Veidlapa Nr. M-3 (8)
Study Course Description
Chronic Heart Diseases and Early Rehabilitation After Acute Cardiac Pathology I
Course Code
RKA_028
Branch of Science
Clinical medicine
ECTS
33.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Andris Skride
Residency Speciality
Speciality
Cardiologist
Supervisor of Medical Speciality
Andris Skride
Contacts
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About Study Course
Objective
The course is designed for medical residents in cardiology to acquire theoretical and practical knowledge, as well as practical skills on the following: 1) chronic cardiovascular pathologies (aetiology, pathology, clinical symptoms, diagnosis, differential diagnoses, treatment methods) and 2) early and late treatment, rehabilitation and long-term prevention after acute cardiovascular pathologies.
Learning Outcomes
Knowledge
1.Demonstrates knowledge on the following: - aetiology, pathogenesis, symptoms, diagnosis, differential diagnosis, treatment (drug, invasive and surgical) and prevention of chronic heart diseases; - aetiology, pathogenesis, diagnosis, treatment of lipid metabolism diseases; - arterial blood pressure measurement and monitoring methods; - clinical pharmacology (including pharmacokinetics and drug interactions) of pharmacological agents (including contrast agents) used in the treatment of cardiovascular diseases; - principles of invasive and surgical methods used in the treatment of chronic cardiovascular diseases, indications and contraindications; - therapy and rehabilitation strategy for a patient after acute cardiac pathology.
Skills
1.- to know the methodology and specifics of anamnesis collection in the case of cardiovascular diseases; - to know cardiovascular physical examination methods; - to formulate the primary clinical diagnosis based on clinical and physical examination data for cardiology profile patients; - to draw up an examination plan and perform differential diagnosis for cardiology profile patients; - to draw up a treatment plan, formulate medicinal and non-medicinal treatment of cardiovascular diseases, know the indications for the use of invasive and surgical treatment methods and the essence of these methods; - to evaluate and be able to modify cardiovascular risk factors; - to perform a 6-minute walk test; - to be able to provide medical care to a patient after an acute cardiac pathology; - to draw up a rehabilitation and therapy plan for a patient after acute cardiac pathology; - to prepare an individual long-term prevention programme for a patient after acute cardiac pathology; - to diagnose and prevent acute pathological complications in patients after acute cardiac pathology.
Competences
1.- clinical interpretation of laboratory examination indications and results; - interpretation of arterial blood pressure monitoring results; - interpretation of the results of vascular elasticity examinations; - primary and secondary prevention of cardiovascular diseases; - diagnosis of chronic cardiovascular diseases, dyslipidemias and other risk factors, prevention, drug treatment, use of non-drug treatment methods, indications and contraindications; - outpatient and inpatient care of cardiological profile patients; - indications for endomyocardial biopsy and interpretation of the obtained results; - indications for percutaneous invasive treatment methods of acquired and hereditary structural heart diseases and large blood vessel diseases; - indications for invasive and surgical methods of heart failure treatment; - rehabilitation of cardiac patients (indications for referral and assessment of rehabilitation results); - observation of cardiac patients after treatment with non-invasive, invasive and surgical methods; - outpatient monitoring of arterial blood pressure; - indications for a six-minute walk test and interpretation of results thereof.
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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Prepares a presentation on the topics mentioned in the study course description, studies the topic in depth, within the framework of one’s research paper, familiarises oneself with the required reading, engages in pedagogical work (training of students and junior medical 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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1.
Examination |
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-
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Compulsory (100%) performance of practical work. The work not done on time must be submitted later.
Attendance of seminars and lectures (at least 75%) on the subject of the course.
Form of course examination: an oral exam in the form of a discussion.
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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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Cardiovascular prevention
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Seminar
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Modality
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Location
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Topics
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Dyslipidemias, diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Stable coronary heart disease. Stable angina pectoris. Silent ischemia. Diagnosis and examination.
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Seminar
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Modality
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Location
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Topics
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Stable coronary heart disease. Stable angina pectoris. Silent ischemia. Treatment.
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Seminar
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Modality
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Location
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Topics
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Primary arterial hypertension. Diagnosis and examination.
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Seminar
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Modality
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Location
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Topics
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Primary arterial hypertension. Treatment. Hypertensive crises.
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Seminar
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Modality
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Location
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Topics
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Endocrine secondary arterial 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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Chronic heart failure. Diagnosis and examination.
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Total ECTS (Creditpoints):
33.00
Number of Residency Seminars:
8
Length (weeks):
24
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 Saun-ders, an imprint of Elsevier Inc.
Additional Reading
1.
Cardiovascular Therapeutics: A Companion to Braunwald's Heart Disease, 4th Edition. Copyright © 2013, 2007, 2002, 1996 by Saunders, an imprint of Elsevier Inc.
2.
The ESC Textbook of Cardiovascular Medicine, 2nd Edition. The European Society of Cardiology, 2009.
3.
ESC Textbook of Preventive Cardiology.
4.
Cases in Adult Congenital Heart Disease. Copyright © 2010 by Churchill Livingstone, an imprint of Elsevier Inc.
5.
Clinical Lipidology: A Companion to Braunwald's Heart Disease, 2nd Edition. Copyright © 2015, 2009 by Saunders, an imprint of Elsevier Inc.
6.
Clinical Recognition of Congenital Heart Disease, 6th Edition. Copyright © 2012, 2003, 1994, 1987, 1978, 1970 by Saunders, an imprint of Elsevier Inc.
7.
Congenital Heart Disease in Adults, 3rd Edition. Copyright © 2009, 1998, 1991 by Saunders, an imprint of Elsevier Inc.
8.
Diagnosis and Management of Adult Congenital Heart Disease, 3rd Edition. Copyright © 2018 by Elsevier, Inc. All rights reserved.
9.
Opie LH. Drugs for the Heart, 8th Edition. Copyright © 2013 by Saunders, an imprint of Elsevier Inc.
10.
Hypertension: A Companion to Braunwald's Heart Disease, 3rd Edition. Copyright © 2018 by Elsevier, Inc. All rights reserved.
11.
Preventive Cardiology: Companion to Braunwald's Heart Disease. Copyright © 2011 by Saunders, an imprint of Elsevier Inc.
12.
Valvular Heart Disease: A Companion to Braunwald's Heart Disease, 4th Edition. Copyright © 2014, 2009, 2004, 1999 by Saunders, an imprint of Elsevier Inc.
13.
Vascular Medicine: A Companion to Braunwald's Heart Disease, 2nd Edition. Copyright © 2013, 2006 by Saunders, an imprint of Elsevier Inc.
14.
Cardiology Secrets, 5th Edition. Copyright © 2018 by Elsevier, Inc. All rights reserved.
15.
Herolds G. un līdzautori. Iekšķīgās slimības. Kardioloģija. Rīga, 2017.
16.
A. Kalvelis. Nearitmiskā elektrokardioloģija. Rīga, 2005.
Other Information Sources
1.
ClinicalKey. Pieejams: https://www.clinicalkey.com
2.
UpToDate. Pieejams: https://www.uptodate.com
3.
ScienceDirect. Available from: https://www.sciencedirect.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