Veidlapa Nr. M-3 (8)
Study Course Description
Cardiac and Vascular Diseases
Course Code
RSK_017
Branch of Science
Clinical medicine; Internal medicine
ECTS
24.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Romans Lācis
Residency Speciality
Speciality
Cardiac surgeon
Supervisor of Medical Speciality
Romans Lācis
Contacts
-
About Study Course
Objective
To provide upgrade of theoretical knowledge and practical skills in the surgical treatment of cardiac arrhythmias in compliance with the requirements of cardiac surgery professional regulations, in order to get medical doctor prepared for quialifying as cardiac surgeon, according to legal acts of Latvian Republic.
Learning Outcomes
Knowledge
1.Knowledge of heart valve lesions, coronary heart disease and aortic lesions: diagnosis, indications for surgery, approach, types of surgery, possible complications.
Skills
1.To evaluate indications for cardiac surgery, to discuss the surgery with patient and his/her family, to be able to prepare patient for the surgery, to establish access to the heart and to connect to/wean from CPB, perform uncomplicated heart surgery.
Competences
1.To provide primary aid to patients in compliance with requirements set by legal acts of Cabinet of Ministers of Latvia, Health ministry and regulations of Cardiac Surgeons Association.
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 resident creates a literature review (current literature, guidelines) on diseases and aneurysms of the thoracic aorta (ascending aorta, aortic arch, thoracic aorta). Types of aortic dissections and surgical treatment.
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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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The material is submitted in printed and data carrier format. The lecturer evaluates the material according to a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Classification of cardiac, ascending aorta and aortic arch aneurysm.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Etiology of aortic aneurisms
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Diagnosing aortic aneurisms, indications for surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Types of surgery, outcomes.
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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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Heart valve diseases – clinical presentations.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Types of heart valve diseases, etiology.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Diagnosis of valvular lesion.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Indications for surgical treatment of heart valve diseases.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Valvuloplasty and valve replacement surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Replacement for heart valves.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Managing late postoperative period after heart valve replacement surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Common complications after heart valve replacement surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Anticoagulation management after heart valve replacement surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Approaches in heart valve thrombosis.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Advantages og heart valve bioprostheses.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Degeneration and reimplantation of bioprostheses.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Thrombendocarditis after valve replacement.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Preventing infection complications after heart valve replacement surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Diagnosis of heart tumors.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Treatment of heart tumors.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Patient managemnent after heart tumor surgery.
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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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Late outcomes. Prognosis after heart tumor surgery.
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Total ECTS (Creditpoints):
24.00
Number of Residency Seminars:
22
Length (weeks):
28
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Heart Disease. Ed by. E.Braunwald, Philadelphia. 11th edition. W. Saunders comp. 2018.
2.
Adult Congenital Heart Disease, An Issue of Cardiology Clinics. 1st edition, 2020.
3.
Cardiac Surgery. Operative and Evolving Technique. 2nd edition, Kindle Edition, 2021
4.
Ķirurģija. Ed by J.Gardovskis. Riga, 2001.
5.
Cardiac Surgery. 3rd edition. By J. W. Kirklin Churchill Livingston Comp. Glenn`s Thoracic a.
6.
Valvular Heart Disease: A Companion to Braunwald's Heart Disease. 5th edition, 2020.
7.
Hypertensive Heart Disease, An Issue of Heart Failure Clinics. 1st edition, 2019.
8.
Otto CM, Bonow RO. Valvular Heart Disease: A Companion to Braunwald’s. Heart Disease. 4th edition. Philadelphia, PA: Elsevier Saunders; 2014.
9.
Diagnosis and Management of Adult Congenital Heart Disease. 3rd edition, 2017.
10.
Cardiovascular Surgery. 6th edition. By A. Baue. Appleton a. Lange Comp. 2012
Additional Reading
1.
2021 ESC/EACTS Guidelines for the management of valvular heart disease ESC Clinical Practice Guideline
2.
Important Changes Published in the new 2020 ACC/AHA Valvular Heart Disease Guidelines
3.
E-learning Programme for Heart Failure & Heart Valve Disease
4.
Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2017 on CDC WONDER Online Database, released December, 2018. Data are from the Multiple Cause of Death Files, 1999-2017, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program Accessed at
5.
2017 ESC/EACTS Guidelines for the management of valvular heart disease
6.
Heart valve disease
7.
Statement on Prevention of Infective Endocarditis
8.
Antibiotic Prophylaxis Prior to Dental Procedures
9.
2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC) Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM)
10.
2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
11.
2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies With the special contribution of the European Association of Preventive Cardiology (EAPC)