LF:VLVL9X62c Internal medicine part II

VLVL9X62c Internal medicine part II

Faculty of Medicine
Autumn 2008

Extent and Intensity

0/3/0. 4 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
Contact Person: Alena Stodůlková

Timetable of Seminar Groups

VLVL9X62c/01: Mon 29. 9. to Fri 10. 10. each working day 7:30–12:20 IKK N13191a
VLVL9X62c/02: Mon 15. 9. to Fri 26. 9. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/03: Mon 5. 1. to Fri 16. 1. each working day 7:30–12:20 IKK N13191a
VLVL9X62c/04: Mon 8. 12. to Fri 19. 12. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/05: Mon 24. 11. to Fri 5. 12. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/06: Mon 10. 11. to Fri 21. 11. each working day 7:30–12:20 IKK N13191a
VLVL9X62c/07: Mon 27. 10. to Fri 7. 11. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/08: Mon 13. 10. to Fri 24. 10. each working day 7:30–12:20 I.IKAK N06034

Prerequisites (in Czech)

( VLFA0822p Pharmacology II - L || VLFA0722p Pharmacology - L ) && VLVL7X61c Internal medicine part 1

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 (eng.) (programme LF, M-VL)
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.

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

Vítovec, Jiří - Špinar, Jindřich. Farmakoterapie kardiovaskulárních onemocnění. Grada, 2004. 248 s.
Ascherman, M. a kol. Kardiologie. Galen, 2004. 1481 s.
Dítě, P. a kol. Vnitřní lékařství. Galen, 2007. 586 s.
SOUČEK, Miroslav, Jindřich ŠPINAR and Petr SVAČINA. Vnitřní lékařství pro stomatology. 1. vydání. Praha, 2005, 380 pp. ISBN 80-247-1367-5. info
ŠPINAR, Jindřich and Jiří VÍTOVEC. Ischemická choroba srdeční. 1. vyd. Praha: Grada, 2003, 361 s. ISBN 8024705001. info

Assessment 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. The condition for giving course unit credit is full attendance in all lessons and completition of final test.

Language of instruction

Czech

Further Comments

The course is taught each semester.

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, Spring 2009, Autumn 2009, Spring 2010, Autumn 2010, Spring 2011, Autumn 2011, Spring 2012, Autumn 2012, Spring 2013, Autumn 2013, Spring 2014, Autumn 2014, Spring 2015, Autumn 2015, Spring 2016, Autumn 2016, Spring 2017, Autumn 2017, Spring 2018, autumn 2018, spring 2019, autumn 2019.

Enrolment Statistics (Autumn 2008, recent)
Permalink: https://is.muni.cz/course/med/autumn2008/VLVL9X62c

LF:VLVL9X62c Internal medicine part II - Course Information

VLVL9X62c Internal medicine part II

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