Veidlapa Nr. M-3 (8)
Study Course Description
Chronical Heart Pathology and Early Rehabilitation after Accute Cardial Pathology III
Course Code
RKA_033
Branch of Science
Clinical medicine
ECTS
8.00
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 intended for cardiology residents to acquire theoretical and practical knowledge as well as practical skills about: 1) chronic cardiovascular pathologies (etiology, pathology, clinical symptoms, diagnostics, differential diagnoses, treatment methods) and 2) early and late treatment, rehabilitation and long-term prevention after acute cardiovascular pathologies.
Learning Outcomes
Knowledge
1.etiology, pathogenesis, symptomatology, diagnosis, differential diagnosis, treatment (drug, invasive and surgical) and prevention of chronic heart diseases; - etiology, pathogenesis, diagnosis, treatment of lipid metabolism diseases; - arterial blood pressure measurement and monitoring methods; - clinical pharmacology of pharmacological agents (including contrast agents) used in the treatment of cardiovascular diseases (including pharmacokinetics and drug interactions); - principles, indications and contraindications of invasive and surgical methods used in the treatment of chronic cardiovascular diseases; - therapy and rehabilitation strategy for a patient after acute cardiac pathology.
Skills
1.- to know the methodology and peculiarities of anamnesis collection in the case of cardiovascular diseases; - to know cardiovascular physical examination methods; - formulate the primary clinical diagnosis based on clinical and physical examination data for cardiology profile patients; - draw up an examination plan and perform differential diagnosis for cardiology profile patients; - 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 nature of these methods; - evaluate and be able to modify cardiovascular risk factors; - perform a 6-minute walking test; - be able to provide medical care to a patient after an acute cardiac pathology; - draw up a rehabilitation and therapy plan for a patient after acute cardiac pathology; - prepare an individual long-term prevention program 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, prevention, drug treatment, use of non-drug treatment methods, indications and contraindications of chronic cardiovascular diseases, dyslipidemias and other risk factors; - ambulatory and inpatient care of cardiological profile patients; - indications for endomyocardial biopsy and interpretation of the obtained results; - indications for percutaneous invasive methods of treatment 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 (referral indication and assessment of rehabilitation results); - observation of cardiac patients after treatment with non-invasive, invasive and surgical methods; - ambulatory monitoring of arterial blood pressure; - six-minute walking test indications and interpretation of results.
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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Prepares a presentation on the topics mentioned in the course description, researches the topic in depth, as part of his research work, familiarizes himself with the mandatory 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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-
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Topics
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Cardiac amyloidosis, cardiac sarcoidosis, cardiac hemochromatosis and other rare cardiac diseases. 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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-
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Topics
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Thrombophilia. Cardiovascular pathology and pregnancy.
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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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Perioperative management in cardiac patients undergoing non-cardiac surgery. Perioperative management in cardiac patients undergoing non-cardiac surgery. II
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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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Sports medicine in cardiology. Early and late rehabilitation after acute cardiac pathology (ACS, PATE, acute heart failure) and surgical operations.
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Total ECTS (Creditpoints):
8.00
Number of Residency Seminars:
4
Length (weeks):
6
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. 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. 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.
ESC Handbook of Preventive Cardiology.
5.
Cases in Adult Congenital Heart Disease. 2010 by Churchill Livingstone, an imprint of Elsevier Inc.
6.
Clinical Lipidology: A Companion to Braunwald's Heart Disease, 2nd Edition. 2015, 2009 by Saunders, an imprint of Elsevier Inc.
7.
Clinical Recognition of Congenital Heart Disease, 6th Edition. 2012, 2003, 1994, 1987, 1978, 1970 by Saunders, an imprint of Elsevier Inc.
8.
Congenital Heart Disease in Adults, 3rd Edition. 2009, 1998, 1991 by Saunders, an imprint of Elsevier Inc.
9.
Diagnosis and Management of Adult Congenital Heart Disease, 3rd Edition. 2018 by Elsevier, Inc. All rights reserved.
10.
Opie LH. Drugs for the Heart, 8th Edition. 2013 by Saunders, an imprint of Elsevier Inc.
11.
Hypertension: A Companion to Braunwald's Heart Disease, 3rd Edition. 2018 by Elsevier, Inc. All rights reserved.
12.
Preventive Cardiology: Companion to Braunwald's Heart Disease. 2011 by Saunders, an imprint of Elsevier Inc.
13.
Valvular Heart Disease: A Companion to Braunwald's Heart Disease, 4th Edition. 2014, 2009, 2004, 1999 by Saunders, an imprint of Elsevier Inc.
14.
Vascular Medicine: A Companion to Braunwald's Heart Disease, 2nd Edition. 2013, 2006 by Saunders, an imprint of Elsevier Inc.
15.
Cardiology Secrets, 5th Edition. 2018 by Elsevier, Inc. All rights reserved.
16.
Herolds G. un līdzautori. Iekšķīgās slimības. Kardioloģija. Rīga, 2017.
17.
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