Heart Catheterisation and Invasive Cardiology

1.- Nature, indications, contraindications, advantages and disadvantages of invasive methods used in cardiology; - Proper preparation of the patient for invasive cardiology examinations, their possible complications and timely prevention of complications; - Effects of contrast agents, side effects caused by them, their prevention and management; - Indications for catheterization of the right and left sides of the heart, coronary angiography and angiography of other locations; - Indications for diagnostic and therapeutic percutaneous coronary intervention; - Indications for invasive radiological examination methods in patients with cardiovascular pathology; - Indications for surgical treatment of coronary heart disease; - Principles and safety rules of radiological imaging, radiation physics, radiation exposure; - Catheterization laboratory equipment (physiological monitoring, locks, probes, blood gas analyzers, injector, etc.); - Radiological anatomy of the heart, aorta, large vessels, coronary arteries, as well as femoral, radial and brachial arteries to ensure vascular access during catheterization; - Collection of hemodynamic and oximetric data and their application to determine cardiac output, vascular resistance, valve area and shunts; - Interpretation of pressure waves, hemodynamic and oximetric data; - Vascular access techniques and sites; - Types of catheters used in cardiac catheterization and coronary angiography; - Trans-septal cardiac catheterization; - Basic principles of intracoronary ultrasound (intravascular ultrasonoscopy, IVUS), Doppler, coronary artery pressure measurement (FFR) and optical coherence tomography. - Complications of cardiac catheterization and angiography and their treatment.

1.- Analyze parameters of invasive hemodynamics; - Create aortic balloon counterpulsation and other percutaneous circulation auxiliary device systems; - Optimize the use of equipment to reduce radiation exposure in order to protect the patient and the catheterization team, as well as reduce the use of nephrotoxic contrast agents; - Obtain arterial (femoral, radial, brachial) and venous access, as well as ensure hemostasis after catheterization; - Perform catheterization of the left parts of the heart, including coronary angiography, ventriculography, aortography, as well as coronary and mammary artery shunt angiography; - Perform catheterization of the right part of the heart in the catheterization laboratory and at the patient's bedside, as well as measure cardiac output, intra-vascular pressure and oxygen saturation; - Manage life-threatening arrhythmias and other emergencies in the catheterization laboratory; - Evaluate normal and abnormal coronary angiograms, ventriculograms, aortograms and pulmonary angiograms; - Interpret hemodynamic and oximetric data; - Apply additional pharmacological therapy safely and according to the situation.

1.- Interpretation of data obtained from measurements of invasive hemodynamic parameters; - Monitoring of the aortic balloon counterpulsation system and other percutaneous circulatory support systems; - Interpretation of the results of invasive cardiovascular radiological examinations.