ZLVL7x65c Internal medicine part 5 - Cardiology and Angiology

Faculty of Medicine
spring 2024
Extent and Intensity
0/1.5/0. 1 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
doc. MUDr. Lubomír Křivan, Ph.D. (seminar tutor)
prof. MUDr. Lenka Špinarová, Ph.D., FESC (seminar tutor)
prof. MUDr. Jiří Vítovec, CSc. (seminar tutor)
Alena Stodůlková (assistant)
Hana Zemanová (assistant)
Guaranteed by
prof. MUDr. Lenka Špinarová, Ph.D., FESC
First Department of Internal Medicine - Cardioangiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Supplier department: First Department of Internal Medicine - Cardioangiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Timetable of Seminar Groups
ZLVL7x65c/21: Mon 20. 5. 7:30–12:30 IKK N13191a, Tue 21. 5. 7:30–12:30 IKK N13191a, Wed 22. 5. 7:30–12:30 IKK N13191a, Thu 23. 5. 7:30–12:30 IKK N13191a, Fri 24. 5. 7:30–12:30 IKK N13191a
ZLVL7x65c/22: Mon 27. 5. 7:30–12:30 I.IKAK N06066, Tue 28. 5. 7:30–12:30 I.IKAK N06066, Wed 29. 5. 7:30–12:30 I.IKAK N06066, Thu 30. 5. 7:30–12:30 I.IKAK N06066, Fri 31. 5. 7:30–12:30 I.IKAK N06066
Prerequisites (in Czech)
ZLIP061p Clin.Introd.to Int.Med.-lect. && ZLPA0622p Pathology II - lecture && ZLPF0622p Pathophysiol. II - lect. && ZLFA0621c Pharmacology I - pract. && ( ZLKED061p Preserv. dent.,endo. I -lect. || ZLED061p Restorat. Dent.-Endo.I -lect. ) && ZLPL0764p Prosthodont.in Dent.IV -lect. && ZLOC0754c Oral Surgery IV - pract. && ZLOR0742c Orthodontics II - pract. && ZLPD0732c Periodontology II -pract.
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
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
Teaching methods
Course is organized as intership at cardiological clinics. Course is composed of collective seminars to the given topics and practical bed-side demonstrations in small groups.
Assessment methods
The condition for giving course unit credit is full attendance in all lessons and completition of final credit.
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 22,5.
The course is also listed under the following terms spring 2021, spring 2022, spring 2023, spring 2025.
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