LF:ZLVL7X62 Int.Med. block 2-practice

ZLVL7X62 Internal Medicine block 2 - practice

Faculty of Medicine
Autumn 2009

Extent and Intensity

0/1/0. 1 credit(s). Type of Completion: z (credit).

Teacher(s)

Guaranteed by

prof. MUDr. Miroslav Souček, CSc.
First Department of Internal Medicine - Cardioangiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine

Prerequisites (in Czech)

( ZLIP041p Clin.Exam.in Int.med.-lect. || ZLIP051p Clin.Exam.in Int.Med.I-lect. ) && ZLPA0622p Pathology II - lecture && ZLPF0622p Pathophysiol. II - lect. && ZLFA0621c Pharmacology I - pract. && ZLED061p Restorat. Dent.-Endo.I-lect. && ZLPL0663c Prosthodont.in Dent.III-pract. && ZLOC0653c Oral Surgery III-pract. && ZLOR0641c Orthodontics I-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

Dentistry (programme LF, M-ZL)

Course objectives

The student should know the basic physical examination and functional tests in cardiology. 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, namely acute myocardial infarction, arrhythmias, pulmonary embolism. He/she must know essential the cardiovascular pharmacology as well as non-pharmacological treatment including pacing, resynchronisation and defibrillation. He/she must know the cardiovascular risk factors and to describe the pathophysiology of atherosclerosis.

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

Navrátil L. a kol: Vnitřní lékařství pro nelékařské zdravotnické obory, Grada Publ. 2008
Souček M., et all: Vnitřní lékařství pro stomatology. Praha. Grada publishing 2005, 380s. ISBN 80-247-1367-5
Klener, Pavel. Vnitřní lékařství. Sv. 1, Kardiovaskulární onemocnění. 1. vyd. Praha : Univerzita Karlova - Vydavatelství Karolinum, 1994. 205 s. ISBN 80-7066-867-9.

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 and completition of final test.

Language of instruction

Czech

Further Comments

The course is taught annually.
The course is taught: every week.

The course is also listed under the following terms Autumn 2007, Spring 2008, Autumn 2008, Spring 2009, Spring 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014, Spring 2015, Spring 2016, Spring 2017, Spring 2018, spring 2019, spring 2020.

Enrolment Statistics (Autumn 2009, recent)
Permalink: https://is.muni.cz/course/med/autumn2009/ZLVL7X62

LF:ZLVL7X62 Int.Med. block 2-practice - Course Information

ZLVL7X62 Internal Medicine block 2 - practice

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