2014/2015

2017/2018

DM270

DIPARTIMENTO DI MEDICINA MOLECOLARE

MEDICINA E CHIRURGIA (IN LINGUA INGLESE)

PERCORSO COMUNE

4°

Primo Semestre (02/10/2017 - 19/01/2018)

11

English

Proficient knowledge of the English Language

At the end of the course students will know: - Carry out a clinical examination of the patient with suspected diagnosis setting - What are the most common imaging studies support the clinical examination and what is their diagnostic significance - For each of the pathological histories to know: . what is (definition) . how important it is (epidemiology) . why and how it is produced (etiology, pathophysiology) . what are the clinical and instrumental and how is it diagnosed . to what you can bring (natural history, complications) . what to do and where (therapeutical notes, homecare and hospital) . possible stages of the disease requiring urgent action (how to recognize the urgency, how to treat it) - In which advanced stages is necessary to resort to surgery - What are the methods needed for open-heart surgery (cardiopulmonary bypass, myocardial protection, hypothermia) - Basic knowledge for the management of patients with heart transplantation, heart-lung and polmoneisolato. - Basic knowledge for the management of patients with pulmonary hypertension.

Cardiology: - Basis of ECG - Physiology of the coronary circulation and
pathophysiology of coronary artery disease - Chronic ischemic heart
disease - Invasive and non-invasive diagnosis of chronic ischemic heart
sistema nervoso autonomo - fisiopatologia, epidemiologia, presentazione
clinica e il trattamento di insufficienza cardiaca - trattamento
dell'insufficienza cardiaca cronica - insufficienza cardiaca acuta e Shock
cardiogeno - valvulopatie - endocardite - acuta ventr destra icola re
fallimento - ipertensione polmonare cronica e il cateterismo del ventricolo
destro - cardiomiopatia ipertrofica e ARVD - cardiopatie congenite
Metodi didattici Il corso è organizzato in : Lezioni frontali, svolte con presentazioni
(PowerPoint proiettate su Schermo) tramite le quali il discente acquisirà
le nozioni teoriche necessarie per la conoscenza ed identificazione
sintomatologica delle principali patologie cardiache, della loro anamnesi;
dei metodi/trattamenti di cura farmacologici e chirurgici) ed Esercitazioni
Pratiche ovvero in corsia dove l’allievo avrà modo in mettere in pratica,
sotto l’esperta supervisione del Docente, quanto appreso nelle lezioni
teoriche
Testi di riferimento Patologia, diagnosi e trattamento delle malattie vascolari di interesse
chirurgico. F. Benedetti Valentini. Ed. Minerva Medica. Cardiology: -
Harrison's Principles of Internal Medicine: Volumes 1 and 2, 18th Edition -
Braunwald's Heart Disease: 9th edition Cardiac surgery : Malattie del
Cuore e dei Vasi - De Caterina, Dal Palù, Finardi, Venco -Piccin, 2010
Cardiac Surgery in the Adult, 4th Edition – Cohn -McGraw-Hill, 2011
Kirklin/Barratt-Boyes Cardiac Surgery, 4th Edition - Kouchoukos,
Blackstone, Hanley, Kirklin - Saunders, 2012 Operative Cardiac Surgery,
5th Edition - Gardner, Spray - Hodder Arnold, 2004 Heart and Lung
Transplantation, 2nd Edition - Baumgartner, Reitz, Kasper, Theodore -
Saunders, 2002 Encyclopédie Médico-Chirurgicale - Techniques
Chirurgicales – Thorax - Elsevier Masson, 2012
Modalità di verifica
dell'apprendimento
Esame Orale: La Commissione esaminatrice: Prof. D’Armini– Prof. Emilio
Vanoli - Prof.ssa Silvia Priori; – Dott. Massimiliano Gnecchi; Dott. Gaetano
De Ferrari; – Dott. Morone; Dott. Carlo Napolitano; Dott. Andrea Mazzanti
Altre informazioni ----------
disease - Acute coronary syndrome: NSTEMI – STEMI and treatment -
Molecular and cellular therapies for ischemic heart disease - Myocarditis -
Pericarditis - Basis of electrophysiology and genetics -
Electrophysiological study and trans-catheter ablation - Ventricular
tachyarrhythmias - QT Long Syndrome and CPVT - Brugada Syndrome
and short QT Syndrome - Atrial fibrillation and TPSV - Pharmacological
therapy of arrhythmias - Bradyarrhythmias - Implantable cardiac
defibrillators and pace makers - Syncope - Physiology and
physiopathology of autonomic nervous system - Physiopatology,
epidemiology, clinical presentation and treatment of heart failure -
Treatment of chronic heart failure - Acute heart failure and Cardiogenic
Shock - Valvulopathies - Endocarditis - Acute right ventricular failure -
Chronic pulmonary hypertension and right ventricular catheterization -
Hypertrophic cardiomyopathy and ARVD - Congenital heart diseases
Cardiac surgery: - Extracorporeal circulation and myocardial protection -
Surgery for ischemic heart disease and its complications - Surgery for the
aortic valve and thoracic aorta - Mitral valve surgery - Surgery for
congenital heart defects - Heart transplantation and ventricular assist
devices - Lung and heart-lung transplantation - Surgery for pulmonary
embolism and chronic thromboembolic pulmonary hypertension
The theoretical and practical lessons will be conducted at the Cardiac
Departments of the Policlinico San Matteo, Fondazione Maugeri e Istituto
di Cura Città di Pavia. The exercises will follow the activities carried out
within the structures. The theoretical and practical lessons will be
conducted at the Cardiac Surgery Department, the surgeries, the halls of
hemodynamics and operating rooms of Cardiac Surgery of the Policlinico
San Matteo. The exercises will follow the activities carried out within the
structure.

The course is organized in: Theoretical lessons, conducted with presentations (PowerPoint projected on Screen) through which the learner will acquire the theoretical knowledge necessary for the identification of the main symptomatic heart diseases, their medical history; pharmacological and surgical treatments/methods) and practical exercises in the hospital course where the student will have the opportunity to put into practice, under the expert supervision of the Teacher, what I have learned in lectures.

Chirurgia Vascolare: - CHIRURGIA VASCOLARE. Patologia, diagnosi e trattamento delle malattie vascolari di interesse chirurgico. F. Benedetti Valentini. Ed. Minerva Medica. Cardiology: - Harrison's Principles of Internal Medicine: Volumes 1 and 2, 18th Edition - Braunwald's Heart Disease: 9th edition Cardiac surgery :  Malattie del Cuore e dei Vasi - De Caterina, Dal Palù, Finardi, Venco -Piccin, 2010  Cardiac Surgery in the Adult, 4th Edition – Cohn -McGraw-Hill, 2011  Kirklin/Barratt-Boyes Cardiac Surgery, 4th Edition - Kouchoukos, Blackstone, Hanley, Kirklin - Saunders, 2012  Operative Cardiac Surgery, 5th Edition - Gardner, Spray - Hodder Arnold, 2004  Heart and Lung Transplantation, 2nd Edition - Baumgartner, Reitz, Kasper, Theodore - Saunders, 2002  Encyclopédie Médico-Chirurgicale - Techniques

The conduct of the test: oral - Commission: Prof. D’Armini, - Prof. Emilio Vanoli - Prof.ssa Silvia Priori; Dr. Massimiliano Gnecchi; Dr. Gaetano De Ferrari; – Dr. Morone;
Dr. Carlo Napolitano – Dr. Andrea Mazzanti

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