Concise Cardiology Course Syllabus Clinical Assessment Chest pain of recent onset Cardiovascular examination ECG Acute Coronary Syndrome Supraventricular tachycardia Atrial fibrillation Ventricular Tachycardia Appreciate the role of History, Examination and investigation leading toward a diagnosis Understand the risk assessment process with chest pain Define typical and atypical angina Use NICE guidelines to request appropriate investigations: CT scoring, Stress Echo, CMR, MPS Refine the general technique Understand the JVP waveform Review heart sounds both physiological and pathological Explain common difficulties with prosthetic valve sounds To be able to use dynamic manoeuvres during assessment of heart sounds Review basic action potential physiology Understand the origin of all part of the normal wave form Appreciate the vectors represented on the ECG Practice a systematic approach to reporting the ECG Review the pathology of atherothrombosis To be able to interpret the 12 lead ECG of inferior, anterior, lateral and posterior ST elevation Myocardial infarction(STEMI) Understand the stages of Thrombolysis Have an overview of Primary PCI Be able to manage complications following reperfusion Initiate Antiplatelet, antithrombin, ACE inhibitor, beta blockers and high dose statin Appreciate many cause for a troponin rise Review current NICE guidelines for NSTEMI Use the GRACE score for risk stratification Describe key features of SVT in the ECG Manage the SVT pharmacologically or with DCCV Describe the AV nodal slow and fast pathway Recognise AVNRT and AVRT Describe Pre-excitation and Wolf Parkinson White Syndrome Be aware of method to determine location of accessory pathways from the ECG Recognise and treat pre-excited AF Understand aberrancy Define AF and the epidemiology Understand the electrophysiology of AF: focal and multiple wavelet mechanism Classify AF : Paroxysmal, Persistent and Permanent Understand the role of echo and other lab studies Differentiate between Atrial fibrillation and atrial flutter Understand rhythm and rate control strategies in AF Describe the stages of safe DC cardioversion Understand when to initiate anti-arrhythmic therapy and titrate accordingly Use the CHADS2 and CHADS2 VASc score to assess risk Be aware of options of Oral Anticoagulation therapy Understand the non pharmacological interventions for AF Recall the ECG criteria for VT Bradycardia and syncope Valvular heart disease Infective Endocarditis Heart failure Pericardial Disease Understand the electrophysiology of VT Safely manage broad complex tachycardia both pharmacologically and with DCCV Appreciate the difficulties with differentiating between VT and SVT with aberration Recognise RBBB and LBBB Describe other types of VT Understand the role of available long term antiarrhythmic drugs Describe the use of implantable Cardioverter Defibrillator(ICD) Understand the role in primary and secondary prevention Be able to recognise problems with ICD and initiate simple management Recognise long QT syndrome and describe the subtypes Use the Bazzett formula for QTc Recall features of Brugada Syndrome on the ECG Recall all types of heart block Define syncope and understand the physiological response Be able to arrange appropriate basic and advanced investigations Know how to manage bradycardic emergency Outline steps in temporary transcutaneous and transvenous pacing Use aortic stenosis as an example to understand valvular disease Understand pathophysiology Describe clinical, ECG and echocardiographic findings Define variation in severity Recall indications for surgery Overview of Mitral and aortic regurgitation Understand the TAVI approach Understand the pathophysiology of vegetation formation Recall the common organisms and culture negative culprits(HACEK) Use the Dukes criteria The role of ECG, transthoracic and transoesphageal echo(TOE) Understand the differences in prosthetic valve endocarditis(PVE) Know the indications for surgery Be able to understand the Pressure Volume Curve Discuss the spectrum of heart failure Understand the neuroendocrine pathways Describe responses of LV modelling Review basic and advanced management of acute heart failure including IABP Be able to diagnose heart failure in accordance with NICE Discuss the role of BNP, Echo, CMR in assessing heart failure Understand the parts of the Neuroendocrine system that pharmacological therapy targets. Understand the aims of cardiac resynchronisation therapy(CRT) and ICD Be aware of the syndrome of heart failure with preserved function(HFpEF) Define the ECG features of pericarditis Initiate correct therapy and specific investigations Understand the physiology of acute and chronic effusions Discuss the pathophysiology of tamponade Cardiomyopathy Understand the key role of echocardiography in tamponade To be aware of the steps of pericardiocentesis To compare and contrast Constriction and tamponade Discuss the key features of hypertrophic cardiomyopathy: prevalence, genetics, ECG, Echo Outline treatment strategies for HCM Overview of cardiac amyloidosis, dilated cardiomyopathy and arrhythmogenic Right Ventricular cardiomyopathy