VLVL9X65c Internal medicine part 5 - Cardiology and Angiology

Faculty of Medicine
spring 2023
Extent and Intensity
0/3.2/0. 3 credit(s). Type of Completion: z (credit).
Taught in person.
Teacher(s)
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. Ota Hlinomaz, CSc. (seminar tutor)
MUDr. Anna Chaloupka, Ph.D., FHFA (seminar tutor)
prof. 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)
prof. 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. František Lehar, Ph.D. (seminar tutor)
MUDr. Jolana Lipoldová, Ph.D. (seminar tutor)
MUDr. Petr Lokaj, Ph.D. (seminar tutor)
prof. MUDr. Jaroslav Meluzín, CSc. (seminar tutor)
MUDr. Dalibor Mlejnek, Ph.D. (seminar tutor)
MUDr. Hana Moravcová (seminar tutor)
MUDr. Andrej Nagy (seminar tutor)
MUDr. Martin Novák (seminar tutor)
doc. MUDr. Miroslav Novák, CSc. (seminar tutor)
prof. 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. Zdeňka Pospíšilová, 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. Mária Vyskočilová (seminar tutor)
MUDr. Petra Vysočanová (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 (64,00 %), Department of Internal Medicine and Cardiology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (36,00 %)
Timetable of Seminar Groups
VLVL9X65c/07: Mon 13. 2. 7:30–12:30 I.IKAK N06066, Tue 14. 2. 7:30–12:30 I.IKAK N06066, Wed 15. 2. 7:30–12:30 I.IKAK N06066, Thu 16. 2. 7:30–12:30 I.IKAK N06066, Fri 17. 2. 7:30–12:30 I.IKAK N06066, Mon 20. 2. 7:30–12:30 I.IKAK N06066, Tue 21. 2. 7:30–12:30 I.IKAK N06066, Wed 22. 2. 7:30–12:30 F37/425, 7:30–12:30 F37/426, 7:30–12:30 F37/428, Thu 23. 2. 7:30–12:30 I.IKAK N06066, Fri 24. 2. 7:30–12:30 I.IKAK N06066
VLVL9X65c/08: Mon 6. 3. 7:30–12:30 I.IKAK N06066, Tue 7. 3. 7:30–12:30 I.IKAK N06066, Wed 8. 3. 7:30–12:30 I.IKAK N06066, Thu 9. 3. 7:30–12:30 I.IKAK N06066, Fri 10. 3. 7:30–12:30 I.IKAK N06066, Mon 13. 3. 7:30–12:30 I.IKAK N06066, Tue 14. 3. 7:30–12:30 I.IKAK N06066, Wed 15. 3. 7:30–12:30 F37/426, 7:30–12:30 F37/428, 7:30–12:30 F37/425, Thu 16. 3. 7:30–12:30 I.IKAK N06066, Fri 17. 3. 7:30–12:30 I.IKAK N06066
VLVL9X65c/09: Mon 24. 4. 7:30–12:30 I.IKAK N06066, Tue 25. 4. 7:30–12:30 I.IKAK N06066, Wed 26. 4. 7:30–12:30 I.IKAK N06066, Thu 27. 4. 7:30–12:30 I.IKAK N06066, Fri 28. 4. 7:30–12:30 I.IKAK N06066, Tue 2. 5. 7:30–12:30 I.IKAK N06066, Wed 3. 5. 7:30–12:30 F37/425, 7:30–12:30 F37/426, 7:30–12:30 F37/428, Thu 4. 5. 7:30–12:30 I.IKAK N06066, Fri 5. 5. 7:30–12:30 I.IKAK N06066
VLVL9X65c/10: Mon 29. 5. 7:30–12:30 IKK N13191a, Tue 30. 5. 7:30–12:30 IKK N13191a, Wed 31. 5. 7:30–12:30 IKK N13191a, Thu 1. 6. 7:30–12:30 IKK N13191a, Fri 2. 6. 7:30–12:30 IKK N13191a, Mon 5. 6. 7:30–12:30 IKK N13191a, Tue 6. 6. 7:30–12:30 IKK N13191a, Wed 7. 6. 7:30–12:30 F37/425, 7:30–12:30 F37/428, 7:30–12:30 F37/426, Thu 8. 6. 7:30–12:30 IKK N13191a, Fri 9. 6. 7:30–12:30 IKK N13191a
VLVL9X65c/11: Mon 15. 5. 7:30–12:30 I.IKAK N06066, Tue 16. 5. 7:30–12:30 I.IKAK N06066, Wed 17. 5. 7:30–12:30 I.IKAK N06066, Thu 18. 5. 7:30–12:30 I.IKAK N06066, Fri 19. 5. 7:30–12:30 I.IKAK N06066, Mon 22. 5. 7:30–12:30 I.IKAK N06066, Tue 23. 5. 7:30–12:30 I.IKAK N06066, Wed 24. 5. 7:30–12:30 F37/425, 7:30–12:30 F37/426, 7:30–12:30 F37/428, Thu 25. 5. 7:30–12:30 I.IKAK N06066, Fri 26. 5. 7:30–12:30 I.IKAK N06066
VLVL9X65c/12: Tue 11. 4. 7:30–12:30 IKK N13191a, Wed 12. 4. 7:30–12:30 IKK N13191a, Thu 13. 4. 7:30–12:30 IKK N13191a, Fri 14. 4. 7:30–12:30 IKK N13191a, Mon 17. 4. 7:30–12:30 IKK N13191a, Tue 18. 4. 7:30–12:30 IKK N13191a, Wed 19. 4. 7:30–12:30 F37/425, 7:30–12:30 F37/426, 7:30–12:30 F37/428, Thu 20. 4. 7:30–12:30 IKK N13191a, Fri 21. 4. 7:30–12:30 IKK N13191a
VLVL9X65c/13: Mon 20. 3. 7:30–12:30 I.IKAK N06066, Tue 21. 3. 7:30–12:30 I.IKAK N06066, Wed 22. 3. 7:30–12:30 I.IKAK N06066, Thu 23. 3. 7:30–12:30 I.IKAK N06066, Fri 24. 3. 7:30–12:30 I.IKAK N06066, Mon 27. 3. 7:30–12:30 I.IKAK N06066, Tue 28. 3. 7:30–12:30 I.IKAK N06066, Wed 29. 3. 7:30–12:30 F37/426, 7:30–12:30 F37/425, 7:30–12:30 F37/428, Thu 30. 3. 7:30–12:30 I.IKAK N06066, Fri 31. 3. 7:30–12:30 I.IKAK N06066
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
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 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, spring 2020, autumn 2020, spring 2021, autumn 2021, spring 2022, autumn 2022, autumn 2023, spring 2024, autumn 2024, spring 2025.
  • Enrolment Statistics (spring 2023, recent)
  • Permalink: https://is.muni.cz/course/med/spring2023/VLVL9X65c