VLVL9X62c Internal medicine - part 2 - Cardiology and Angiology

Faculty of Medicine
Autumn 2010
Extent and Intensity
0/3/0. 4 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. MUDr. Mojmír Blaha, CSc. (seminar tutor)
MUDr. Blanka Fischerová, Ph.D. (seminar tutor)
doc. MUDr. Stanislav Janoušek, CSc. (seminar tutor)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
prof. MUDr. Jaroslav Meluzín, CSc. (seminar tutor)
doc. MUDr. Miroslav Novák, CSc. (seminar tutor)
prof. MUDr. Miroslav Souček, CSc. (seminar tutor)
prof. MUDr. Lenka Špinarová, Ph.D., FESC (seminar tutor)
doc. MUDr. Josef Šumbera, CSc. (seminar tutor)
MUDr. Jitka Vlašínová, Ph.D. (seminar tutor)
prof. MUDr. Karel Zeman, CSc. (seminar tutor)
Jitka Macháčková (assistant)
Alena Stodůlková (assistant)
Hana Zemanová (assistant)
Guaranteed by
prof. MUDr. Miroslav Souček, CSc.
First Department of Internal Medicine - Cardioangiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Timetable of Seminar Groups
VLVL9X62c/01: Mon 4. 10. to Fri 15. 10. each working day 7:30–12:20 IKK N13191a
VLVL9X62c/02: Mon 20. 9. to Fri 1. 10. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/03: Mon 10. 1. to Fri 21. 1. each working day 7:30–12:20 IKK N13191a
VLVL9X62c/04: Mon 13. 12. to Fri 7. 1. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/05: Mon 29. 11. to Fri 10. 12. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/06: Mon 15. 11. to Fri 26. 11. each working day 7:30–12:20 IKK N13191a
VLVL9X62c/07: Mon 1. 11. to Fri 12. 11. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/08: Mon 18. 10. to Fri 29. 10. each working day 7:30–12:20 I.IKAK N06034
VLVL9X62c/33: No timetable has been entered into IS.
Prerequisites (in Czech)
VLCH0832c Surgery II - practice && ( VLVL9X65c Internal medicine part 5 || VLVL7X65c Internal medicine part 5 ) && ( VLFA0822p Pharmacology II - L || VLFA0722p Pharmacology - L )
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.
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
  • Ascherman, M. a kol. Kardiologie. Galen, 2004. 1481 s.
  • Vítovec, Jiří - Špinar, Jindřich. Farmakoterapie kardiovaskulárních onemocnění. Grada, 2004. 248 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
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.
Assessment methods
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, Autumn 2008, Spring 2009, Autumn 2009, Spring 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 2010, recent)
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