Veidlapa Nr. M-3 (8)

Study Course Description

Arithmology and Electrophysiology II

Main Study Course Information

Course Code

RKA_032

Branch of Science

Clinical medicine

ECTS

11.00

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 knowledge and practical skills about heart rhythm and conduction diseases (etiology, pathology, clinical symptoms, diagnostics, differential diagnoses, treatment methods), electrophysiological examination and treatment methods.

Learning Outcomes

Knowledge

1.- etiology, pathology, clinical symptoms, diagnosis, differential diagnosis, medical and non-medical treatment of the most important heart rhythm and conduction diseases. - clinical pharmacology of antiarrhythmic agents (including pharmacokinetics and drug interactions). - The essence, indications, contraindications, advantages and disadvantages of diagnostic and treatment methods for heart rhythm and conduction disorders, proper preparation of the patient for examinations, their possible complications and timely prevention of complications.

Skills

1.- formulate a primary clinical diagnosis based on clinical and physical examination data, be able to draw up an examination plan and perform differential diagnosis for rhythm and conduction disorders. - the ability to create transcutaneous or transvenous temporary electrocardiostimulation systems, - ability to perform acute or planned electrocardioversion, - the ability to independently perform and write a conclusion for the following examinations: Holter monitoring, - ability to assist in permanent EKS implantation surgery.

Competences

1.- draw up an examination and treatment plan for patients with heart rhythm and conduction disorders, - interpretation of the results of electrophysiological examinations in the context of clinical and other additional examinations - formulate indications for non-invasive and invasive electrophysiological examination and interpretation of the obtained data; - formulate indications for invasive corrections of heart rhythm disorders, including radiofrequency catheter ablation; - to formulate indications for the implantation of permanent heart rhythm regulating and diagnostic devices, including pacemakers, cardiac resynchronization therapy devices and electrocardioverters - defibrillators;

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Prepares a 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).

Examination

Title	% from total grade	Grade
1. Examination	-	-
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.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
-	-

Topics

Atrial fibrillation - 2.

Seminar

Modality	Location
-	-

Topics

Primary arrhythmogenic cardiomyopathies. LQT syndrome, short QT syndrome, Brugada syndrome, polymorphic idiopathic ventricular tachycardia.

Seminar

Modality	Location
-	-

Topics

Primary cardiomyopathies and sports medicine. Possibilities of identification of patients at risk.

Seminar

Modality	Location
-	-

Topics

Ventricular tachycardia, ventricular fibrillation. Sudden cardiac death - prevention, basics of resuscitation.

Seminar

Modality	Location
-	-

Topics

Bradyarrhythmias -1. Electrocardiostimulation, its basic principles.

Seminar

Modality	Location
-	-

Topics

Bradyarrhythmias -2. Types of pacemakers, application, indications.

Seminar

Modality	Location
-	-

Topics

Specific types of electrocardiostimulation -1, cardiac resynchronization therapy, application indications. Patient selection for CRT.

Seminar

Modality	Location
-	-

Topics

Specific types of electrocardiostimulation -2. Implantable cardioverter-defibrillators, application, indications. Patient selection for ICD.

Seminar

Modality	Location
-	-

Topics

Antiarrhythmic pharmacological agents - 1. Their clinical application.

Seminar

Modality	Location
-	-

Topics

Antiarrhythmic pharmacological agents - 2. Concept of direct and indirect antiarrhythmic agents.

Seminar

Modality	Location
-	-

Topics

Non-pharmacological methods of treating arrhythmias. Radiofrequency catheter ablation.

Total ECTS (Creditpoints):

11.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Eiropas kardiologu biedrības vadlīnijas. Pieejams: http://www.escardio.org, http://www.escardio.org/guidelines-surveys/esc-guidelines/Pages/GuidelinesList.aspx

Amerikas Sirds asociācijas un Amerikas Kardioloģijas koledžas vadlīnijas un zinātniskie paziņojumi. Pieejams: http://www.ahajournals.org/misc/sci-stmts_topindex.shtml

Latvijas kardiologu biedrības vadlīnijas. Pieejams: www.kardiologija.lv

Additional Reading

The ESC Textbook of Cardiovascular Medicine, Second Edition. The European Society of Cardiology, 2009.

The EHRA Book of Pacemaker, ICD, and CRT Troubleshooting: Case-based learning with multiple choice questions. 2015.

The EHRA Book of Interventional Electrophysiology: Case-based learning with multiple choice questions. 2017.

Herolds G. un līdzautori. Iekšķīgās slimības. Kardioloģija. Rīga, 2017.

Other Information Sources

ClinicalKey. Pieejams: https://www.clinicalkey.com

ScienceDirect. Available from: https://www.sciencedirect.com

UpToDate. Pieejams: https://www.uptodate.com

Knowledge centre of the European Society of Cardiology. Pieejams: http://www.escardio.org/knowledge

Eiropas Kardiologu biedrības žurnāli: European Heart Journal, Heart Failure, Cardiovascular Prevention and Rehabilitation, EP Europace, Echocardiography. Pieejams: http://www.escardio.org/Pages/index.aspx

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/.

Journal of the American College of Cardiology. Pieejams: http://www.onlinejacc.org

New England Journal of Medicine. Pieejams: http://content.nejm.org

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