Universitat Internacional de Catalunya
Cardiovascular System
Teaching staff
Dr. Antonio Sanchez Hidalgo asanchezh@uic.es
Introduction
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
Have passed the subject:
- S&F: Cardiovascular, Respiratory and Renal System
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. 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. 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 (3LH)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 - justified and justifiable. (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
3.- Introduction to echocardiography. Dr. Antonio Sánchez
PROMIR -
Virtual learning environment that must allow the student to study and train for the subject's exams.
The theoretical material of this tool is considered part of the bibliography.
Teaching and learning activities
In person
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. 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 person
Students must be punctual for exam sessions. You must arrive at least 15 minutes before the scheduled exam time.
Under no circumstances will any student be admitted into the examination room later than 5 minutes after the official start time.
It is strictly forbidden to enter the examination room with any type of electronic device (mobile phone, smartwatch, tablet, computer, etc.). Failure to comply may result in the exam being graded with a mark of 0.
Student identity may be verified through a valid identification document (National ID, driver’s license, or UIC student card).
Given the short duration of both midterm and final exams, no student will be permitted to leave the exam room except in case of a vital emergency.
A) THEORETICAL ASSESSMENT: 65% of the total gradeMidterm exam: 15%
Final exam: 50%
To average the grades, it is mandatory to pass the final exam with a mark higher than 5. Therefore, students who obtain a score below 5 on the final exam cannot pass the subject in the first examination period.
Midterm exam (multiple choice):
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40 questions, 4 possible answers, one correct.
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1 point per correct answer.
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Incorrect answers deduct a proportional fraction according to the number of distractors (a distractor is any incorrect option).
Final exam (mixed format – multiple choice and short-answer):
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80 questions, 4 possible answers, one correct.
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1 point per correct answer.
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Incorrect answers deduct a proportional fraction according to the number of distractors.
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3 short-answer clinical case questions will be added.
Appeals regarding exam questions:
To attend the review session and submit objections, the student must previously have sent a written justification explaining the reason(s) for contesting the question(s). Failure to do so will invalidate any discussion concerning those questions during the review session.
Attendance and assessment in these activities represent 15% of the final grade (5% for each). Each participation block includes an evaluation at its conclusion to determine the score.
This is a mandatory activity. However, up to two absences will be allowed.
Since attendance is compulsory, missing more than 2 sessions means the final grade will consist only of the average of the midterm (21.4%) and the final exam (78.6%). The 21% practical and 9% self-assessment components will not be applied.
There will be no alternative assignments to compensate for missed sessions.
C.1. Electrocardiography (3%):
Based on the viewing of all videos (Blended Learning). Video viewing will be tracked via Moodle. If the videos have not been fully viewed at least once, this part of the grade will be 0%. Completion is required before the electrocardiography LH session.
C.2. Basic ECG Phenomena (2%):
Self-assessment via Moodle. Completion before the electrocardiography LH session is mandatory. Failure to complete it results in a 0% for this part.
C.3. PROMIR Training (15%):
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Performing 80% of the training of topics recommended in the course grants 5% of the continuous assessment.
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Completing 80% of the study grants an additional 10%.
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Completing 80% of the review sessions grants the full 15%.
Weighted sum of theoretical evaluation (65%) and the combined assessment of Case Methods, Problem-Based Learning, Skills Labs, and self-assessments (35%).
Passing the final theoretical exam is required to obtain a final course grade.
Grades will be expressed as a numerical mark (to one decimal place) from 0 to 10, accompanied by the qualitative rating: Fail, Pass, Good, Very Good, or Excellent with Distinction (MH).
For students in their third or subsequent exam sessions, grading will be based on:
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Midterm exam: 20%
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Final exam: 80%
Attendance at MC, PBL, and LH sessions is not mandatory, though their content will still appear on exams. To apply the weighting percentages, the student must pass the final exam with a minimum score of 5.
There will be no option to submit extra work to pass the subject.
Evaluation periodE: Exam date | R: Review date | 1: First examination period | 2: Second examination period
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Midterm exam (E): ____ h
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Midterm review (R): ____ h
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Final exam (E1 – first call): ____ h
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Final review (R1 – first call): ____ h
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Final exam (E2 – second call): ____ h
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Final review (R2 – second call): Date to be confirmed
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.
PROMIR - Virtual learning environment that must allow the student to carry out the study and training for the exams of the subject.