Veidlapa Nr. M-3 (8)
Study Course Description
Non-invasive Image and Functional Diagnostics
Course Code
RKA_029
Branch of Science
Clinical medicine
ECTS
27.00
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 and practical knowledge of modern non-invasive imaging and functional diagnostic methods in cardiology: electrocardiography, exercise tests, radionuclide methods, echocardiography (including stress echocardiography and transesophageal echocardiography), MS-CT, CT angiography, MRI, PET, trunk artery US/Dopplerography, etc.
Learning Outcomes
Knowledge
1.demonstrates knowledge of: - the essence, indications, contraindications, advantages and disadvantages of non-invasive imaging and functional examination methods used in cardiology, proper preparation of the patient for examinations, their possible complications and timely prevention of complications, - the finding norm of non-invasive cardiovascular imaging examinations and deviations from it.
Skills
1.- recognize the norm and deviations from non-invasive cardiovascular imaging examinations, make an ECG recording with 12 standard leads and additional leads, - perform and describe screening electrocardiogram and screening echocardiography independently, - under the supervision of a certified doctor, perform a stress test with ECG recording (veloergometry) and standard transthoracic echocardiography.
Competences
1.- indications and contraindications of non-invasive imaging and functional examination methods used in cardiology, proper preparation of the patient for examinations, timely prevention of complications, interpretation of results in the context of clinical and other additional examinations. - independently interpret the electrocardiogram according to the competence of the screening method, - independent application of the screening echocardiography method and interpretation of the results in the context of the clinical situation.
Assessment
Individual work
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Title
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% from total grade
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Grade
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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
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Seminar
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Modality
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Location
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Topics
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Introduction to electrocardiography. A brief description of the anatomy and physiology of the heart. Criteria for a normal ECG. Designing electrocardiographic conclusions.
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Seminar
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Modality
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Location
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-
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Topics
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Diagnostics of foci process: determination of depth, localization, stage.
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Seminar
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Modality
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Location
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-
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Topics
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Disorders of repolarization. Infarct-like changes.
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Seminar
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Modality
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Location
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-
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Topics
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Classification of arrhythmias. Principles of diagnosis and evaluation of arrhythmias. Automaticity disorders. Sinus node dysfunction syndrome.
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Seminar
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Modality
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Location
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Topics
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Atrioventricular conduction disorders. Basics of electrocardiography.
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Seminar
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Modality
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Location
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Topics
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Intraventricular conduction disorders.
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Seminar
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Modality
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Location
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Topics
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Ventricular early depolarization syndrome (WPW, CLC, etc.).
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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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Topics
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Extrasystole. Parasystole.
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Seminar
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Modality
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Location
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-
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Topics
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The main mechanisms of the development of tachyarrhythmias. Atrial and ventricular fibrillation and flutter.
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Seminar
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Modality
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Location
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Topics
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Supraventricular and ventricular tachycardias. Check-in.
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Seminar
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Modality
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Location
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Topics
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Ultrasound. Image formation. Modes of investigation. Standard projections. Periods of the cardiac cycle. Image optimization.
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Seminar
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Modality
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Location
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Topics
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Doppler: CW, PW, color, tissue Doppler.
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Seminar
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Modality
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Location
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Topics
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CK systolic function. HR ejection fraction, cardiac output. LV systolic function. KSS. MI, complications.
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Seminar
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Modality
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Location
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Topics
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Arterial hypertension. KK hypertrophy. KK mass, mass index, relative wall thickness. Asymmetric KK hypertrophy. Dynamic obstruction of the CK outflow tract. An athlete's heart.
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Seminar
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Modality
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Location
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Topics
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Aortic valve. Aortic stenosis. Supravalvular, subvalvular stenosis. Aortic valve insufficiency.
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Seminar
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Modality
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Location
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Topics
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Mitral valve. Mitral stenosis. Mitral insufficiency. Mitral valve prolapse.
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Seminar
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Modality
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Location
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Topics
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Tricuspid and pulmonary valve: norm and pathology.
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Seminar
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Modality
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Location
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Topics
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Prosthetic valves, evaluation of their function. Mismatch
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Seminar
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Modality
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Location
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Topics
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Cardiomyopathies: Dilated KMP. Mechanical dyssynchrony. Indications for cardiac resynchronization therapy. Cardiomyopathies: Hypertrophic KMP. Restrictive KMP. Infiltrative cardiomyopathy.
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Seminar
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Modality
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Location
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Topics
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Aortic pathology: aneurysm of the ascending aorta, aortic dissection, coarctation of the aorta. Marfan syndrome.
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Seminar
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Modality
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Location
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Topics
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Myocarditis. Pericarditis. Intracardiac formations.
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Seminar
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Modality
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Location
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-
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Topics
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Endocarditis, its complications.
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Seminar
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Modality
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Location
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Topics
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Congenital heart disease: open foramen ovale, atrial septal defect, ventricular septal defect, patent ductus arteriosus.
Congenital heart disease: Tetrad of Fallot, transposition of the trunk vessels, congenitally corrected transposition of the trunk vessels, Ebstein's anomaly.
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Seminar
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Modality
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Location
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Topics
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Pulmonary hypertension.
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Seminar
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Modality
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Location
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Topics
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Left ventricular diastolic dysfunction.
Transesophageal echocardiography.
Stress echocardiography.
3D echocardiography.
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Total ECTS (Creditpoints):
27.00
Number of Residency Seminars:
25
Length (weeks):
20
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Goldberger's Clinical Electrocardiography, 9th Edition. Elsevier, 2018.
2.
Otto C. Textbook of Clinical Echocardiography, 5th Edition. Copyright © 2013, 2009, 2004, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
3.
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.
4.
Latvijas kardiologu biedrības vadlīnijas: www.kardiologija.lv
5.
Amerikas Sirds asociācijas un Amerikas Kardioloģijas koledžas vadlīnijas un zinātniskie paziņojumi: http://www.ahajournals.org/misc/sci-stmts_topindex.shtml
6.
Eiropas kardiologu biedrības vadlīnijas: http://www.escardio.org, http://www.escardio.org/guidelines-surveys/esc-guidelines/Pages/GuidelinesList.aspx
Additional Reading
1.
Chou's Electrocardiography in Clinical Practice, 6th Edition, Elsevier, 2008
2.
The EACVI Textbook of Echocardiography. 2nd Edition. The European Society of Cardiology.
3.
The EACVI Echo Handbook. The European Society of Cardiology.
4.
The ESC Textbook of Cardiovascular Imaging. 2nd Edition. The European Society of Cardiology.
5.
The EAE Textbook of Echocardiography. The European Society of Cardiology.
6.
Practice of Clinical Echocardiography, 5th Edition. Copyright © 2017 by Elsevier Inc. All rights reserved.
7.
Otto C. Principles of Echocardiography. Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
8.
Advanced Approaches in Echocardiography. Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
9.
ASE’s Comprehensive Echocardiography, 2nd Edition. Copyright © 2016, 2011 by Saunders, an imprint of Elsevier Inc.
10.
Atlas of 3D Echocardiography. Copyright © 2013 by Saunders, an imprint of Elsevier Inc.
11.
Echocardiography in Congenital Heart Disease. Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
12.
Essential Echocardiography, 2nd Edition. Copyright © 2013 Elsevier Ltd All rights reserved.
13.
Echocardiography in Congenital Heart Disease. Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
14.
Echocardiography in Heart Failure. Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
15.
The ESC Textbook of Cardiovascular Medicine, 2nd Edition. The European Society of Cardiology, 2009.
16.
Cases in Adult Congenital Heart Disease. Copyright © 2010 by Churchill Livingstone, an imprint of Elsevier Inc.
17.
Clinical Recognition of Congenital Heart Disease, 6th Edition. Copyright © 2012, 2003, 1994, 1987, 1978, 1970 by Saunders, an imprint of Elsevier Inc.
18.
Congenital Heart Disease in Adults, 3rd Edition. Copyright © 2009, 1998, 1991 by Saunders, an imprint of Elsevier Inc.
19.
Diagnosis and Management of Adult Congenital Heart Disease, 3rd Edition. Copyright © 2018 by Elsevier, Inc. All rights reserved.
20.
Herolds G. un līdzautori. Iekšķīgās slimības. Kardioloģija. Rīga, 2017.
Other Information Sources
1.
ClinicalKey. Available from: https://www.clinicalkey.com
2.
ScienceDirect. Pieejams: 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