Electrocardiography, Arrhythmology and Electrostimulation
A.Y. 2023/2024
Learning objectives
- To acquire the notions for a correct interpretation of the main electrocardiographic pictures
- To acquire diagnostic and therapeutic methods that are used in electrophysiology, in particular on implants and follow-up of permanent cardiac stimulators and automatic defibrillators
- To acquire diagnostic and therapeutic methods that are used in electrophysiology, in particular on implants and follow-up of permanent cardiac stimulators and automatic defibrillators
Expected learning outcomes
- Knowledge of the most typical cardiac rhythm disorders in both election and emergency
- Acquisition of the methods used for the transmission of electrocardiographic data
- Knowledge of the methods and use of equipment for the diagnosis of cardiac rhythm disorders
- Acquisition of the methods used for the transmission of electrocardiographic data
- Knowledge of the methods and use of equipment for the diagnosis of cardiac rhythm disorders
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Prerequisites for admission
No prior knowledge is required
Assessment methods and Criteria
The exam will be written. It will mainly consist of multiple choice questions with the addition of some open questions, in addition it will be possible, at the discretion of the teacher, to carry out an additional oral test.
Electrocardiography, arrythmology, and electrophysiology
Course syllabus
The cardiac electrical axis, waves and ECG deflections, interpretation of the normal electrocardiogram
Basic mechanisms of atrial and ventricular arrhythmias. General mechanisms.
Supraventricular arrhythmias: pathophysiology and diagnostic framework.
Ventricular arrhythmias: pathophysiology and diagnostic framework
Bases of electrophysiology: the electrophysiological study and transcatheter ablation. Methods and materials used.
Clinical and electrophysiological diagnosis of AV node re-entry arrhythmias, pharmacological and ablative treatment
Clinical and electrophysiological diagnosis of atrial tachycardia and atrial flutter. Pharmacological and ablative treatment.
Atrial fibrillation: classification, pathophysiology and clinic. Diagnosis and ablative treatment.
Clinical and electrophysiological diagnosis of ventricular extrasystoles and ventricular tachycardia. Pharmacological and ablative treatment.
New unconventional 3D mapping systems: electro-anatomical mapping and activation mapping
Bases of cardiac electrostimulation
Principles of operation of the pacemaker and meaning of the programming parameters.
Indications to the pacemaker and implant technique of the stimulator.
Follow-up of the stimulation system. Routine control and main clinical problems.
Principles of operation of the implantable defibrillator and meaning of the programming parameters.
Indications to the implantable defibrillator and implantation technique.
The follow-up of a defibrillator's defibrillator. Routine control and main clinical problems.
Cardiac resynchronization. Indications and implantation technique.
The loop recorder: general principles, indications and implantation technique.
Lead explant. Techniques and materials
Complications of electrophysiological interventional procedures. Clinical and procedural management.
Basic mechanisms of atrial and ventricular arrhythmias. General mechanisms.
Supraventricular arrhythmias: pathophysiology and diagnostic framework.
Ventricular arrhythmias: pathophysiology and diagnostic framework
Bases of electrophysiology: the electrophysiological study and transcatheter ablation. Methods and materials used.
Clinical and electrophysiological diagnosis of AV node re-entry arrhythmias, pharmacological and ablative treatment
Clinical and electrophysiological diagnosis of atrial tachycardia and atrial flutter. Pharmacological and ablative treatment.
Atrial fibrillation: classification, pathophysiology and clinic. Diagnosis and ablative treatment.
Clinical and electrophysiological diagnosis of ventricular extrasystoles and ventricular tachycardia. Pharmacological and ablative treatment.
New unconventional 3D mapping systems: electro-anatomical mapping and activation mapping
Bases of cardiac electrostimulation
Principles of operation of the pacemaker and meaning of the programming parameters.
Indications to the pacemaker and implant technique of the stimulator.
Follow-up of the stimulation system. Routine control and main clinical problems.
Principles of operation of the implantable defibrillator and meaning of the programming parameters.
Indications to the implantable defibrillator and implantation technique.
The follow-up of a defibrillator's defibrillator. Routine control and main clinical problems.
Cardiac resynchronization. Indications and implantation technique.
The loop recorder: general principles, indications and implantation technique.
Lead explant. Techniques and materials
Complications of electrophysiological interventional procedures. Clinical and procedural management.
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Pietro Delise: Aritmie - Prognosi e terapia: dai farmaci all' ablazione
Telemetry
Course syllabus
Background definition of telemedicine telecardiology telemedicine and telecardiology: main areas of application and purposes types of telemedicine and contexts of use integration and management network electrocardiography telecardiological monitoring
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Selvaggi, Sica "Telemedicina", Springer Biomed
Applied electrophysiological techniques
Course syllabus
Basic mechanisms of arrhythmias and their pathophysiology
The electrocardiographic study.
The main functions of a pacemaker: pacing, sensing, special functions
Electrostimulation mode: when, how, to whom.
The follow-up of a pacemaker: the routine and particular cases
Basic concepts of implantable defibrillators
Remote control
The electrocardiographic study.
The main functions of a pacemaker: pacing, sensing, special functions
Electrostimulation mode: when, how, to whom.
The follow-up of a pacemaker: the routine and particular cases
Basic concepts of implantable defibrillators
Remote control
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
M.Santinini e R.P. Ricci - Manuale di elettrofisiologia ed elettrostimolazione cardiaca per infermieri e tecnici di cardiologia Centro scientifico editore.
Applied electrophysiological techniques
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 1
Lessons: 10 hours
Professor:
Cellucci Selene
Electrocardiography, arrythmology, and electrophysiology
MED/11 - CARDIOVASCULAR DISEASES - University credits: 2
Lessons: 20 hours
Professor:
Moltrasio Massimo
Telemetry
MED/11 - CARDIOVASCULAR DISEASES - University credits: 1
Lessons: 10 hours
Professor:
Vettor Giulia
Professor(s)
Reception:
https://www.cardiologicomonzino.it/en/doctors/massimo-moltrasio/7/