Introduction to Clinical Electrocardiology

Garant předmětu:

Přednášející:

Cvičící:

Předmět zajišťuje:

katedra biomedicínské techniky

Anotace:

The course provides the introduction into clinical electrocardiology: from basics of ECG to the review of the latest research in the field of ECG diagnostics and risk stratification.

Požadavky:

The subjects are concluded by an oral examination. The student must elaborate a paper on a given topic together with the exam in case of the controlled self-study. Assessment will be based on active participation in the discussion exercises, reports of group work and presentation of the research protocol conducted during the workshop.

The study is performed in the form of controlled self-study with regular consultations and obligatory participation in laboratory exercises.

Osnova přednášek:

1. Recording and interpretation of electrocardiogram. Reference values of standard ECG and 24-hour continuous ECG.

2. Methods of assessment of autonomic influences on the heart. Autonomic reactivity tests. Heart rate variability. Chamber enlargement and intraventricular conduction abnormalities.

3. Myocardial ischemia (1). Demand vs supply ischemia. Detection of transitory myocardial ischemia. Holter ECG monitoring. Exercise tests.

4. Myocardial ischemia (2). Acute coronary syndromes. ECG criteria of ST-elevation myocardial infarction (STEMI) and non-STEMI. ECG differential diagnostics. Determining of the myocardial infarction localization and the site of occlusion.

5. Myocardial ischemia (3). Continuous ECG monitoring in ischemia and reperfusion. Signs of reperfusion. Arrhythmias in acute ischemia and reperfusion. Risk stratification.

6. Bradyarrhythmias. Sinus node dysfunctions. Atrio-ventricular conduction disturbances.

7. Narrow QRS tachyarrhythmias. Supraventricular tachyarrhythmias. Atrial fibrillation

8. Syncope. Diagnostics and differential diagnostics. ECG in detection of cardiogenic syncope.

9. Genetic syndromes. Hypertrophic cardiomyopathy. Arrythmogenic RV dysplasia. Long QT syndrome. Brugada syndrome.

10. ECG analysis in patient with implantable devises. Pacemakers, CRT and ICD

Osnova cvičení:

1. ECG in patient with arrhythmia. Differential diagnostics of tachycardia with narrow QRS tachycardia and wide QRS tachycardia (practical exercises, discussion – 4 hours)

2. ECG decision making in patient with coronary artery disease (practical exercises, discussion – 4 hours)

Cíle studia:

The course provides the introduction into clinical electrocardiology: from basics of ECG to the review of the latest research in the field of ECG diagnostics and risk stratification.

Studijní materiály:

Required:

[1] WAGNER, Galen S and David G STRAUSS. Marriott's practical electrocardiography. 12th ed. Philadelphia, PA: Wolters Kluwer, 2014. ISBN 9781451146257.

[2] WESLEY, Keith. Huszar's ECG and 12-Lead Interpretation. 5th ed. Elsevier 2016. ISBN 9780323355759.

Recommended:

[1] Dynamic electrocardiography. Editor Marek MALÍK, editor A. John CAMM. Elmsford, N.Y: Blackwell, 2004. ISBN 9781405119603.

[2] WELLENS, H.J.J. and M.B. CONOVER. The ECG in emergency decision making. Sanders Elsevier 2006. ISBN 978-1416002598

Poznámka:

Modul D

Další informace:

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