LF:VLVL9X65c Internal medicine - part 5

VLVL9X65c Internal medicine part 5 - Cardiology and Angiology

Faculty of Medicine
spring 2020

Extent and Intensity

0/3.2/0. 3 credit(s). Type of Completion: z (credit).

Teacher(s)

Guaranteed by

prof. MUDr. Jiří Vítovec, CSc.
First Department of Internal Medicine - Cardioangiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Contact Person: prof. MUDr. Lenka Špinarová, Ph.D., FESC
Supplier department: First Department of Internal Medicine - Cardioangiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine

Timetable of Seminar Groups

VLVL9X65c/09: Mon 20. 4. 7:30–12:30 I.IKAK N01908, Tue 21. 4. 7:30–12:30 I.IKAK N01908, Wed 22. 4. 7:30–12:30 I.IKAK N01908, Thu 23. 4. 7:30–12:30 I.IKAK N01908, Fri 24. 4. 7:30–12:30 I.IKAK N01908, Mon 27. 4. 7:30–12:30 I.IKAK N01908, Tue 28. 4. 7:30–12:30 I.IKAK N01908, Wed 29. 4. 7:30–12:30 I.IKAK N01908, Thu 30. 4. 7:30–12:30 I.IKAK N01908
VLVL9X65c/10: Mon 2. 3. 7:30–12:30 I.IKAK N01908, Tue 3. 3. 7:30–12:30 I.IKAK N01908, Wed 4. 3. 7:30–12:30 I.IKAK N01908, Thu 5. 3. 7:30–12:30 I.IKAK N01908, Fri 6. 3. 7:30–12:30 I.IKAK N01908, Mon 9. 3. 7:30–12:30 I.IKAK N01908, Tue 10. 3. 7:30–12:30 I.IKAK N01908, Wed 11. 3. 7:30–12:30 I.IKAK N01908, Thu 12. 3. 7:30–12:30 I.IKAK N01908, Fri 13. 3. 7:30–12:30 I.IKAK N01908
VLVL9X65c/11: Mon 27. 4. 7:30–12:30 IKK N13191a, Tue 28. 4. 7:30–12:30 IKK N13191a, Wed 29. 4. 7:30–12:30 IKK N13191a, Thu 30. 4. 7:30–12:30 IKK N13191a, Mon 4. 5. 7:30–12:30 IKK N13191a, Tue 5. 5. 7:30–12:30 IKK N13191a, Wed 6. 5. 7:30–12:30 IKK N13191a, Thu 7. 5. 7:30–12:30 IKK N13191a
VLVL9X65c/12: Mon 30. 3. 7:30–12:30 I.IKAK N01908, Tue 31. 3. 7:30–12:30 I.IKAK N01908, Wed 1. 4. 7:30–12:30 I.IKAK N01908, Thu 2. 4. 7:30–12:30 I.IKAK N01908, Fri 3. 4. 7:30–12:30 I.IKAK N01908, Mon 6. 4. 7:30–12:30 I.IKAK N01908, Tue 7. 4. 7:30–12:30 I.IKAK N01908, Wed 8. 4. 7:30–12:30 I.IKAK N01908, Thu 9. 4. 7:30–12:30 I.IKAK N01908
VLVL9X65c/15: Mon 16. 3. 7:30–12:30 I.IKAK N01908, Tue 17. 3. 7:30–12:30 I.IKAK N01908, Wed 18. 3. 7:30–12:30 I.IKAK N01908, Thu 19. 3. 7:30–12:30 I.IKAK N01908, Fri 20. 3. 7:30–12:30 I.IKAK N01908, Mon 23. 3. 7:30–12:30 I.IKAK N01908, Tue 24. 3. 7:30–12:30 I.IKAK N01908, Wed 25. 3. 7:30–12:30 I.IKAK N01908, Thu 26. 3. 7:30–12:30 I.IKAK N01908, Fri 27. 3. 7:30–12:30 I.IKAK N01908
VLVL9X65c/16: Mon 1. 6. 7:30–12:30 IKK N13191a, Tue 2. 6. 7:30–12:30 IKK N13191a, Wed 3. 6. 7:30–12:30 IKK N13191a, Thu 4. 6. 7:30–12:30 IKK N13191a, Fri 5. 6. 7:30–12:30 IKK N13191a, Mon 8. 6. 7:30–12:30 IKK N13191a, Tue 9. 6. 7:30–12:30 IKK N13191a, Wed 10. 6. 7:30–12:30 IKK N13191a, Thu 11. 6. 7:30–12:30 IKK N13191a, Fri 12. 6. 7:30–12:30 IKK N13191a

Prerequisites

( VLFA08222c Pharmacology II || VLFA0722p Pharmacology - L )
VLCH0832c;(VLFA08222p; VLFA0722p)

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

General Medicine (programme LF, M-VL)

Course objectives

The student should know the basic physical examination and functional tests in cardiology, should interpret ECG and recognize important arrhythmias. He/she must be able to describe basic examination in cardiology. He/she must be able to describe signs and symptoms of the most frequent cardiovascular disease, like hypertension, ischemic heart disease, myocardial infarction, arrhythmias, pulmonary embolism, peripheral artery disease, cardiogenic shock, syncope, pulmonary oedema, aortic aneurysm. He/shy must know the basic pathology of congenital and acquired valve disease, endocarditis, myocarditis and pericarditis. He/she must know the cardiovascular pharmacology as well as non-pharmacological treatment including pacing, resynchronisation and defibrillation. He/she must be able to describe the methods in invasive cardiology and cardio surgery. He/she must know the cardiovascular risk factors and to describe the pathophysiology of atherosclerosis.

Learning outcomes

The student have to know the basic physical examination and functional tests in cardiology, should interpret ECG and recognize important arrhythmias. He/she must be able to describe basic examination in cardiology. He/she must be able to describe signs and symptoms of the most frequent cardiovascular disease vide objectives of the subject

Syllabus

Cardiology

Chronic coronary artery disease
stable angina pectoris, silent ischemia angina pectoris inversa, etiology, pathophysiology, differential diagnosis of the chest pain, methods of examination, risk factors, primary and secondary prevention, complications, therapy, prognosis, classification (CCSC)
Acute coronary artery disease
nonstable angina pectoris, acute myocardial infarction, sudden death, etiology and pathophysiology, methods of examination, complications, therapy, prognosis
Myocarditis
virus, bacterial and parainfectious etiology, pathophysiology, methods of examination, complications, relation to dilated cardiomyopathy, prognosis, therapy
Endocarditis
noninfectious, bacterial endocarditis , etiology and pathophysiology, typical forms, high risk population ( valvular disease, after valvular replacement, intravenous drug users, imunocompromised patients ), methods of exmaination, differential diagnosis, surgical vs. nonsurgical treatment, indications, prognosis.

Tachyarrhythmias
supraventricular ( atrial fibrillation, atrial flutter, other supraventricular tachcardias ), ventricular ( ventricular tachycardia, fast ventricular tachycardia, ventricular fibrillation ), premature beats, etiology, pathophysiology, differentila diagnosis, farmacologic, nonfarmacologic treatment including radiofrequency catether ablations and implantable cardiovertors-defbillators.

Bradyarrhythmias
sinus bradycardia, rythm of AV junction, sinoatrial arrest and block, AV block II. and III. ventricular asystole, etiology and pathophysiology, differential diagnosis, syncope, methods of examination, HUT test, farmacologic treatment, cardiac pacemaker implantation.

Left ventricular insufficiency
acute ( Killip classiffication) etiology, pathophysiology, therapy, chronic, NYHA classiffication, etiology, pathophysiology, treatment ( including heart transplantation ), prognosis.

Cor pulmonale
acute ( incl. acute pulmonary embolism ), chronic, etiology, pathophysiology, differential diagnosis primary pulmonary hypertension, therapy, prognosis

Heart valvular disease
etiology and pathophysiology, congenital, febris rheumatica, single valvular disease, multiple valvular disease, differential diagnosis, complications, farmacologic, surgical, cathetrization therapy, prognosis

Congenital valvular disease in adults
defect of atrial septum, defect of ventricular septum, Fallot tetralogy, Ebstein's anomalia, transpozition of main vessels, dustus arteriosus perzistens, etiology, pathophysiology, therapy, prognosis

Venous disease
acute vein thromboflebitis ( flebothrombosis ), etiology and pathophysiology, extraordinary forms ( phlegmasia alba and coerulea dolens ) differential diagnosis, methods of examination, complications, therapy, prevention, varicous complex, consequencies of recurrent thromboflebitis, superior and inferior vena cava syndrome.

Arterial disease
ischemic arterial disease, thrombangitis obliterans, acute peripherial artery strokes ( embolisation and thrombosis ). coarctation of the aorta, aortal dissection, etiology, pathophysiology, diferential diagnosis, methods of examination, complications, therapy, prognosis.

Arterial hypertension
essential and secondary hypertension, etiology, pathophysiology, classiffication methods of examination, complications, therapy, prognosis

Pericarditis and pericardial effusion
virus, bacterial malignant and noninfectious etiology, pathophysiology, differential diagnosis, methods of examination, complications, therapy, prognosis

Cardiomypathy
deffinition, primary ( idiopathic ), secondary ( specific ), morfologic stratification, hypertrofic, dilated and restrictive ), arrhythmogenic right ventricle dysplazia, etiology pathophysiology, differential diagnosis, methods of examination, complications, therapy, prognosis

Methods of examination in cardiology
anamnesis, laboratory assesment, noninvasive methods ( electrocardiography, X ray methods, NMR, echocardiography, radionuclear methods, stress examinations, signal averaged ECG, Holter monitoring, heart rate variability, baroreflex senzitivity ), invasive ( right and left heart cathetrization, coronary angiography, eledtrophysiology, heart biopsy )

Literature

recommended literature

ČEŠKA, Richard. Interna. Edited by T. Šulc - Vladimír Tesař - Milan Lukáš. 2., aktualizované vydání. Praha: Stanislav Juhaňák -TRITON, 2015, Strana 612. ISBN 9788073878955. info
SOUČEK, Miroslav, Jindřich ŠPINAR, Jiří VORLÍČEK, Zdeněk ADAM, Dagmar ADÁMKOVÁ KRÁKOROVÁ, Lenka BABIČKOVÁ, Karola BALŠÍKOVÁ, Drahomíra BARTOŠOVÁ, Otakar BEDNAŘÍK, Richard BERGER, Šárka BOHATÁ, Petr BRHEL, Tomáš BRYCHTA, Yvona BRYCHTOVÁ, Alena BULIKOVÁ, Petr BURKOŇ, Ivan ČAPOV, Aleš ČERMÁK, Eva ČEŠKOVÁ, Milan DASTYCH, Regina DEMLOVÁ, Petr DÍTĚ, Jiří DOLINA, Michael DOUBEK, Martina DOUBKOVÁ, Lenka DUBSKÁ, Ladislav DUŠEK, Pavel FABIAN, Vuk FAIT, Zdeněk FOJTÍK, Lenka FORETOVÁ, Tomáš FREIBERGER, Renata GAILLYOVÁ, Roman GÁL, Ladislav GROCH, Marek HAKL, Jana HALÁMKOVÁ, Aleš HEP, Jitka HILLOVÁ MANNOVÁ, Ota HLINOMAZ, Ivo HOFÍREK, Jan HOLČÍK, Alena HOLČÍKOVÁ, Alena HONDLOVÁ, Anna HRAZDIROVÁ, Jan HRUDA, Petr HUSA, Libuše HUSOVÁ, Richard CHALOUPKA, Václav CHALOUPKA, Josef CHOVANEC, Stanislav JANOUŠEK, Jana JURÁNKOVÁ, Ladislav KABELKA, Zdeněk KADAŇKA, Bohdan KADLEC, Zdeněk KALA, Bohuslav KIANIČKA, Dagmar KINDLOVÁ, Igor KISS, Jarmila KISSOVÁ, Martin KLABUSAY, Ivo KOCÁK, Jiří KÖNIG, Jana KOPTÍKOVÁ, Zdeněk KOŘÍSTEK, Zdeněk KRÁL, Milan KRATOCHVÍL, Lenka KRBKOVÁ, Marta KREJČÍ, Petr KRIFTA, Petr KROUPA, Darja KRUSOVÁ, Lucie KŘIKAVOVÁ, Růžena LÁBROVÁ, Radek LAKOMÝ, Jan LATA, Jolana LIPOLDOVÁ, Jiří LITZMAN, Ondřej LUDKA, Jan MALÁSKA, Hana MATĚJOVSKÁ KUBEŠOVÁ, Jiří MATOUŠEK, Pavel MATUŠKA, Miloslava MATÝŠKOVÁ, Jaroslav MELUZÍN, Hana MELUZÍNOVÁ, Zdeněk MERTA, Blanka MIČÁNKOVÁ ADAMOVÁ, Miroslav MORÁŇ, Vojtěch MORNSTEIN, Jan MUŽÍK, Tomáš NEBESKÝ, Anna NEČASOVÁ, Marta NEDBÁLKOVÁ, Miroslava NEKULOVÁ, Petr NĚMEC, Jiří NEUBAUER, Pavel NOHEL, Jana BĚLOBRÁDKOVÁ, Miroslav NOVÁK, Bronislava NOVOTNÁ, Petr ŠTOURAČ and Vojtěch THON. Vnitřní lékařství (Internal Medicine). 1.vyd. Praha, Brno: Grada, 2011, 1788 pp. Vnitřní lékařství. ISBN 978-80-247-2110-1. info
Davidson's principles and practice of medicine. Edited by Brian R. Walker. 22nd ed. Edinburgh: Churchill Livingstone/Elsevier, 2014, xix, 1372. ISBN 9780702050350. info

Teaching methods

Course is organized as 10 days intership at cardiological clinics. Course is composed of collective seminars to the given topics and practical bed-side demonstrations in small groups. Practical training (about 10 % of the total volume of teaching) is complemented by a comprehensive range of simulation teaching methods on simulators with varying degrees of fidelity, trainers and virtual patients. Simulation results in subsequent debriefing (feedback to the student). There is also problem-oriented learning in the foreground, where the student is taught by solving the problem presented, as well as team-oriented teaching when small groups of students discuss and choose a solution of the problem. Emphasis is also placed on the development of soft skills, incl. so-called "21st century skills", particularly communication, decision-making skills, critical thinking, crisis communication and teamwork.

Assessment methods

The condition for giving course unit credit is full attendance in all lessons and completition of final credit. Traditional methods are complemented by objective clinical evaluation that verifies clinical knowledge and other skills such as communication, physical examination, performance, performance interpretation, etc. This evaluation method provides students with objective and specific feedback.

Language of instruction

Czech

Further comments (probably available only in Czech)

Study Materials
The course can also be completed outside the examination period.
The course is taught each semester.
Information on the extent and intensity of the course: 48.

The course is also listed under the following terms Spring 2000, Autumn 2000, Spring 2001, Autumn 2001, Spring 2002, Autumn 2002, Spring 2003, Autumn 2003, Spring 2004, Autumn 2004, Spring 2005, Autumn 2005, Spring 2006, Autumn 2006, Spring 2007, Autumn 2007, Spring 2008, Autumn 2008, Spring 2009, autumn 2018, autumn 2019, autumn 2020, spring 2021, autumn 2021, spring 2022, autumn 2022, spring 2023, autumn 2023, spring 2024.

Enrolment Statistics (spring 2020, recent)
Permalink: https://is.muni.cz/course/med/spring2020/VLVL9X65c

LF:VLVL9X65c Internal medicine - part 5 - Course Information

VLVL9X65c Internal medicine part 5 - Cardiology and Angiology

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