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
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
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
Assistance and evaluation in the resolution of case methods, problem-based learning and skills laboratories will represent 21% of the final grade (7% of each). In these spaces of participation, evaluations will be made at the end of each one of them which will allow weighting of the grade.
This is a mandatory activity. However, a maximum of 2 of these classes will be missed.
Given that this is a mandatory activity, in the event that more than 2 classes are missed, the final grade will be the average of the partial (21.4%) and final (78.6%) exams. Neither 21% of the practical activity nor 9% of the self-evaluations will be applied. There will be no option to do extra work to make up for missing these classes.
C) SELF-ASSESSMENTS (9%):
C.1 --> Electrocardiography (2%). It consists of watching all the videos. (Blended). The viewing of the videos will be controlled through Moodle. If the total time of the videos is not viewed at least 1 time, this % of the grade will be 0%. Mandatory to have done it before performing the electrocardiography LH.
C.2 --> Basics of the electrocardiogram (2% ). Self-assessment through Moodle. Mandatory to do it before performing the electrocardiography LH. If this section is not graded, it will be 0%.
C.3 --> PROMIR - (5%)The 4 self-assessment exams must be completed. If all 4 exams are taken, 100% of this part of the grade will be obtained. If 3 exams are completed, 50% of this grade will be obtained. Taking 2 or less exams will be 0% of the grade. There will be no option to repeat the exam due to lack of attendance for some of them.
FINAL QUALIFICATION (Accreditation)
Weighted sum of the theoretical evaluation (70%), the evaluation of Case Methods, Problem Based Learning and Skills Laboratory (21%) and self-evaluations (9%). 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.
PROMIR - Virtual learning environment that must allow the student to carry out the study and training for the exams of the subject.