Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 24/25.P.1.00

Description Period: 2024./25 academic year pavasara semestris

Study Course Accepted: -

Study Course Description

Clinical Electrogardiography and Introduction to Sports Cardiology

Main Study Course Information

Course Code
ISK_215
Branch of Science
Clinical medicine; Internal 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
Aivars Lejnieks
Structural Unit
Department of Internal Diseases
Contacts

Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338

About Study Course

Objective

1. Train students in the interpretation and analysis of electrocardiography data. 2. Learn in practice the relationship between instrumental examination and clinical findings. Develop analytical thinking based on ECG. 3. Train to interpret the details of ECG finding in the context of different clinical situations. 4. Present the most common pathologies and their features in ECG, for diagnosis of which electrocardiography is one of the main examinations. 5. Promote the development of student clinical thinking.

Preliminary Knowledge

Normal and pathological physiology, introductory course to ECG, basics of the ECG at the level of the programme covered during the 3rd year of study, cardiovascular diseases within the course of internal medicine, basics of clinical arrhythmology and basics of anaesthesiology and intensive care.

Learning Outcomes

Knowledge

1.Demonstrate grasp of the latest medical technologies, examination methods and scientific disciplines. Sequentially arrange the obtained information, identify possible risk factors. Recognize the possible level of pathology of the context of the data obtained. At the end of studies, students will have acquired the basics of clinical electrocardiography; they have a grasp of the diagnosis of myocardial ischaemic changes and heart rhythm disorders and modern methods in treating the heart rhythm disorders.

Skills

1.Able to analyse ECG, differentiate signs of pathology from the norm. Have a grasp of the range of possible physiological norms, to distinguish the permissible deviations from pathology. Know the basic principles of treatment of certain heart rhythm disorders and diagnostic principles of myocardial ischaemia.

Competences

1.Evaluate the acquired symptoms, linking them with pathological processes in the patient's body. Interpret the findings, relate them to a specific clinical situation and link them to the overall examination process. Interpret the changes on the ECG, relate them to a specific clinical situation and link them to the overall examination process. Able to analyse situations, substantiate, logically formulate and explain their own opinion.

Assessment

Individual work

Title
% from total grade
Grade
1.
Individual work
-
-
Individual work – analysis and interpretation of ECG results. Clinical interpretation of data.

Examination

Title
% from total grade
Grade
1.
Examination
-
-
An oral test after practical classes: clinical case discussion and practical interpretation of the electrocardiogram.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Basics of electrocardiography. Signs of cardiac hypertrophy and dilatation on the ECG. Signs of intratracheal and intraventricular conduction abnormalities on the ECG.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Changes in myocardial metabolism and circulation flow on the ECG. The concept of ischaemia, necrosis, scar. The concept of myocardial infarction and its presentation on the ECG.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Specialized room
2

  1. Representation of cardiac conduction defects on the ECG. The concept of arrhythmias, atrioventricular conduction abnormalities, supraventricular and ventricular arrhythmias.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Specialized room
2

  1. Representation of the genetic defects in cardiomyopathy and ion pumps on the ECG. Diagnostic significance of ECG in sports medicine.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Specialized room
2

  1. Electric axes of the heart. Changes in intra-atrial and intraventricular conduction and their clinical significance. Clinical significance of hypertrophy and the block of the His - Purkinje system. Interatrial block, clinical significance.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Changes on the ECG in case of the acute coronary syndrome. Signs of myocardial infarction on the ECG. Specific situations on the ECG related to the acute coronary syndrome (ACS).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Bradyarrhythmia. Sinoatrial node dysfunction. Atrioventricular block - grades and types. ECG in patients with pacemakers. Identification of defects and the malfunctioning of the pacemaker.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Life-threatening arrhythmias, their recognition. Supraventricular tachycardia (SVT) vs ventricular tachycardia (VT). Signs of ventricular tachycardia, their identification. Ventricular undulation. Ventricular fibrillation.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. Signs of ionic imbalance on the ECG. Signs of toxic effects of medicinal products on the ECG. Specific signs of extracardiac pathologies on the ECG.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Signs of pathologies of ion currents on ECG. Long QT syndrome (LQTS). Short QT syndrome (SQTS). Catecholaminergic polymorphic ventricular tachycardia (CPVT). Early repolarization syndrome.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Signs of cardiomyopathy on the ECG. Importance of early diagnosis of primary cardiomyopathy. Importance of diagnostics of cardiomyopathies in sports cardiology.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. ECG as a diagnostic and potential early risk identification method in sports cardiology.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Study trip
3
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Ary Goldberger, Zachary Goldberger, Alexei Shvilkin. Goldberger's Clinical Electrocardiography. 9th Edition, A Simplified Approach. 2018.

2.

Douglas P., William Gregory, et.al. Zipes and Jalife's Cardiac Electrophysiology: From Cell to Bedside, 11th Edition. 2022

3.

John Hampton. ECG Made Practical. 7th Edition. 2019

Additional Reading

1.

Antonio Pelliccia. The ESC Textbook of Sports Cardiology. 2019.

2.

Marriott's Practical Electrocardiography. Lippincott Williams & Wilkins, 2021.

3.

Borys Surawicz, Timothy Knilans. Chou's Electrocardiography in Clinical Practice: Adult and Pediatric. 6th Edition, Kindle Edition.

4.

Andrejs Kalvelis. Klīniskā Elektrokardioloģija. 2008. Nacionālais Apgāds. (latviešu plūsmai)

Other Information Sources

1.

https://www.practicalclinicalskills.com/ekg

2.

e-studijas RSU

3.

www.escardio.org/guidelines

4.

www.acc.org/resources

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