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Course, academic year 2024/2025
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Cardiology, Angiology, Cardiac surgery, Pneumology - C4VL002
Title: Kardiologie, angiologie, kardiochirurgie, pneumologie (KPZM III)
Guaranteed by: Department of Cardiology 3FM CU and UHKV (12-3INK)
Faculty: Third Faculty of Medicine
Actual: from 2024
Semester: both
Points: 6
E-Credits: 6
Examination process:
Hours per week, examination: 20/114, C+Ex [HS]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech, English
Teaching methods: full-time
Level:  
Note: deregister from the exam date if a requisite was not fulfilled
you can enroll for the course in winter and in summer semester
Guarantor: doc. MUDr. Viktor Kočka, Ph.D.
Examination dates   Schedule   
Annotation - Czech
Choroby kardiovaskulární a plicní mají významný podíl na mortalitě a morbiditě populace. Tento předmět navazuje na teoretické základy z prvních 3 let studia a předpokládá základní znalost klinické propedeutiky. Studenti se naučí základy epidemiologie, patogeneze, symptomatologie, diagnostiky včetně diferenciální a terapie kardiovaskulárních a plicních onemocnění. V předmětu jsou postupně vyučovány základy obecné a speciální kardiologie, angiologie, pneumologie, jsou zde shrnuty i základy kardiochirurgie a thorakochirurgie spolu se souvisejícími informacemi z patologie a patofyziologie onemocnění srdce, cév, plic a dýchacích cest. V předmětu jsou paralelně vyučovány příslušné části speciální patologie, patofyziologie a farmakologie. Studenti jsou vzděláváni k integrovanému přístupu k řešení problémů nemocných, některé části výuky mají charakter problémově orientovaného studia. Součástí výuky jsou simulační techniky.
Last update: Eksteinová Erika, Ing. (30.09.2024)
Descriptors -

Study Year:                                                                     Semester:

COURSE: Cardiology, angiology, cardiac surgery, pneumology, C4VL002

Student:                                                Group:                                          Practice No:

Practice specifications                              date   teacher   signature  
Cardiology standard ward patient with chest pain
  Acute versus chronic coronary artery disease      
Cardiology standard ward Patient with heart failure
  chest X-Ray, physical exam, causes of dyspnoe, tests and basic therapyTG S+P      
Cardiology standard ward Patient with valvular heart disease
  Physical exam, tests, pre OP evaluation, valve prostheses types      
Cardiology standard ward Patient with arrhythmia - indication for permanent pacing
  Permanent pacing indication, types of pacing, complications      
Cardiology standard ward Angiology patient
  Physical exam, ankle-brachial index, acute or chronic ischaemia, tests, basic therapy      
Cardiology standard ward Patient with syncope
  Differential dg. of syncope, evaluation of patient history, testing, approach to therapy      
Cardiology standard ward - procedures Ward-round
Elective admission, informed consent      
Coronary Care Unit Patient with acute MI
  ECG analysis, urgent catheterization indication, types of MI, testing, complications, acute phase therapy and long-term medication      
Coronary Care Unit Patient with malignant arrhythmia
  History, ECG, acute therapy, cardioversion, ECG monitoring      
Coronary Care Unit Patient with large pulmonary embolism
  Risk stratification of PE, diagnosis, chest X-Ray, CT angiography, causes of PE, basic therapy      
Coronary Care Unit Patient requiring intubation and ventilation
  Types of shock, physical exam, how to measure hemodnamics, types of circulation support, basic therapy      
Coronary Care Unit Procedures Central vein cannulation
cardioversion/defibrillation
Pleural effusion evacuation under ultrasound      
Arhythmology - out-patients how to obtain ECG, pacemaker programming      
Angiology out-patients Basic principles of a vascular ultrasound, clinical exam in angiology      
Echocardiography 1 Principle of ultrasound, M-mode, 2D, colour doppler. Common views. Principle of TOE..      
Echocardiography 2 How to recognize a tamponade, severe LV systolic dysfunction, pulmonary embolism or severe aortic stenosis?      
Interventional cardiology lab Coronary angiography and PCI - indications, risks, informed consent, demonstration      
Interventional cardiology lab Basic technique of arterial puncture, haemodynamics - how to measure invasive pressure      
Interventional angiology lab Peripheral angiography and intervention, indications, risks, demonstration      
Arhythmology lab Central vein cannulation, principle of cardiac pacing and ablation, indications, risks, demonstration      
Pneumology 1 Patient with asthma or COPD
  physical exam, chest X-Ray, spitometry, differential dg., acute phase therapy      
Pneumology 2 Patient with pneumonia
  Physical exam, chest X-Ray, microbiology, types of pneumonia, basic therapy      
Pneumology 3 Patient with suspected lung cancer
  Physical examination, chest X-Ray, testing, bronchoscopy, approach to patient with cancer      
Pneumology - procedures Chest X-Ray - how to do and how to read
Spirometry - what does it mean?   

1 practice = 1 signature

To obtain clinical credit, student must do 12 practice sessions and present an admission note.

Missed practice sessions can be replaced only after individual agreement of a student with the senior teacher of the cardiology department where the practice was missed and will depend on availability of our doctors due to their clinical duties.

Practical procedures are recommended, but not compulsory.

 

 

Schedule of practices - AVSEOB1, academic year 2024/25:

Practice       1                 2              3               4              5                6                7               8              9               10                11                 12         clinical credit
Date 24/2 26/2 28/2 3/3 4/3 6/3 7/3 10/3 11/3 18/3 19/3 20/3 21/3
Time 0945-1115 0945-1115 0945-1115 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15 9:45-11:15
Standard Ward C-3F group 1 18 17 16 15 14 13 12 11 10 9 8 7
Coronary Unit A-2F

2

1 18 17 16 15 14 13 12 11 10 9 8
Angiology outpatients - 1F 3 2 1 18 17 16 15 14 13 12 11 10 9
Standard Ward D-2F 4 3 2 1 18 17 16 15 14 13 12 11 10
Cathlab 1 - -1F 5 4 3 2 1 18 17 16 15 14 13 12 11
Coronary Unit C - 3F 6 5 4 3 2 1 18 17 16 15 14 13 12
Standard Ward E - 3F 7 6 5 4 3 2 1 18 17 16 15 14 13
Echo lab 1 - 1F 8 7 6 5 4 3 2 1 18 17 16 15 14
Arrhythmology lab - -1F 9 8 7 6 5 4 3 2 1 18 17 16 15
Standard Ward C - 3F 10 9 8 7 6 5 4 3 2 1 18 17 16
Coronary Unit A - 2F 11 10 9 8 7 6 5 4 3 2 1 18 17
Arrhythmology outpatients - 1F     12 11 10 9 8 7 6 5 4 3 2 1 18
Standard Ward D - 2F

13

12 11 10 9 8 7 6 5 4 3 2 1
Cathlab 2 - -1F 14 13 12 11 10 9 8 7 6 5 4 3 2
Echo lab 2 - 1F 15 14 13 12 11 10 9 8 7 6 5 4 3
Standard Ward E - 3F 16 15 14 13 12 11 10 9 8 7 6 5 4
Coronary Unit C - 3F 17 16 15 14 13 12 11 10 9 8 7 6 5
Angiology lab - -1F group 18 17 16 15 14 13 12 11 10 9 8 7 6
Last update: Eksteinová Erika, Ing. (12.03.2025)
Course completion requirements -

Organization of course Cardiology, pneumology, cardiac surgery and angiology; Year 4


This course forms a significant part of tuition in internal medicine - cardiovascular and pulmonary fields. Emphasis will be placed on the repetition of propedeutics and on gaining experience in diagnostic methods, differential diagnosis, and the basics of therapy. We believe we have prepared an interesting block, there is a recent electronic textbook available (http://www.lf3.cuni.cz/cs/pracoviste/3interni/vyuka/elektronicke_srdce_a_plice/) and a nice ECG textbook was attacked by hackers in the past, but has been repaired and is available for you (www.ucebnice-ekg.cz), but unfortunately only in Czech. Feel free to use the book by John Hampton: ECG made easy. OR just watch: https://www.youtube.com/watch?v=XNXVGAneSyk

 

1. Participation in this course must be preceded by successful passing of the exam „Basics of general pathology and pathophysiology" and "Internal propedeutics" in Year 3. This will be verified before the start of our course in SIS; any student not fulfilling this condition can not participate in this course.

 

2. Practice sessions (bedside teaching) are compulsory, seminars are strongly recommended but not compulsory and lectures are not compulsory.

Practical information: for a clinical part please bring hospital shoes, coat, name badge, stethoscope, ECG ruler may be helpful.

Practice sessions at the Department of Cardiology will be organized in small groups of 2-3 students and distribution of students into specific sites will be available.

Pneumology is taught at University Hospital Bulovka. All parts of this course take place at Pavilion 4 on the hill, it is opposite the Proton Centre. Meet always by the Lecture Hall – 2nd floor on the left.

 

3. Credit conditions – there are 2 credits, however in SIS there is going to be entered just one (once both prerequisites are fulfilled). Should a student fail in any of those credits he/she will need to repeat the whole course.


a. Written multiple-choice test from the pre-clinical part, this test will be formed by 30 questions from pharmacology, 30 questions from pathology and 30 questions from pathophysiology. Every test will last 90 minutes in total. Evaluation "passed" requires the correct answer of at least 70% of questions in every field and at the same time at least 75% of all questions. This test is evaluated overall; therefore, even a student who failed in one field only must repeat the whole test. The pre-clinical test will be scheduled at the end of every course block; this test is open only to students of this course; no other students will be allowed to sit it. Further tests will be scheduled: 2 in the winter examination period, 2 in the summer examination period and 1 in September – there will be no limit on the number of students. Students who fail the test 3 times will be examined orally by a panel formed by examiners from fields of pharmacology, pathology, and pathophysiology. In case this is needed one date will be scheduled in September.

Every student has to register for any test in SIS.
Should there be any questions as far as the organization of pre-clinical test is concerned, please contact Department of pharmacology, either:

  • Věra Mendlová, DiS, tel. 267102524, email: vera.mendlova@lf3.cuni.cz, or
  • Naďa Hemberová, DiS,  or 267102404, email: nadezda.hemberova@lf3.cuni.cz

 

b. Clinical credit – there has to be 80% presence on practical teaching sessions with the signed logbook (at least 12 signed practise sessions) plus the presentation of a correctly written admission patient admission notes including working diagnosis plus basic differential diagnosis and also to demonstrate physical examination at the patient bedside (or by a simulator). This credit is organised by the Department of Cardiology at the end of every course and participation is compulsory. In case of absence, the student must agree on the replacement credit slot individually with the assigned examiner. This clinical credit can be taken 3 times only.

 

4. Examination is organized during the examination period only. Successful passing of both above-mentioned credits is necessary to register for the examination in SIS. The examination is oral and the list of questions is available in SIS. There will be enough slots available during the examination periods and also in September. We recommend passing this exam early.

This exam has 2 parts: part 1 consists of ECG description – faultless description is needed to proceed to part 2 and incorrect ECG description results in “failed” classification; part 2 is one question from cardiology and/or pneumology, always including clinically relevant pathology, pathophysiology, pharmacology, clinical propaedeutics, diagnostic methods and if applicable basic therapy. There will be an emphasis on clinical propaedeutics (history and physical examination); poor knowledge will result in classification "failed" even should the other knowledge be acceptable.

 

6. Students, who studied this subject abroad (i.e. Erasmus programme), will present a document proving their participation including the extent of practical bedside sessions and may receive clinical credit based on this document. All students must pass the preclinical test and final exam organized by 3.LF UK.

Last update: Kočka Viktor, doc. MUDr., Ph.D. (03.10.2024)
Literature -

The basic source is the electronic textbook available here: https://www.lf3.cuni.cz/3LF-1430.html.

Oxford Handbook of Cardiology is great for quick reference.

For ECG use:

1) ECG made easy;

2) http://ucebnice-ekg.cz/ - only in Czech;

3) ECG quiz available at - https://ecg.bidmc.harvard.edu/maven/mavenmain.asp;

4) any other ECG textbook or online quiz per your choice

Large reference textbooks are:

  • ESC Textbook of Cardiovascular Medicine
  • Braunwald's Heart Disease
Last update: Eksteinová Erika, Ing. (01.10.2024)
Syllabus -

Cardiovascular and pulmonary diseases are together the most frequent cause of mortality and morbidity and cause decreased quality of life for our patients and significant financial cost for the health-care system. Their symptoms are often similar (for example chest pain and dyspnoea) and this course is therefore very suitable for a problem-oriented approach to teaching. There is close cooperation of pre-clinical and clinical specialists and this allows us to offer a complex and multi-faceted way of education.

1)   Practice sessions at the bedside.

Every student has to participate in at least 12 clinical practice sessions. The practice schedule ensures a balanced student distribution among all clinical stations.

 

·       Cardiology standard ward          

o   Patient with chest pain

o   Acute versus chronic coronary artery disease

·       Cardiology standard ward          

o   Patient with heart failure

o   chest X-Ray, physical exam, causes of dyspnoea, tests and basic therapy

·       Cardiology standard ward          

o   Patient with valvular heart disease

o   Physical exam, tests, pre-OP evaluation, valve prostheses types

·       Cardiology standard ward          

o   Patient with arrhythmia - indication for permanent pacing

o   Permanent pacing indication, types of pacing, complications

·       Cardiology standard ward          

o   Angiology patient

o   Physical exam, ankle-brachial index, acute or chronic ischaemia, tests, basic therapy

·       Cardiology standard ward          

o   Patient with syncope

o   Differential dg. of syncope, evaluation of patient history, testing, approach to therapy

·       Cardiology standard ward

o   Procedures - ward-round, elective admission, informed consent

·       Coronary Care Unit       

o   Patient with acute MI

o   ECG analysis, urgent catheterization indication, types of MI, testing, complications, acute phase therapy and long-term medication

·       Coronary Care Unit       

o   Patient with malignant arrhythmia

o   History, ECG, acute therapy, cardioversion, ECG monitoring

·       Coronary Care Unit       

o   Patient with large pulmonary embolism

o   Risk stratification of PE, diagnosis, chest X-Ray, CT angiography, causes of PE, basic therapy

·       Coronary Care Unit       

o   Patient requiring intubation and ventilation

o   Types of shock, physical exam, how to measure haemodynamic data, types of circulation support, basic therapy

·       Coronary Care Unit

o   Procedures - central vein cannulation, cardioversion/defibrillation, pleural effusion evacuation under ultrasound

·       Arhythmology - out-patients      

o   How to obtain ECG, pacemaker programming

·       Angiology out-patients  

o   Basic principles of vascular ultrasound, clinical exam in angiology

·       Echocardiography 1      

o   Principle of ultrasound, M-mode, 2D, colour doppler. common views, the principle of the TOE

·       Echocardiography 2      

o   How to recognize a tamponade, severe LV systolic dysfunction, pulmonary embolism or severe aortic stenosis?

·       Interventional cardiology lab     

o   Coronary angiography and PCI - indications, risks, informed consent, demonstration

·       Interventional cardiology lab     

o   Basic technique of arterial puncture, haemodynamic data - how to measure invasive pressure

·       Interventional angiology lab      

o   Peripheral angiography and intervention, indications, risks, demonstration

·       Arrhythmology lab        

o   Central vein cannulation, the principle of cardiac pacing and ablation, indications, risks, demonstration

·       Pneumology 1  

o   Patient with asthma or COPD

o   Physical exam, chest X-Ray, spirometry, differential dg., acute phase therapy

·       Pneumology 2  

o   Patient with pneumonia

o   Physical exam, chest X-Ray, microbiology, types of pneumonia, basic therapy

·       Pneumology 3  

o   Patient with suspected lung cancer

o   Physical examination, chest X-Ray, testing, bronchoscopy, approach to the patient with cancer

·       Pneumology

o   Procedures - chest X-Ray - how to do and how to read; spirometry - what does it mean?

 

2)   Seminars form the basis of the theoretical knowledge base in this subject and cover the whole field of cardiovascular medicine and pneumology. Both preclinical (pathology, pathophysiology, pharmacology) and clinical disciplines are represented. Student participation is strongly recommended but not strictly compulsory.

Titles and topics of seminars:     

·       Examination methods in cardiology

·       Physical examination in cardiology

·       Basic ECG.

·       Chest pain.

·       Dyspnoea, diff. dg.

·       Ischemic Heart Disease (Atherosclerosis + consequences)

·       Pathology of Vessels

·       Valvular heart disease, infective endocarditis.

·       Coronary artery disease, acute MI.

·       Obstructive and restrictive lung diseases

·       Arrhythmias, syncope.

·       Heart failure, shock.

·       Lung tumours

·       Cardiomyopathies, pericarditis + myocarditis.

·       Heart and lung diseases - microscopy

·       Pulmonary embolism, pulmonary hypertension.

·       Pathologic ECG.

·       Drugs in heart failure, Antiarrhythmics

·       Examination methods in angiology, peripheral arterial disease.

·       Lung function tests - assessment

·       Examination methods in pneumology and x-ray assessment

·       COPD, Asthma bronchiale, ILD

·       Medication for cardiac ischaemia

·       Hypolipidemic medication

·       Drugs affecting respiratory system (Asthma, COPD, cough-remedies)

·       Overview of drugs in cardiology

·       Pneumothorax, Haemothorax, cardiac tamponade

·       Inflammation of the Lungs

·       Hypertension.

·       Diseases of the aorta

·       Numerical simulations and models for clinical practice

·       Vascular surgery

·       Sudden cardiac death, resuscitation.

 

3)    Lectures are voluntary and their topics are selected by lecturers per their selection.

Last update: Kočka Viktor, doc. MUDr., Ph.D. (03.10.2024)
Entry requirements -

Enrollment in 4th year of study is a condition for participation in classes, as well as a proof of passing the exam: "Basics of general pathology and pathophysiology" and "Internal propedeutics" in 3rd year of study

Last update: Eksteinová Erika, Ing. (01.10.2024)
 
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