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Clinical Electrogardiography and Introduction to Sports Cardiology
Study Course Description
Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:26.01.2022 11:40:35
| Study Course Information | |||||||||
| Course Code: | ISK_215 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Internal Medicine | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Oskars Kalējs | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Internal Diseases | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 2 Hipokrata Street, isk rsu[pnkts]lv, +371 67042338 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 24 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| 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. | ||||||||
| 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. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Basics of electrocardiography. Signs of cardiac hypertrophy and dilatation on the ECG. Signs of intratracheal and intraventricular conduction abnormalities on the ECG. | Lectures | 1.00 | auditorium | |||||
| 2 | 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. | Lectures | 1.00 | clinical base | |||||
| 3 | Representation of cardiac conduction defects on the ECG. The concept of arrhythmias, atrioventricular conduction abnormalities, supraventricular and ventricular arrhythmias. | Lectures | 1.00 | clinical base | |||||
| 4 | Representation of the genetic defects in cardiomyopathy and ion pumps on the ECG. Diagnostic significance of ECG in sports medicine. | Lectures | 1.00 | clinical base | |||||
| 5 | 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. | Classes | 1.00 | clinical base | |||||
| 6 | 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). | Classes | 1.00 | clinical base | |||||
| 7 | Bradyarrhythmia. Sinoatrial node dysfunction. Atrioventricular block - grades and types. ECG in patients with pacemakers. Identification of defects and the malfunctioning of the pacemaker. | Classes | 1.00 | clinical base | |||||
| 8 | Life-threatening arrhythmias, their recognition. Supraventricular tachycardia (SVT) vs ventricular tachycardia (VT). Signs of ventricular tachycardia, their identification. Ventricular undulation. Ventricular fibrillation. | Classes | 1.00 | METC | |||||
| 9 | 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. | Classes | 1.00 | clinical base | |||||
| 10 | Signs of pathologies of ion currents on ECG. Long QT syndrome (LQTS). Short QT syndrome (SQTS). Catecholaminergic polymorphic ventricular tachycardia (CPVT). Early repolarization syndrome. | Classes | 1.00 | clinical base | |||||
| 11 | Signs of cardiomyopathy on the ECG. Importance of early diagnosis of primary cardiomyopathy. Importance of diagnostics of cardiomyopathies in sports cardiology. | Classes | 1.00 | METC | |||||
| 12 | ECG as a diagnostic and potential early risk identification method in sports cardiology. | Classes | 1.00 | study trip | |||||
| Assessment | |||||||||
| Unaided Work: | Individual work – analysis and interpretation of ECG results. Clinical interpretation of data. | ||||||||
| Assessment Criteria: | An oral test after practical classes: clinical case discussion and practical interpretation of the electrocardiogram. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | 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: | 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. | ||||||||
| Competencies: | 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. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| 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 | ||||||||
