Traslational cardiovascular medicine and surgery

A.Y. 2019/2020
4
Max ECTS
48
Overall hours
SSD
MED/11 MED/22 MED/23
Language
English
Learning objectives
The course takes the students into translational cardiovascular medicine and surgery starting with a disease-centered approach and ending with a patient-oriented approach of cardiovascular medicine and surgery.
It is designed in three blocks, each one presenting a main topic: cardiovascular diseases, vascular surgery and cardiac surgery.
Taking anatomy and epidemiology as starting point, the course focuses on the most important aspects of these pathologies examining risk factors, pathophysiological and clinical aspects. Special attention is given to the clinical presentation.
The course describes the main diagnostic and therapeutic procedures.
Expected learning outcomes
Students are expected to :
- describe the severity of heart failure, evaluate the prognosis of the HF patient, recognise and describe the clinical role of HF comorbidities and principles of HF treatment.
- understand the indications for surgery in HF and the traditional surgical approaches and Describe the indications and eligibility for heart transplantation
- describe the epidemiology, pathophysiology, diagnosis and clinical features of arrhythmias and conduction disturbances
- discuss when a pacemaker is needed, describe the different types of pacemaker, cardiac defibrillators and cardiac resynchronization therapy
- describe the treatment of Coronary Artery Disease)
- describe the treatment Treatment of Pulmonary Artery Hypertention
- describe the treatment of myocardial infarction
- describe diagnosis and treatment of hypertrophic cardiomyopathy, infective endocarditis and fluid retention.
- describe the role of open surgery and endovascular stenting
- describe the actual role of open surgery and endovascular therapy
- describe the most recent indications for treatment and diagnostic tools of Aortic Diseases
- describe incidence, social impact and modern diagnosis and Conservative and advanced minimal invasive management of superficial and deep vein diseases
- describe the basics of cardiac surgery
- describe the indications for surgical therapy of Coronoary Artery Disease
- describe the clinical presentation of Aortic Valve Disease, the role of diagnostic workup in AVD, the current indications for AVD operation and post-surgical management
- describe the clinical presentation of Mitral and tricuspid valve disease, the role of diagnostic workup in MTVD, the current indications for MTVD operation and post-surgical management
- describe the indications for ascending aortic aneurysm operation and the rationale for valve sparing, the clinical presentation and diagnostic workup of acute aortic syndromes, the natural history of AAS and the indications for surgery
- describe transposition of the great arteries, tetralogy of Fallot, aortic coarctation
Course syllabus and organization

Single session

Responsible
Prerequisites for admission
To take the Translational Cardiovascular Medicine and Surgery exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Furthermore students must review in detail the program of System Diseases 1, in particular the modules of Cardiovascular Diseases and Diagnostic Imaging, and the programs of Pharmacology 1 and 2.
Assessment methods and Criteria
Students' evaluation is assessed with three oral examinations focused on the topics developed during the course (one for Cardiovascular Diseases, one for Cardiac Surgery and one for Vascular Surgery). The final mark is the average of the marks obtained in the three oral examinations weighted for the number of credits of each discipline.
The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
Registration to the exam through SIFA is mandatory.
Cardiovascular diseases
Course syllabus
CARDIOVASCULAR DISEASES:
Lecture 1 - HF prognosis
Lecture 2 - HF comorbidities
Lecture 3 - HF treatment
Lecture 4 - Prevention of sudden death and treatment of arrhythmias
Lecture 5 - Pacemakers
Lecture 6 - Treatment of CAD
Lecture 7 - Treatment of PAH
Lecture 8 - Treatment of myocardial infarction
Lecture 9 - Clinical cases
Lecture 10 - Hypertrophic cardiomyopathy
Lecture 11 - Infective endocarditis
Lecture 12 - Fluid retention

VASCULAR SURGERY:
Lecture 1 - Carotid artery disease
Lecture 2 - Lower extremity artery disease
Lecture 3 - Thoracic and Abdominal Aortic Diseases
Lecture 4 - Superficial and deep vein diseases

CARDIAC SURGERY
Lecture 1 - Basics of cardiac surgery
Lecture 2 - Coronary surgery
Lecture 3 - Aortic valve
Lecture 4 - Mitral and tricuspid valve disease
Lecture 5 - Ascending aorta diseases and acute aortic syndromes
Lecture 6 - Heart Failure surgery and transplantation
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill Higher Education, 2018
· Goldman's Cecil Medicine, L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Single Volume, D. Mann, D. Zipes, P. Libby, R. Bonow, 10th ed., Saunders, 2015
· Rutherfords' Vascular Surgery, 8th edition, Elsevier, 2014
· Johns Hopkins Textbook of Cardiothoracic Surgery, 2nd Edition, McGraw Hill, 2014
Cardiac surgery
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Cardiovascular deseases.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill Higher Education, 2018
· Goldman's Cecil Medicine, L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Single Volume, D. Mann, D. Zipes, P. Libby, R. Bonow, 10th ed., Saunders, 2015
· Rutherfords' Vascular Surgery, 8th edition, Elsevier, 2014
· Johns Hopkins Textbook of Cardiothoracic Surgery, 2nd Edition, McGraw Hill, 2014
Vascular surgery
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Cardiovascular deseases.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill Higher Education, 2018
· Goldman's Cecil Medicine, L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Single Volume, D. Mann, D. Zipes, P. Libby, R. Bonow, 10th ed., Saunders, 2015
· Rutherfords' Vascular Surgery, 8th edition, Elsevier, 2014
· Johns Hopkins Textbook of Cardiothoracic Surgery, 2nd Edition, McGraw Hill, 2014
Cardiac surgery
MED/23 - HEART SURGERY - University credits: 1
Lessons: 12 hours
Cardiovascular diseases
MED/11 - CARDIOVASCULAR DISEASES - University credits: 2
Lessons: 24 hours
Vascular surgery
MED/22 - VASCULAR SURGERY - University credits: 1
Lessons: 12 hours