MDE 8226: Cardiology Acute Coronary Unit 15-16

Students taking this course will work with the house officers, cardiology fellow and attending cardiologists in the Acute Coronary Care Units. Emphasis is on the total evaluation of the patient with acute and critical cardiovascular disease. Experience is available in the Non-Invasive Heart Station, Cardiac Catheterization Lab and/or the Electrophysiology Lab by prior arrangement.

Objectives

  1. Demonstrate the knowledge and skills necessary to obtain a proper cardiac history. The student will pay special attention to and record medications, medication compliance, diet compliance, and risk factors for various cardiac diseases.
  2. Demonstrate proficiency in proper bedside physical examination. 
  3. Be able to accurately assess the presence or absence of congestive heart failure, cardiac tamponade, basic murmurs of valvular heart disease such as mitral regurgitation, mitral stenosis, aortic stenosis, aortic regurgitation and tricuspid regurgitation, and the presence or absence of peripheral vascular disease and abdominal aortic aneurysms.
  4. Demonstrate basic electrocardiographic skills including an understanding of basic arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, multi-focal atrial tachycardia, ventricular tachycardia, and a basic diagnosis on the 12 lead ECG such as right and left bundle branch block, left ventricular hypertrophy, acute myocardial infarction, ischemia, WPW, and hyperkalemia.
  5. Infer heart size, presence of cephalization, infiltrate, pleural effusions, and pneumothorax by looking at a chest X-ray.
  6. Identify medical, interventional, and surgical therapies for basic cardiac syndromes such as myocardial infarction, unstable angina, chronic angina, congestive heart failure, valvular heart disease, hypertension, hyperlipidemia, and arrhythmia.

  7. Name and utilize a variety of clinical pathways and practice guidelines.
  8. Access and critically evaluate current medical information and scientific evidence.

  9. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education.
  10. Explain the principles of primary, secondary prevention and risk modification.

  11. Summarize the indications and diagnostic yield of various cardiac studies and therapeutics.