VLVL9X65c Internal medicine part 5 - Cardiology and Angiology

Faculty of Medicine
spring 2022
Extent and Intensity
0/3.2/0. 3 credit(s). Type of Completion: z (credit).
Taught in person.
MUDr. Irena Andršová, Ph.D. (seminar tutor)
doc. MUDr. Martin Fiala, Ph.D. (seminar tutor)
MUDr. Blanka Fischerová, Ph.D. (seminar tutor)
MUDr. Július Godava (seminar tutor)
MUDr. Hana Hladká (seminar tutor)
MUDr. Mária Holická (seminar tutor)
MUDr. Anna Chaloupka, Ph.D. (seminar tutor)
doc. MUDr. Petr Kala, Ph.D. (seminar tutor)
MUDr. Jan Kaňovský, Ph.D. (seminar tutor)
doc. MUDr. Vladimír Kincl, Ph.D. (seminar tutor)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
doc. MUDr. Jan Krejčí, Ph.D. (seminar tutor)
doc. MUDr. Lubomír Křivan, Ph.D. (seminar tutor)
MUDr. Lenka Kubková (seminar tutor)
MUDr. Karel Lábr, Ph.D. (seminar tutor)
doc. MUDr. Růžena Lábrová, Ph.D. (seminar tutor)
MUDr. Jolana Lipoldová, Ph.D. (seminar tutor)
MUDr. Petr Lokaj, Ph.D. (seminar tutor)
MUDr. Dalibor Mlejnek, Ph.D. (seminar tutor)
doc. MUDr. Miroslav Novák, CSc. (seminar tutor)
doc. MUDr. Tomáš Novotný, Ph.D. (seminar tutor)
MUDr. Eva Ozábalová, Ph.D. (seminar tutor)
doc. MUDr. Roman Panovský, Ph.D. (seminar tutor)
prof. MUDr. Mgr. Jiří Pařenica, Ph.D. (seminar tutor)
MUDr. Hana Poloczková, Ph.D. (seminar tutor)
MUDr. Martin Radvan, Ph.D. (seminar tutor)
MUDr. Jiří Seménka (seminar tutor)
MUDr. Milan Sepši, Ph.D. (seminar tutor)
MUDr. Jan Sitar (seminar tutor)
MUDr. Filip Souček, Ph.D. (seminar tutor)
MUDr. Martina Šišáková, Ph.D. (seminar tutor)
prof. MUDr. Jindřich Špinar, CSc. (seminar tutor)
prof. MUDr. Lenka Špinarová, Ph.D., FESC (seminar tutor)
MUDr. Monika Špinarová, MSc., Ph.D. (seminar tutor)
doc. MUDr. Josef Šumbera, CSc. (seminar tutor)
MUDr. Pavel Trčka (seminar tutor)
prof. MUDr. Jiří Vítovec, CSc. (seminar tutor)
MUDr. Jitka Vlašínová, Ph.D. (seminar tutor)
MUDr. Petra Vysočanová (seminar tutor)
prof. MUDr. Karel Zeman, CSc. (seminar tutor)
Petra Ciganíková (assistant)
Alena Stodůlková (assistant)
Hana Zemanová (assistant)
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/07: Mon 30. 5. 7:30–12:30 N06066, Tue 31. 5. 7:30–12:30 N06066, Wed 1. 6. 7:30–12:30 N06066, Thu 2. 6. 7:30–12:30 N06066, Fri 3. 6. 7:30–12:30 N06066, Mon 6. 6. 7:30–12:30 N06066, Tue 7. 6. 7:30–12:30 N06066, Wed 8. 6. 7:30–12:30 N06066, Thu 9. 6. 7:30–12:30 N06066, Fri 10. 6. 7:30–12:30 N06066
VLVL9X65c/08: Mon 25. 4. 7:30–12:30 N06066, Tue 26. 4. 7:30–12:30 N06066, Wed 27. 4. 7:30–12:30 N06066, Thu 28. 4. 7:30–12:30 N06066, Fri 29. 4. 7:30–12:30 N06066, Mon 2. 5. 7:30–12:30 N06066, Tue 3. 5. 7:30–12:30 N06066, Wed 4. 5. 7:30–12:30 N06066, Thu 5. 5. 7:30–12:30 N06066, Fri 6. 5. 7:30–12:30 N06066
VLVL9X65c/09: Mon 14. 2. 7:30–12:30 N13191a, Tue 15. 2. 7:30–12:30 N13191a, Wed 16. 2. 7:30–12:30 N13191a, Thu 17. 2. 7:30–12:30 N13191a, Fri 18. 2. 7:30–12:30 N13191a, Mon 21. 2. 7:30–12:30 N13191a, Tue 22. 2. 7:30–12:30 N13191a, Wed 23. 2. 7:30–12:30 N13191a, Thu 24. 2. 7:30–12:30 N13191a, Fri 25. 2. 7:30–12:30 N13191a
VLVL9X65c/10: Mon 14. 2. 7:30–12:30 N06066, Tue 15. 2. 7:30–12:30 N06066, Wed 16. 2. 7:30–12:30 N06066, Thu 17. 2. 7:30–12:30 N06066, Fri 18. 2. 7:30–12:30 N06066, Mon 21. 2. 7:30–12:30 N06066, Tue 22. 2. 7:30–12:30 N06066, Wed 23. 2. 7:30–12:30 N06066, Thu 24. 2. 7:30–12:30 N06066, Fri 25. 2. 7:30–12:30 N06066
VLVL9X65c/11: Mon 7. 3. 7:30–12:30 N06066, Tue 8. 3. 7:30–12:30 N06066, Wed 9. 3. 7:30–12:30 N06066, Thu 10. 3. 7:30–12:30 N06066, Fri 11. 3. 7:30–12:30 N06066, Mon 14. 3. 7:30–12:30 N06066, Tue 15. 3. 7:30–12:30 N06066, Wed 16. 3. 7:30–12:30 N06066, Thu 17. 3. 7:30–12:30 N06066, Fri 18. 3. 7:30–12:30 N06066
VLVL9X65c/12: Mon 16. 5. 7:30–12:30 N13191a, Tue 17. 5. 7:30–12:30 N13191a, Wed 18. 5. 7:30–12:30 N13191a, Thu 19. 5. 7:30–12:30 N13191a, Fri 20. 5. 7:30–12:30 N13191a, Mon 23. 5. 7:30–12:30 N13191a, Tue 24. 5. 7:30–12:30 N13191a, Wed 25. 5. 7:30–12:30 N13191a, Thu 26. 5. 7:30–12:30 N13191a, Fri 27. 5. 7:30–12:30 N13191a
VLVL9X65c/13: Mon 11. 4. 7:30–12:30 N06066, Tue 12. 4. 7:30–12:30 N06066, Wed 13. 4. 7:30–12:30 N06066, Thu 14. 4. 7:30–12:30 N06066, Tue 19. 4. 7:30–12:30 N06066, Wed 20. 4. 7:30–12:30 N06066, Thu 21. 4. 7:30–12:30 N06066, Fri 22. 4. 7:30–12:30 N06066
( 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
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
  • 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


    virus, bacterial and parainfectious etiology, pathophysiology, methods of examination, complications, relation to dilated cardiomyopathy, prognosis, therapy


    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.


    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.


    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


    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 )

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
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, spring 2020, autumn 2020, spring 2021, autumn 2021.
  • Enrolment Statistics (recent)
  • Permalink: https://is.muni.cz/course/med/spring2022/VLVL9X65c