Universitat Internacional de Catalunya
Cardiovascular System
Teaching staff
Dr. Antonio Sanchez Hidalgo asanchezh@uic.es
Introduction
Cardiovascular System
code 12069 grade 3 period Semester 2 type OB credits 4.5
Principal language: catalán-castellano.
ProfessorResponsible
Antonio Sánchez Hidalgo MD. PhD - asanchezh@uic.es
PresentationThe cardiology subject has for objective make the student to acquire the theorical knowledge, abilities and the necessary attitudes for the detection, diagnosis and management of the cardiovascular diseases.
Pre-course requirements
Objectives
During the training period the student must acquire the theoretical knowledge and clinical skills that allow him to identify the main problems generated by cardiovascular pathology, guide his diagnosis, indicate the diagnostic methods to be used by establishing a logical order, and guide the treatment.
Given the characteristics of this pathology, the student must be able to identify emergency situations and know their management, especially in relation to the indications of hospital admission or surgical treatment. SPECIFIC OBJECTIVES
A. At the end of the training process, students will have to be able to identify the main problems of cardiovascular pathology, specified in:
1. Dyspnoea
2. Hydro saline retention (congestion)
3. Chest pain
4. Palpitations
5. Syncope, Shock and cardiorespiratory arrest
6. Hypertension
7. Problems related to valvulopathies, cardiac and vascular prostheses
8. Limb ischemia
9. Ischemia of the organs
10. Venous insufficiency
B. Students will have to know the theoretical basis of diagnostic methods in cardiovascular pathology, specified in:
1. Physical examination in cardiovascular pathology
2. Auscultation and other simple instrumental exploration methods
3. Non-invasive instrumental exploration of the peripheral vascular system
4. Electrocardiography
5. Cardiac radiology
6. Echocardiography
7. Hemodynamics
8. Angiography and ventriculography
9. Other diagnostic methods: CT, magnetic resonance imaging, isotopes
C. Students will have to know the diagnosis and medical and surgical therapy of the main diseases of the cardiocirculatory system specified in:
1. Heart failure
2. Shock
3. Arrhythmias
4. Acquired valvulopathies
5. Coronary heart disease
6. Congenital heart disease
7. Cardiomyopathies
8. Pathology of the pericardium
9. Hypertensive heart disease
10. Infectious endocarditis
11. Cor pulmonale
12. Cardiac tumours
13. Acute and chronic arterial pathology
14. Aneurysmal pathology of the aorta and its branches 15. Ischemic cerebrovascular and abdominal organs pathology 16. Pathology of the venous and lymphatic systems 17. Transplantation of tissues and cardiovascular organs 18. Specific knowledge of cardiac and vascular surgeryLearning outcomes of the subject
Syllabus
class 1. Hypertensive heart disease. Dr. Ignasi Duran
class 2. Atherosclerosis: How coronary heart disease is developed. Dr. Ignasi Duran
class 3. Approach and differential diagnosis to chest pain. Dr. Ignasi Duran
class 4. Medical treatment of ischemic heart disease. Stable angina. Dr. Ignasi Duran
class 5. Bradyarrhythmias I J. Dr. Ignasi Duran
class 6. Bradyarrhythmias II Treatment . Dr. Ignasi Duran
class 7. ACS (myocardial infarction) NonSTEMI / Unstable angina. Dr. Michel Zabalza
class 8. STEMI. Código IAM. Dr. Michel Zabalza
class 9. Coronary artery bypass surgery. Dr. Michel Zabalza
class 10. Imaging techniques in Cardiology. Dr. Juan José Sánchez
class 11. Supraventricular tachycardia I Dr. Michel Zabalza
class 12. Supraventricular tachycardia II Dr. Michel Zabalza
class 13. Atrial Fibrillation. Dr. Michel Zabalza
class 14. Ventricular tachycardias. Dr. Michel Zabalza
class 15. Sudden death and cardiopulmonary resuscitation. Dr. Michel Zabalza
class 16. Pathophysiology and diagnosis of heart failure. Dr. Antonio Sánchez Hidalgo
class 17. Clinical aspects of heart failure. Dr. Antonio Sánchez Hidalgo
class 18. Treatment of heart failure. Dr. Antonio Sánchez Hidalgo
class 19. The right heart: Pulmonary hypertension, cor pulmonale, pulmonary thromboembolism and its prevention. Dr. Antonio Sánchez Hidalgo
class 20. Aortic valve disease. Dr. David López
class 21. Mitral valve disease. Dr. David López
class 22. Pulmonar and tricuspid valve disease. Valvular surgery. Dr. David López
class 23. Cardiomyopathies. Dr. Antonio Sánchez Hidalgo
class 24. Myocarditis. Dr. Antonio Sánchez Hidalgo
class 25. Pericardial diseases. Dr. Antonio Sánchez Hidalgo
class 26. Congenital heart disease I. Dr. Michel Zabalza
class 27. Congenital heart disease II. Dr. Michel Zabalza
class 28.-. Acute peripheral artery disease. Dra. M Mairal
class 29.-. Chronic peripheral artery disease. Dra. M Mairal
class 30. Pathology of the thoracic and abdominal aorta. Dra. M Mairal
class 31. Pathology of the venous and lymphatic system. Dra. M Mairal
CASE METHOD (7 MC)Assistance required
Out of respect for the rest of the students and the dynamics of the class, it will be rigorous with the start time of the class and entry into class 15 will not be allowed after the start. Nor will they be allowed to access their evaluation if the student has not attended the teacher's presentation overall. This activity is evaluable, the absence of attendance at these classes will require a justification (students or third or subsequent calls are excluded).
1.- Clinical cases on ECG interpretation in usual clinical situations. ( Dr. Cèsar Romero) INTERPRETACIÓN DEL ECG
2.- Clinical cases of syncope, pacemakers. ( Dr. Ignasi Duran) BRADIARRITMIAS.
3.- Clinical cases of heart failure, most prevalent cardiomyopathies. ( Dr. Antonio Sánchez Hidalgo)
4.- Valvulopathies ( Dr. David López)
5.- Clinical cases of ischemic heart disease ( Dr. Ignasi Duran) Differential Diagnosis of THORACICAL PAIN AND STABLE ISCHEMICAL CARDIOP TREATMENT. CLINICAL CASES
6.- Clinical cases of congenital cardiopathies( Dr. Michel Zabalza). CLINICAL CASES OF CONGENITAL CARDIOPATHIES.
7. Pathological Anatomy Cases ( Dra. MT Fernandez)
PROBLEM-BASED LEARNING (2 ABP)Assistance required
Out of respect for the rest of the students and the dynamics of the class, it will be rigorous with the start time of the class and entry into class 15 will not be allowed after the start. Nor will they be allowed to access their evaluation if the student has not attended the teacher's presentation overall. This activity is evaluable, the absence of attendance at these classes will require a justification (students or third or subsequent calls are excluded).
1.- Clinical cases presented by students and discussed in class about: arrhythmias. ( Dr. Michel Zabalza)
2.- Clinical cases presented by students and discussed in class about: valvulopathies, cardiac tumours. ( Dr. David López)
SKILLS LAB (LH)Assistance required
Out of respect for the rest of the students and the dynamics of the class, it will be rigorous with the start time of the class and entry into class 15 will not be allowed after the start. Nor will they be allowed to access their evaluation if the student has not attended the teacher's presentation overall. This activity is evaluable, the absence of attendance at these classes will require a justification (students or third or subsequent calls are excluded).
1.- Global approach to cardiovascular diseases, from prevention to the most advanced diagnostic and therapeutic techniques. Dr. Antonio Sánchez Hidalgo
2.- Electrocardiography exercises. Dr. César Romero
BLENDED LEARNING: Virtual student work e-learning format. "What not to do in cardiology."Analysis of the recommendations of “high value” and / or “low value” clinical practice in cardiology, as they are already working on projects such as “Diana Salud, MAPAC initiatives”, “ESSENCIAL, CatSalut project for primary care” , "Commitment to the quality of Scientific Societies in Spain", "NICE: Do not do" or "Choosing Wisely". This analysis can facilitate the student's elaboration of volunteer work (see below).
Teaching and learning activities
In blended
The master class is the scenario in which a teacher transmits the knowledge in a classroom to the entire group of students. The format, however, allows the introduction of small group activities within the classroom and development of strategies that encourage student participation. The case method consists in the process of solving clinical cases or those of the profession. They are group activities that are resolved with the participation of the teacher after the deliberation of the students. Problem-based learning has similarities to the case method, but differs in that students are responsible for finding the solution to the problem. The teacher acts as a tutor who facilitates the learning process based on their metacognitive abilities. It is also done in groups. Clinical practice promotes learning from the model. The doctors, and other health personnel, are the models of the students who go to their jobs to learn. Over time the students themselves end up displaying skills that allow them a certain degree of supervised autonomy. The professional who is the model acts as a tutor that facilitates learning. The laboratory practice consists in carrying out practical exercises in the laboratory of basic disciplines such as biology, biochemistry, physiology, etc. It also includes demonstration exercises with bones or organ simulations (osteoteca), the use of microscopes, exercises in the anatomical dissection room and the use of calculation centres and computer rooms. It is done in groups. The skills laboratory is an area in which the student can basically develop communication and physical examination skills based on dummies, robots and also simulator patients and real patients. They are done with small groups.
Evaluation systems and criteria
In blended
The student must be responsible with the time of the exam call. You must be at least 15 minutes in advance.
Under no circumstances, student will not be allowed to enter the exam after 5 minutes from the time of the start of the exam .
It will be forbidden to enter the exam room with ANY type of electronic device (phone, smart watch, tablets, computers, ...). Failure to comply may lead to a student's grade with a grade of 0 on that exam.
The identity of the student can be confirmed by presenting a valid document (DNI, driving license, UIC student card).
Given the short duration of the partial and final exams, students will not be allowed to leave the assessment room except for a vital emergency.
A) THEORETICAL ASSESSMENT: 70% of the total
Partial exam: 15% Final exam: 55%
To make the average it will be essential to pass the final exam with a grade higher than 5. Therefore, students who get less than 5 will not have the option of passing the subject in the first call.
Partial exam type test:
30 questions, 4 possible answers, one valid.
One point for each correct question.
Incorrect questions subtract the proportion proportional to the number of “baits” (“bait” is any option that does NOT constitute the correct answer).
Final exam type test:
60 questions, 4 possible answers, one valid.
One point for each correct question
Incorrect questions subtract the proportion proportional to the number of “baits” (“bait” is any option that does NOT constitute the correct answer).
Claims about exam questions:
In order for the student to go to the review of the exam to complain about the questions, they must have sent in advance and in writing the reason to challenge the question (s). The absence of sending this information will not give rise to the discussion about the result of the question / s.
B) ASSISTANCE AND PARTICIPATION IN THE MC, LH and ABP
The assistance and evaluation in the resolution of the case methods, problem-based learning and skills laboratories will represent 30% of the final grade (10% of each of them). In these participation spaces, evaluations will be carried out at the end of each of them that will allow us to weigh the grade.
C) ESPECIFIC PROJECT
This work that should allow the student to summarize three recommendations on the care practice in cardiology (2 on situations that do not provide value or of low clinical value and 1 situation of high clinical value), develop a discussion on each recommendation from the side of a student of 3º of medicine, as well as finding the most appropriate bibliographical references.
It should allow to stimulate a critical reflection and an analysis on the adequacy of clinical benefits in the field of cardiology, as well as allow the tutor to know the vision of the problem by students in training.
All recommendations to analyse are found on the web: www.dianasalud.es
IMPORTANT: this work is VOLUNTEER. It will be available from the beginning of the subject and may be sent during the entire school period up to 24 hours before the date of the final cardiology exam (FIRST CALL). You can improve the final grade to a maximum of 1 point, but EXCLUSIVELY in those students who have passed the final exam (first call) with a minimum grade of 5.
To evaluate the work, the originality of this and VERY NEGATIVELY (even not scoring it if necessary) will be positively assessed if it is copied-plagiarized work between students of the same course or previous courses.
FINAL QUALIFICATION (Accreditation)
Weighted sum of the theoretical evaluation (70%) and the evaluation of Case Methods, Problem Based Learning and Skills Laboratory (30%). The final theoretical exam must be passed in order to access a final total grade. Expression: Numerical note with a decimal from 0 to 10 Qualitative qualification, suspense, approved, notable, outstanding, MH. For students in 3rd and subsequent calls the evaluation will be based on partial exam (20% of the grade) and final exam (80%). Attendance at MC, ABP and LH will not be essential although the subject matter will enter the exam. To apply the percentages it is ESSENTIAL to pass the final exam with a grade equal to or greater than 5. THERE WILL BE NO OPTION TO SUBMIT EXTRAORDINARY WORKS TO PASS THE SUBJECT. Bibliography
Each teacher has the possibility of adding the recommended bibliography in each of the topics that will be worked on during the course. In general rules we can consider the following as more useful (not exclusive) study material for the student:
Harrison's Principles of Internal Medicine, 20e. J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo. Mc Graw Hill. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Single Volume: Expert Consult Premium Edition – Enhanced Online Features and Print, 9e. Elsevier.
UpToDate, electronic resource to support clinical decisions that is available online or through a mobile application for most major platforms, and that use more than 1.7 million doctors around the world to answer questions that arise in medical practice daily It offers continuously updated recommendations based on the most recent available medical tests, written and reviewed by more than 6,900 leading doctors worldwide. More information in www.uptodate.com.
Evaluation period
E: Exam date | R: review date | 1: First call | 2: Second call
E. Parcial: de h
R (partial exam review date): : H
E. Final:
E1 (final first call): H
R1 (final first call): H
E2 (final second call): H
R2 (final second call): date to be specified.
Bibliography and resources
Each teacher has the possibility of adding the recommended bibliography in each of the topics that will be worked on during the course. In general rules we can consider the following as more useful (not exclusive) study material for the student:
Harrison's Principles of Internal Medicine, 20e. J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo. Mc Graw Hill. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Single Volume: Expert Consult Premium Edition – Enhanced Online Features and Print, 9e. Elsevier.
UpToDate, electronic resource to support clinical decisions that is available online or through a mobile application for most major platforms, and that use more than 1.7 million doctors around the world to answer questions that arise in medical practice daily It offers continuously updated recommendations based on the most recent available medical tests, written and reviewed by more than 6,900 leading doctors worldwide. More information in www.uptodate.com.
Evaluation period
- E1 18/06/2021 14:00h
- E2 16/07/2021 16:30h