Veidlapa Nr. M-3 (8)
Study Course Description
Arithmology and Electrophysiology I
Course Code
RKA_035
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Andris Skride
Residency Speciality
Speciality
Cardiologist
Supervisor of Medical Speciality
Andris Skride
Contacts
-
About Study Course
Objective
The course is designed for cardiology residents to acquire theoretical knowledge and practical skills about heart rhythm and conduction diseases (etiology, pathology, clinical symptoms, diagnostics, differential diagnoses, treatment methods), electrophysiological examination and treatment methods.
Learning Outcomes
Knowledge
1.- etiology, pathology, clinical symptoms, diagnosis, differential diagnosis, medical and non-medical treatment of the most important heart rhythm and conduction diseases. - clinical pharmacology of antiarrhythmic agents (including pharmacokinetics and drug interactions). - The essence, indications, contraindications, advantages and disadvantages of diagnostic and treatment methods for heart rhythm and conduction disorders, proper preparation of the patient for examinations, their possible complications and timely prevention of complications.
Skills
1.- formulate a primary clinical diagnosis based on clinical and physical examination data, be able to draw up an examination plan and perform differential diagnosis for rhythm and conduction disorders. - the ability to create transcutaneous or transvenous temporary electrocardiostimulation systems, - ability to perform acute or planned electrocardioversion, - the ability to independently perform and write a conclusion for the following examinations: Holter monitoring, - ability to assist in permanent EKS implantation surgery.
Competences
1.- draw up an examination and treatment plan for patients with heart rhythm and conduction disorders, - interpretation of the results of electrophysiological examinations in the context of clinical and other additional examinations - formulate indications for non-invasive and invasive electrophysiological examination and interpretation of the obtained data; - formulate indications for invasive corrections of heart rhythm disorders, including radiofrequency catheter ablation; - to formulate indications for the implantation of permanent heart rhythm regulating and diagnostic devices, including pacemakers, cardiac resynchronization therapy devices and electrocardioverters - defibrillators.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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The prepared presentation on the topics mentioned in the course description, researches the topic in depth, within the framework of his research work, familiarizes himself with the required literature, engages in pedagogical work (training of students and junior residents).
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Mandatory (100%) performance of practical work. Overdue work must be completed.
Attendance of seminars and lectures (at least 75%) on the subject of the course.
Form of course examination: oral examination in the form of discussions.
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Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Conduction disorders - diagnosis, principles of treatment. Mechanisms of occurrence of heart rhythm disorders. Extrasystole, parasystole, their diagnosis, principles of treatment.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Paroxysmal supraventricular tachycardias. WPW syndrome. CLC/LGL. Diagnostics, treatment.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Atrial undulation. Diagnostics, treatment. The concept of radiofrequency catheter ablation.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Atrial fibrillation - 1.
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Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
4
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Eiropas kardiologu biedrības vadlīnijas. Pieejams: http://www.escardio.org, http://www.escardio.org/guidelines-surveys/esc-guidelines/Pages/GuidelinesList.aspx
2.
Amerikas Sirds asociācijas un Amerikas Kardioloģijas koledžas vadlīnijas un zinātniskie paziņojumi. Pieejams: http://www.ahajournals.org/misc/sci-stmts_topindex.shtml
3.
Latvijas kardiologu biedrības vadlīnijas. Pieejams: www.kardiologija.lv
4.
Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 10th Edition. Copyright © 2015, 2012, 2008, 2005, 2001, 1997, 1992, 1988, 1984, 1980 by Saunders, an imprint of Elsevier Inc.
5.
Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease, 2nd Edition. Copyright © 2012, 2009 by Saunders, an imprint of Elsevier Inc.
Additional Reading
1.
Catheter Ablation of Cardiac Arrhythmias, 3rd Edition. Copyright © 2015, 2011, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
2.
The ESC Textbook of Cardiovascular Medicine, 2nd Edition. The European Society of Cardiology, 2009.
3.
The EHRA Book of Pacemaker, ICD, and CRT Troubleshooting: Case-based learning with multiple choice questions. 2015.
4.
The EHRA Book of Interventional Electrophysiology: Case-based learning with multiple choice questions. 2017.
5.
Opie LH. Drugs for the Heart, 8Tth Edition. Copyright © 2013 by Saunders, an imprint of Elsevier Inc.
6.
Cardiovascular Therapeutics: A Companion to Braunwald's Heart Disease, 4th Edition. Copyright © 2013, 2007, 2002, 1996 by Saunders, an imprint of Elsevier Inc.
7.
Cardiology Secrets, 5th Edition. Copyright © 2018 by Elsevier, Inc. All rights reserved.
8.
Herolds G. un līdzautori. Iekšķīgās slimības. Kardioloģija. Rīga, 2017.
Other Information Sources
1.
ClinicalKey. Pieejams: https://www.clinicalkey.com
2.
ScienceDirect. Available from: https://www.sciencedirect.com
3.
UpToDate. Pieejams: https://www.uptodate.com
4.
Knowledge centre of the European Society of Cardiology. Pieejams: http://www.escardio.org/knowledge
5.
Eiropas Kardiologu biedrības žurnāli: European Heart Journal, Heart Failure, Cardiovascular Prevention and Rehabilitation, EP Europace, Echocardiography. Pieejams: http://www.escardio.org/Pages/index.aspx
6.
Amerikas Sirds asociācijas žurnāli: Circulation, Circulation: Arrhythmia and Electrophysiology, Circulation: Heart Failure, Circulation: Cardiovascular Imaging, Circulation: Cardiovascular Interventions, Circulation: Cardiovascular Quality and Outcomes, Circulation: Cardiovascular Genetics: http://www.ahajournals.org/circportfolio/; Hypertension, Stroke, Arteriosclerosis, Thrombosis, and Vascular Biology. Available from: http://www.ahajournals.org/.
7.
Journal of the American College of Cardiology. Pieejams: http://www.onlinejacc.org
8.
New England Journal of Medicine. Pieejams: http://content.nejm.org
9.
Journal of American Medical Association. Pieejams: http://jama.ama-assn.org
10.
The Lancet. Pieejams: http://www.thelancet.com
11.
British Medical Journal. Pieejams: http://www.bmj.com
12.
Latvijas ārsts
13.
Doctus
14.
Medicus Bonus