.
Electrocardiography
Study Course Description
Course Description Statuss:Approved
Course Description Version:1.00
Study Course Accepted:10.05.2021 10:15:37
| Study Course Information | |||||||||
| Course Code: | ISK_002 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Oskars Kalējs | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Internal Diseases | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 2 Hipokrata Street, isk rsu[pnkts]lv, +371 67042338 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 11 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 22 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Normal and pathological physiology, introductory course in ECG, cardiovascular diseases within the framework of the internal disease study course, as well as the basics of anaesthesiology and intensive care. | ||||||||
| Objective: | 1. To prepare students for the interpretation and analysis of electrocardiographic data. 2. To learn in practice the relationship between instrumental investigation and finding of the clinical situation. To develop analytical thinking based on ECG. 3. To train to interpret the nuances of ECG findings in the context of different clinical situations. 4. To acquaint with the most common pathologies and their signs in ECG, in the diagnosis of which electrocardiography is one of the main examinations. 5. To promote the development of students’ clinical thinking. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Overall topics: Fundamentals of electrocardiography. Intra-atrial and intraventricular conduction disorders. Hypertrophies. Signs of myocardial changes in ECG. Signs of arrhythmias in ECG. Specific sings in electrocardiography | Lectures | 5.00 | auditorium | |||||
| 2 | Cardiac conduction system disorders – diagnosis, treatment methods. Mechanisms of heart rhythm disorders | Classes | 3.00 | auditorium | |||||
| 3 | Cardiac conduction system disorders – diagnosis, treatment principles. Mechanisms of occurrence of heart rhythm disorders. Extrasystole, parasystole, diagnosis, principles of treatment thereof | Classes | 1.00 | clinical base | |||||
| 4 | Intra-atrial and intraventricular cardiac conduction disorders. Mechanisms, diagnostic value | Classes | 1.00 | clinical base | |||||
| 5 | Paroxysmal supraventricular tachycardias. WPW syndrome, CLC syndrome. Atrial flutter. Diagnostics and treatment. The concept of radiofrequency ablation | Classes | 1.00 | clinical base | |||||
| 6 | Atrial fibrillation and atrial flutter. Mechanisms of occurrence, diagnosis, principles of treatment | Classes | 1.00 | clinical base | |||||
| 7 | Bradyarrhythmias. AV blocks. Mechanisms, diagnosis, treatment possibilities. Signs of cardiac stimulation in ECG | Classes | 1.00 | clinical base | |||||
| 8 | Ischaemic changes in the myocardium and their signs in ECG. Diagnosis of myocardial infarction by ECG | Classes | 1.00 | clinical base | |||||
| 9 | Signs of life-threatening arrhythmias in ECG. Signs of risk of sudden death in ECG. Hypertrophy. Signs of cardiomyopathies in ECG | Classes | 1.00 | clinical base | |||||
| 10 | Specific signs in ECG. Characteristics of extracardiac pathologies and diseases in ECG | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Individual work – analysis and interpretation of ECG results, preparation of study aids for study needs. Improving existing materials. | ||||||||
| Assessment Criteria: | Analysis of electrocardiographic examples with a finding (electrocardiogram analysis, review of a clinical case). | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | To demonstrate an understanding of the latest medical technologies, examination techniques and scientific trends. To arrange the obtained information sequentially, recognise possible risk factors. To recognise the possible level of pathology taking into account the obtained data. At the end of the studies, students learn the basics of clinical electrocardiography, are able to orient in the diagnosis of myocardial ischemic changes and heart rhythm disorders, modern methods of treatment of heart rhythm disorders. | ||||||||
| Skills: | To be able to analyse an ECG, differentiate signs of pathology from the norm. To orient in the range of possible physiological norms, to distinguish between acceptable deviations and pathology. To know the basic principles of treatment of certain cardiac rhythm disorders and the basic principles of diagnosis of myocardial ischaemia. | ||||||||
| Competencies: | Evaluate the indications obtained, relate them to pathological processes in the patient’s body. To interpret the finding, relate them to a specific clinical situation, and link them to the overall examination process. To interpret changes in ECG, relate them to a specific clinical situation, and link them to the overall examination process. To be able to analyse situations, substantiate, logically formulate and explain one’s opinion. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Kalvelis A. Klīniskā elektrokardioloģija. Rīga, Nacionālais Medicīnas apgāds. 2008. (akceptējams izdevums) | ||||||||
| 2 | Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. 5th Edition. (ed.by Ellenbogen K.A., Kay G.N., Wilkoff B.L.) 2015. | ||||||||
| 3 | Jirgensons J., Kalējs O. Bradiaritmijas un elektrokardiostimulatori. Rīga, Nacionālais Medicīnas apgāds, 2003. (akceptējams izdevums) | ||||||||
| 4 | Kalvelis A. Tahiaritmijas: novēršana un ārstēšana. 2003. (akceptējams izdevums) | ||||||||
| 5 | Lejnieks A. Klīniskā medicīna. Pirmā grāmata. Rīga: Medicīnas apgāds, 2010. (akceptējams izdevums) | ||||||||
| 6 | Ārvalstu studentiem/For International students: | ||||||||
| 7 | Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. 5th Edition. (ed.by Ellenbogen K.A., Kay G.N., Wilkoff B.L.) 2015. | ||||||||
| Additional Reading | |||||||||
| 1 | Davidson's Principles and Practice of Medicine. 21st edition. by Nicki R. Colledge (Ed), Brian R. Walker (Ed) and Stuart H. Ralston. Churchill Livingstone, 2022 | ||||||||
| 2 | Siegenthaler W. Differential Diagnosis in Internal Medicine: From Symptom to Diagnosis. NY: Thieme Medical Publishers, 2007 | ||||||||
| 3 | 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation | ||||||||
| 4 | 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia | ||||||||
| 5 | The 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death | ||||||||
| 6 | Zipes and Jalife’s Cardiac Electrophysiology: From Cell to Bedside. 8th Edition. 2022 | ||||||||
| Other Information Sources | |||||||||
| 1 | http://estudijas.rsu.lv/index.php | ||||||||
