Veidlapa Nr. M-3 (8)
Study Course Description
Electrocardiography
Course Code
ISK_002
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Oskars Kalējs
Structure Unit Manager
Jūlija Voicehovska
Structural Unit
Department of Internal Diseases
Contacts
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
1. To prepare students for the interpretation and analysis of electrocardiographic data.
2. To learn in practice the relationship between instrumental investigation and finding of the clinical situation. To develop analytical thinking based on ECG.
3. To train to interpret the nuances of ECG findings in the context of different clinical situations.
4. To acquaint with the most common pathologies and their signs in ECG, in the diagnosis of which electrocardiography is one of the main examinations.
5. To promote the development of students’ clinical thinking.
Preliminary Knowledge
Normal and pathological physiology, introductory course in ECG, cardiovascular diseases within the framework of the internal disease study course, as well as the basics of anaesthesiology and intensive care.
Learning Outcomes
Knowledge
1.To demonstrate an understanding of the latest medical technologies, examination techniques and scientific trends. To arrange the obtained information sequentially, recognise possible risk factors. To recognise the possible level of pathology taking into account the obtained data. At the end of the studies, students learn the basics of clinical electrocardiography, are able to orient in the diagnosis of myocardial ischemic changes and heart rhythm disorders, modern methods of treatment of heart rhythm disorders.
Skills
1.To be able to analyse an ECG, differentiate signs of pathology from the norm. To orient in the range of possible physiological norms, to distinguish between acceptable deviations and pathology. To know the basic principles of treatment of certain cardiac rhythm disorders and the basic principles of diagnosis of myocardial ischaemia.
Competences
1.Evaluate the indications obtained, relate them to pathological processes in the patient’s body. To interpret the finding, relate them to a specific clinical situation, and link them to the overall examination process. To interpret changes in ECG, relate them to a specific clinical situation, and link them to the overall examination process. To be able to analyse situations, substantiate, logically formulate and explain one’s opinion.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Individual work – analysis and interpretation of ECG results, preparation of study aids for study needs. Improving existing materials.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Analysis of electrocardiographic examples with a finding (electrocardiogram analysis, review of a clinical case).
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Overall topics: Fundamentals of electrocardiography. Intra-atrial and intraventricular conduction disorders. Hypertrophies. Signs of myocardial changes in ECG. Signs of arrhythmias in ECG. Specific sings in electrocardiography
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Overall topics: Fundamentals of electrocardiography. Intra-atrial and intraventricular conduction disorders. Hypertrophies. Signs of myocardial changes in ECG. Signs of arrhythmias in ECG. Specific sings in electrocardiography
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Overall topics: Fundamentals of electrocardiography. Intra-atrial and intraventricular conduction disorders. Hypertrophies. Signs of myocardial changes in ECG. Signs of arrhythmias in ECG. Specific sings in electrocardiography
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Overall topics: Fundamentals of electrocardiography. Intra-atrial and intraventricular conduction disorders. Hypertrophies. Signs of myocardial changes in ECG. Signs of arrhythmias in ECG. Specific sings in electrocardiography
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Overall topics: Fundamentals of electrocardiography. Intra-atrial and intraventricular conduction disorders. Hypertrophies. Signs of myocardial changes in ECG. Signs of arrhythmias in ECG. Specific sings in electrocardiography
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cardiac conduction system disorders – diagnosis, treatment methods. Mechanisms of heart rhythm disorders
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cardiac conduction system disorders – diagnosis, treatment methods. Mechanisms of heart rhythm disorders
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cardiac conduction system disorders – diagnosis, treatment methods. Mechanisms of heart rhythm disorders
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Cardiac conduction system disorders – diagnosis, treatment principles. Mechanisms of occurrence of heart rhythm disorders. Extrasystole, parasystole, diagnosis, principles of treatment thereof
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Intra-atrial and intraventricular cardiac conduction disorders. Mechanisms, diagnostic value
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Paroxysmal supraventricular tachycardias. WPW syndrome, CLC syndrome. Atrial flutter. Diagnostics and treatment. The concept of radiofrequency ablation
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Atrial fibrillation and atrial flutter. Mechanisms of occurrence, diagnosis, principles of treatment
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Bradyarrhythmias. AV blocks. Mechanisms, diagnosis, treatment possibilities. Signs of cardiac stimulation in ECG
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Ischaemic changes in the myocardium and their signs in ECG. Diagnosis of myocardial infarction by ECG
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Signs of life-threatening arrhythmias in ECG. Signs of risk of sudden death in ECG. Hypertrophy. Signs of cardiomyopathies in ECG
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Specific signs in ECG. Characteristics of extracardiac pathologies and diseases in ECG
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Kalvelis A. Klīniskā elektrokardioloģija. Rīga, Nacionālais Medicīnas apgāds. 2008. (akceptējams izdevums)
2.
Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. 5th Edition. (ed.by Ellenbogen K.A., Kay G.N., Wilkoff B.L.) 2015.
3.
Jirgensons J., Kalējs O. Bradiaritmijas un elektrokardiostimulatori. Rīga, Nacionālais Medicīnas apgāds, 2003. (akceptējams izdevums)
4.
Kalvelis A. Tahiaritmijas: novēršana un ārstēšana. 2003. (akceptējams izdevums)
5.
Lejnieks A. Klīniskā medicīna. Pirmā grāmata. Rīga: Medicīnas apgāds, 2010. (akceptējams izdevums)
6.
Ārvalstu studentiem/For International students:
7.
Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. 5th Edition. (ed.by Ellenbogen K.A., Kay G.N., Wilkoff B.L.) 2015.
Additional Reading
1.
Davidson's Principles and Practice of Medicine. 21st edition. by Nicki R. Colledge (Ed), Brian R. Walker (Ed) and Stuart H. Ralston. Churchill Livingstone, 2022
2.
Siegenthaler W. Differential Diagnosis in Internal Medicine: From Symptom to Diagnosis. NY: Thieme Medical Publishers, 2007
3.
2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation
4.
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia
5.
The 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death
6.
Zipes and Jalife’s Cardiac Electrophysiology: From Cell to Bedside. 8th Edition. 2022