Topic 4. Indications and clinical effectiveness different methods of revascularization.

Indications to coronary angiography. Diagnostic instruments for risk assessment. Indications for percutaneous coronary intervention in chronic forms coronary heart disease and acute coronary syndrome (primary and "facilitated" PCI PCI "salvation" and after thrombolytic therapy). Indications to coronary artery bypass grafting. Secondary prevention of coronary events. Supplemental antiplatelet and anticoagulant therapy.

Topic 5. Non-pharmacological prevention of CHD. Goals and Objectives. Indications from the standpoint of evidence-based medicine. Smoking cessation. Hypocholesterolemic and medium Mediterranean diet. Increasing of the physical activity. Reducing of the overweight.

Secondary prevention of coronary heart disease and its effect on prognosis. Medicinal correction of factors of cardiovascular risk. Prediction-modifying treatment for CHD. Prophylaxis of cardiovascular diseases in healthy patients group of high risk.

Topic 6. Diagnostics and treatment of mitral valve insufficiency of various etiologies.

The main causes of mitral insufficiency and mechanisms of violations of hemodynamics. Diagnostics and treatment. Indications and methods of surgical treatment. Prediction and efficiency. Long-term results of surgical treatment.

 

Topic 7. Diagnostics and treatment of aortic defects of various etiologies.

The main causes of aortic heart defects and mechanisms of hemodynamic disorders. Diagnostics and drug treatment. Indications and methods of surgical treatment. Prediction and efficiency. Long-term results of surgical treatment.

Topic 8. Clinical management of patients with atrial fibrillation.

Tasks, strategies and tactics of patients with different forms of atrial fibrillation. Restoring of sinus rhythm and supporting antiarrhythmic therapy. Surgery. Control of heart rate in patients with persistent atrial fibrillation. Prophylaxis of thromboembolism.

 

Topic 9. Clinical management of patients with atrioventricular block

Tasks, strategies and tactics of management of patients with atrioventricular block. Medicamental therapy. Types of electrical pacing. Indications to temporary and permanent electrical pacing. Prediction and efficiency. First aid the syndrome of Morgagni-Adams-Stokes equations.

 

Topic 10. Acute heart failure: diagnos t i c s and treatment

Forms of acute heart failure. Etiological factors, clinical features and diagnostics of acute heart failure. Prognostic factors. Treatment depending on the form of acute heart failure.

Topic 11. Heart failure with preserved left ventricular systolic function: diagnos t i c s, differential diagnosis and treatment.

Etiology and mechanisms of development. Clinical signs and symptoms. Diagnostics. Differential diagnosis. Features of the treatment. Prevention. Prediction.

Topic 12. Non-pharmacological methods of treatment of patients with systolic heart failure that improve prognosis.

Coronary artery bypass grafting, re synchronizing therapy, implantation of an automatic cardioverter-defibrillator and heart transplantation. Surgical correction of valvular heart diseases.

Topic 13. Antiplatelet and anticoagulant therapy for diseases of the cardiovascular system. Diseases prevention of the cardiovascular system.  

Features of the antiplatelet and anticoagulant therapy in patients with chronic forms of coronary artery disease, acute coronary syndrome with ST-segment elevation and without segment elevation ST, pulmonary embolism with atrial fibrillation and heart valve prosthesis.

 

Thematic plan of lecture was discussed and approved at the Department of Internal Medicine №2 and Nursing protocol № 1 from 29.08.2013

 

Head of Department

Of Internal Medicine № 2

and Nursing                                                                               PhD, professor Vakalyuk I.P.
                                                                                                                    "APPROVED"     

First Prorector

  Professor __________ H.M.Erstenyuk

"____" ______________ 2013 year

 

"ACTUAL PROBLEMS OF CARDIOLOGY"

(COURSE FOR SELECTION)