 15.0 contact hours by Tennessee Physical Therapy Association (TPTA approval # 5968), 15.0 continuing education credit by New Jersey State Board of Physical Therapy Examiners (approval # 2014-1342). The Learning and Training Center is an AOTA Approved Provider of continuing education.  AOTA Provider number is 5184. Contact your state board for specific filing requirements.

Course Objectives

At the conclusion of this program, the learner will be able to:
• Identify and describe the clinical relevance of select cardiovascular anatomical structures; understand the clinical utility of issues of cardiac demand and supply;
• Apply exercise physiology  principles of systemic energy systems and exercise states in the management of patients with cardiovascular disease;
• Evaluate and interpret select ECG rhythm strips that would likely be encountered in intensive care unit and rehabilitation settings; match select rhythm disturbances with appropriate clinical responses;
• Measure and evaluate ECG ST-segment displacement and identify appropriate clinical responses;
• Describe the etiology, clinical manifestations and diagnosis of coronary artery disease;
• Identify In-hospital management and medical/surgical interventions of patients with Acute Coronary Syndrome, including myocardial infarction and myocardial ischemia;
• Identify In-hospital management and medical/surgical interventions of patients with heart failure;
• Identify normal and abnormal responses of patients during activity/exercise and recognize signs of patient discomfort and the need to modify or terminate treatment;
• Identify examination procedures used to evaluate patients with cardiovascular disease, including vitals and select heart and lung sounds;  
• Describe the etiology, incidence, and current best practice management of patients with deep vein thrombosis / pulmonary embolus;
• Describe the characteristics of select graded exercise tests;
• Extract data from graded exercise tests and use such data to guide exercise training of patients with cardiovascular disease;
• Use principles of endurance training to develop exercise prescriptions from sample case studies.

Course Agenda




 7:30 a.m.


 8:00 a.m.

  Clinically-Relevant Anatomy & Physiology of the Cardiovascular System

 8:30 a.m.

  Exercise Physiology: Application of Select Concepts Critical to Patient Care

 9:30 a.m.


 9:45 a.m.

 Coronary Artery Disease: etiology, clinical manifestations, diagnosis; Acute Coronary    Syndrome

 10:15 a.m.

 Myocardial Ischemia/Infarct: In-Hospital Management, Medical/Surgical Interventions 

 11:15 a.m.

 Vitals: Maximizing their Utility in Treatment Sessions

 12:15 p.m.

 LUNCH (on your own)

 1:15 p.m.

 Heart Failure & Hypertension: Pathophysiology and Current Best Practice Treatment  Guidelines

 2:30 p.m.

  ECG Lab I: Ischemic Responses to Exercise, Rhythm Disturbances

 3:45 p.m.


 4:00 p.m.

  Graded Exercise Testing: Extracting Data to Guide Therapeutic Interventions

 5:30 p.m.






 7:30 a.m.

 Deep Vein Thrombosis & Pulmonary Embolism: Etiology, Incidence and Current Best Practice

 8:30 a.m.

 Cardiac Examination: Select Heart and Lung Sounds

 10:15 a.m.


 10:30 a.m.

 ECG Lab II: Rhythm Disturbances cntd: Recognition and Clinical Response

 12:00 p.m.

 LUNCH (on your own)

 12:45 p.m.

 Exercise Prescription: The Art and the Science of Providing Safe and Effective Care

 2:00 p.m.

 Case Studies: Analysis and Plan of Care

 3:00 p.m.

 Summary: Discussion and Questions

 3:30 p.m.


Upcoming Classes


Meet Our Faculty


I am excited that I will take back new ideas to the clinic and use right away with my patients.
- Samantha B. (PT from Illinois)
Instructor is very knowledgeable. Dr. Ghosh explained complicated topic with ease and simplicity.
- Oliver P. (OT from Kentucy)


The Learning and Training Center
c/o Sarbani Ghosh
16327 Champion Drive
Chesterfield, MO 63005
Email: :ltcenter@charter.net
Phone: :(636)536-0272