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Supervisor
Oskars Kalējs

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:02.08.2019
Study Course Information
Course Code:ISK_006LQF level:Level 6
Credit Points:6.00ECTS:9.00
Branch of Science:MedicineTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Oskars Kalējs
Study Course Implementer
Structural Unit:Department of Internal Diseases
The Head of Structural Unit:Aivars Lejnieks
Contacts:Rīga, Hiprokrāta iela 2, iskatrsu[pnkts]lv, iskatrsu[pnkts]lv, +371 67042338
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)7Lecture Length (academic hours)2Total Contact Hours of Lectures14
Classes (number)16Class Length (academic hours)3Total Contact Hours of Classes48
Total Contact Hours62
Lectures (number)7Lecture Length (academic hours)2Total Contact Hours of Lectures14
Classes (number)16Class Length (academic hours)4Total Contact Hours of Classes64
Total Contact Hours78
Study course description
Preliminary Knowledge:
normal anatomy, histology, normal physiology, biochemistry, basics of medical physics, biology and genetics, basics of internal medicine from the 4th semester course.
Objective:
- to acquire knowledge of the principles of deontology; - to acquire knowledge of subjective and objective examination methods – survey, inspection, palpation, percussion, auscultation, and interpretation results; - to teach students learn to assess laboratory and instrumental data; - to provide students with the basics of writing a medical history; - to encourage students in clinical thinking and decision-making.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Cardiovascular system – structure and function. Anamnesis, physical investigation – importance and significance in real praxis. Elements of cardiovascular system, common signs of pathology. Intracardial hemodinamic: mechanisms of heart sounds and murmurs, informative significance. Heart valves.Lectures1.00auditorium
2Congenital and acquired heart diseases.Lectures1.00auditorium
3Heart electrophysiology, basic aspects of ECG (principles, leads, elements of ECG, background of analysis of heart rhythm disturbances and propagation defects).Lectures1.00auditorium
4Signs of heart rhythm disturbances in ECG. Exercise tests (veloergometric tests, tredmil, 6 min.walking tests), informative value.Lectures1.00auditorium
5Instrumental investigation methods in cardiology. Assessment of mechanical function of Heart (output, systolic and diastolic dysfunction), concept of remodelation, dilatation, hypertrophy. EchoCG principles for investigation of heart structures and function. Other imaging methods for diagnostic in cardiology (CT, MRI, PET). Invasive investigation in cardiology.Lectures1.00auditorium
6Acute and chronic heart failure, pathophysiological mechanisms, ABCD and NYHA classification, common risks, systolic and diastolic heart failure. Value of clinical and instrumental investigation.Lectures1.00auditorium
7Arrhythmias. Arrhythmias as specific diseases in cardiology. Arrhythmias as clinical manifestation.Lectures1.00auditorium
8Typical complaints and anamnesis if cardiovascular patients. Investigation: inspectio, palpatio, percussio, auscultatio. Data with inspectio and palpatio about clinical condition of cardiovascular patients.Classes1.00clinical base
9Cardiac auscultation. Principles, methods. Data with auscultation about clinical condition of cardiovascular patients. Heart sounds, variants of heart sounds. Murmurs of heart. Arterial pressure. Assessment of arterial pressure (e.g. Home BP, daily BP etc.). What is arterial hypertension?Classes1.00clinical base
10ECG – background, ECG – electrical axis, hypertrophy’s, interpretation of ECG.Classes1.00clinical base
11ECG – myocardial blood flow and metabolic changes.Classes1.00clinical base
12ECG - heart rhythm disturbances and conduction changes. Summary of topicsClasses1.00clinical base
13Cardiovascular system: instrumental methods of investigation. Stress – Tests, exercise tests, 6 min. walking tests, tredmil, myocardial perfusion scintigraphy. Imaging methods in cardiology – ECHO Cg, computer tomography, magnetic resonance imaging etc.Classes1.00clinical base
14Assessment of potential vascular problems. Assessment of coronary artery (CT – angiography, coronary angiography, principle of IVUS). Assessment of arteries: endothelium, elasticity, structure. Pulse wave velocity. Assessment of carotid arteries. Methods of measurement of central venous pressure.Classes1.00clinical base
15Clinical assessment of congenital heart diseases. Clinical assessment of valvular heart diseases. Frequently concurrent congenital and acquired heart diseases, signs, symptoms, pathophysiology, diagnostic methods.Classes1.00clinical base
16Clinical assessment of congenital and acquired heart diseases with imaging methods (ECHO CG, CT, MRI etc.). Informative relevance of ECG in early diagnostic of congenital and acquired heart disease.Classes1.00clinical base
17Methods of treatment of valvular and congenital heart disease. Surgical and mini-invasive approache. Valve replacement, valvular repair, closure of defects, radical surgery, palliative surgery). Summary of topicsClasses1.00clinical base
18Concept of arrhythmias. Classification, types, assessment of clinical and prognostic importance. Role of ECG in diagnostic approach.Classes1.00clinical base
19Arrhythmias. Types of paroxysmal tachyarrhythmia, clinical assessment. Types of life threatening arrhythmias, diagnostic approaches.Classes1.00clinical base
20Arrhythmias. Atrial Fibrillation and Atrial Flutter – risks, reasons, classification, clinical variations. Conduction system disturbances, clinical assessment, assessment by ECG. Bradyarrhythmias. Types. clinical assessment, assessment by ECG Summary of topicsClasses1.00auditorium
21Cardiomyopathies. Classification. Unclassified cardiomyopathies. PathophysiologyClasses1.00clinical base
22Chronic Heart failure. Mechanisms of pathophysiology, classification by ABCD and NYHA, risks, assessment of systolic and diastolic function – clinical data, laboratory data (BNP, NT-proBNP, others NP), ECG data, imaging data.Classes1.00clinical base
23Acute heart failure. Mechanisms of pathophysiology, clinical signs, variants. Oedoma pulmonary, cardiogenic shock, central venous pressure, pressure of seizure of pulmonary capillary. Summary of topics.Classes1.00clinical base
24Atherosclerosis as systemic disease, risk factors of cardiovascular disease, development of atherosclerosis, variants of clinical manifestation. Principles of treatment.Lectures1.00auditorium
25Arterial hypertension. Primary and secondary arterial hypertension. Clinical assessment – risk factors, target organ damages, complication. Principles of pharmacological and non-pharmacological treatment. Choice of pharmacotherapy.Lectures1.00auditorium
26Coronary heart disease: epidemiology, background, mechanisms, different forms with diff-diagnosis, evaluations, principles of treatment.Lectures1.00auditorium
27Cardiomyopathies. Concept of primary and secondary cardiomyopathies. Myocarditis.Lectures1.00auditorium
28Inflammatory heart diseases (endocarditis, pericarditis), diagnosis (clinical and laboratorial evaluation, EchoCG, invasive methods etc.). Principles of treatment inflammatory heart diseasesLectures1.00auditorium
29Atrial Fibrillation. Mechanisms, risk factors, perspectives. Principles of treatment. Sudden cardiac death. Primary and secondary prophylaxis.Lectures1.00auditorium
307. Thromboembolism, Risk factors. Pulmonary embolism. Pulmonary hypertension.Lectures1.00auditorium
31Arterial Hypertension. Primary and secondary hypertension. Clinical assessment – risk factors, organ system damage, complication.Classes1.00clinical base
32Arterial Hypertension: treatment – principles of non-pharmacological and pharmacological therapy. Choice of pharmacotherapy, statement of pharmacotherapy.Classes1.00clinical base
33Hypertensive crisis. Resistant hypertension, pseudoresistant hypertension. Treatment of secondary hypertension. Summary of topics.Classes1.00clinical base
34Coronary heart disease. Risk factors epidemiology, pathophysiology. Chronic coronary heart disease. Angina pectoris, types of angina, classifications, diagnostic, investigation, treatment.Classes1.00clinical base
35Acute coronary syndrome. Clinical development and variants. Myocardial infarction, classification, mechanisms, types of myocardial infarction. Approaches of treatment acute coronary syndrome. Different clinical situation, clinical cases, diagnostic, invasive or conservative approach.Classes1.00clinical base
36Complications of myocardial infarction. Risk after myocardial infarction, assessment of risk, methods, importance of different investigations. Treatment options after myocardial infarction, implantable cardioverter - defibrillator.Classes1.00clinical base
37Treatment of coronary heart disease. Invasive or conservative approach (pharmacology, PCI, CABG, hybrid strategy) Summary of topics.Classes1.00clinical base
38Treatment of chronic heart failure: principles of non-pharmacological and pharmacological therapy. Treatment of acute heart failure.Classes1.00clinical base
39Inflammatory heart disease – endocarditis, pericarditis. Diagnostic approaches – clinical, laboratory, ECHO CG etc. Principles of treatment inflammatory heart diseases. Treatment of endocarditis. Prophylaxis of endocarditis.Classes1.00clinical base
40Cardiomyopathies – classification, clinical variation. Myocarditis – classification, clinical variation. Unclassified cardiomyopathies. Pathophysiology, methods of treatment. High risk cardiomyopathies, principles of treatment. Non-pharmacological approaches. CRT, CRT-D, ICD, alcohol-ablation, heart transplantation. Summary of topics – inflammatory cardiac diseases and cardiomyopathies.Classes1.00clinical base
41Arrhythmias I. Supraventricular tachyarrhythmia. Pharmacological and non-pharmacological treatment.Classes1.00clinical base
42Arrhythmias II. Pharmacological and non-pharmacological treatment of atrial fibrillation. Prophylaxis of thromboembolism.Classes1.00clinical base
43Arrhythmias III. Ventricular arrhythmias. Inherited arrhythmias. Pharmacological and non-pharmacological treatmentClasses1.00clinical base
44Arrhythmias IV. Bradyarrhythmias. Pharmacological and non-pharmacological treatment. Summary of topics.Classes1.00clinical base
45Thrombosis. Thrombosis in venous system. Deep vein thrombosis. Thromboembolia of pulmonary artery Risk of thrombosis. Pulmonary hypertension.Classes1.00clinical base
46Final class of semester. Clinical casesClasses1.00clinical base
Assessment
Unaided Work:
Independent individual work - patient examination, analysis and interpretation of investigation results, filling in of medical history. Preparation of study material for the course. Improvement of existing learning material.
Assessment Criteria:
- clinical situations with investigation results - 40%; - multiple choice questions (OSCE) - 30% of the total mark; - electrocardiography : examination results and their interpretation - 30%.
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:- Demonstrate orientation in newest medical technologies, examination methods, scientific disciplines. - Collect the anamnesis, sequentially arrange it, identify possible risk factors of the disease. - Considering the patient's investigation data (check-up, palpation, percussion, auscultation, assessing instrumental finding results) identify possible level of pathology. - Analysis of the obtained information to evaluate the pathological degree and the corresponding risks. - Be competent in pathological processes under consideration and be able to analyze those aspects of pathophysiology
Skills:- Be able to communicate with patients, their relatives, colleagues, other people or organizations involved in health care. - Patient's complaints and anamnesis; - Perform physical examination of the patient with palpation, percussion and auscultation methods and methods derived from those. - Determine the peripheral pulse, heart rate, respiratory rate and arterial pressure indicators, relate it to a particular clinical situation and link it with the overall investigation process. - Be competent in ECG results. - Be competent in instrumental examination results and their indications (load tests, imaging methods, invasive diagnostic techniques, contrast tests) used in cardiology practice. - Be competent in the diagnosis of heart disease, modern heart disease treatments (pharmacotherapy, surgery, mini-invasive methods); be able to interpret auscultation findings, imaging data. - Be able to evaluate electrocardiographic findings in a variety of heart rhythm disorders. Be competent in assessment of different risk degrees of arrhythmia. - Be competent in the diagnosis of different cardiomyopathies, be able to interpret auscultation findings, imaging data, be competent in modern diagnostic options of cardiomyopathy (nuclear magnetic resonance, genetic examinations, implantable rhythm recorders). - Be competent in the diagnosis of acute and chronic heart insufficiency, be able to interpret auscultation findings, imaging data, and be competent in modern diagnostic options and pathophysiological comprehension. - Be able to summarize acquired symptoms and present the diagnosis and medical history.
Competencies:- Evaluation of acquires symptoms, linking them with pathological processes in the patient's body. - Interpret basic imaging (echocardiography, CT, MRI) data. - Explain the necessity of instrumental examinations. - Interpretation of the instrumental examinations findings at the most basic level. - Be able to interpret auscultation findings, imaging data; be competent in modern treatment options of heart diseases. - Be able to interpret auscultation findings, imaging data; be competent in modern diagnostic options of cardiomyopathy (nuclear magnetic resonance, genetic examinations, implantable rhythm recorders). - Be competent in the diagnosis of acute and chronic heart insufficiency, be able to interpret auscultation findings, imaging data, and be competent in modern diagnostic options and pathophysiological comprehension. - Be able to analyze situations, substantiate, logically formulate and explain their opinion. - evaluate blood test results, to attribute to certain clinical case and general examination data; - to evaluate urine test results, to attribute to certain clinical case and general examination data; - be able to assess cases, to argue, to make decision, to clarify opinion.
Bibliography
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