Unit SYSTEMIC PATHOLOGY II

VASCULAR SURGERY

Code	GP005635
Location	PERUGIA
CFU	1
Teacher	Enrico Cieri
Teachers	Gioele Simonte (Codocenza) Enrico Cieri
Hours	4 ore (Codocenza) - Gioele Simonte 12 ore - Enrico Cieri
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/22
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	Chirurgia Vascolare - Carlo Setacci Edizione a cura della SICVE Edizioni Minerva Medica
Educational objectives	The student will have knowledge and understanding of the etiopathogenesis, pathofisiology, clinical manifestations, laboratory imaging, principles of surgical therapy of the arterial and venous diseases.
Teaching methods	Frontal lessons Practical training Theoretical lessons and practical imaging Seminars Laboratory
Learning verification modality	The learning outcomes are compliant with the provisions in the didactic regulations of the degree course
Extended program	· Laboratory imaging: ecocolor doppler . Arterial Aneurysms: pathophysiology and clinical · Aneurysms of the thoracic aorta · Abdominal aortic aneurysms · Peripheral aneurysms · Aortic dissections · The cerebrovascular insufficiency . Epiaortic trunk disease · Thoracic outlet syndrome . Chemodectomas · Peripheral artery disease · Peripheral chronic ischemia · Thromboembolic disease · The acute ischemia and peripheral revascularization syndrome . Celiac mesenteric insufficiency · Renovascular hypertension . The arteriovenous fistulae . Chronic venous insufficiency · Varicose veins of the lower limbs · The superficial phlebitis and deep venous thrombosis · DVT and postphlebitic syndrome

CARDIOVASCULAR DISEASES - MOD. 1

Code	GP005632
Location	PERUGIA
CFU	2
Teacher	Giuseppe Ambrosio
Teachers	Giuseppe Ambrosio Andrea Cardona
Hours	24 ore - Giuseppe Ambrosio 4 ore - Andrea Cardona
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	Tachyarrhythmias and bradyarrhythmias. Ventricular pre-excitation syndromes. Cardiac arrest. Principles of interventional treatment of arrhythmias. Primary and secondary hypertension; hypertensive heart disease. Coronary atherosclerosis. Stable angina pectoris. Acute coronary syndromes. Interventional and surgical treatment of ischemic heart disease.
Reference texts	Harrison. Principles of Internal Medicine. Last available edition
Educational objectives	Results based on testing of acquired skills, behavior, grade student interaction.The learning outcomes are compliant with the provisions in the didactic regulations of the degree course as published on the web site:http://www.med.unipg.it/cclIt is expected that the student acquires:- Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of therapy, principles of surgical approach to ischemic heart disease, arterial systemic hypertension, arrhythmias, cardiovascular imaging techniques, valvular heart diseases, congenital heart defects.- skills allowing a proper approach to patients with ischemic heart disease, arterial systemic hypertension, valvular heart diseases, congenital heart defects, and arrhythmias, and adequate understanding of the diagnostic role of imaging studies in this context
Teaching methods	Formal lessons and theorical-practical activities, that will be coordinated with activities of the other teachers of the course modules. In this regard, among others, the following activites may be planned: seminars, practical interactive training sessions focused on ECG reading and arrhythmias.
Learning verification modality	Oral exam
Extended program	Atrial and ventricular tachyarrhythmias: extrasystoles, tachycardia, fibrillation and flutter. Bradyarrhythmias: sinus atrial block, bundle branch blocks, atrioventricular blocks, Morgagni - Adam – Stokes syndrome. Ventricular pre-excitation syndromes. Cardiac arrest: causes, diagnostic principles and pathophysiological basis of treatment. Principles of interventional treatment of arrhythmias: ablation, pacemaker implantation, implantable defibrillator. Primary and secondary hypertension; hypertensive heart disease. Coronary atherosclerosis: epidemiology and risk factors, pathophysiology, coronary remodeling. Stable angina pectoris. Acute coronary syndromes: unstable angina, acute myocardial infarction. Interventional and surgical treatment of ischemic heart disease: coronary angioplasty and stenting, coronary artery bypass grafting.

CARDIOVASCULAR DISEASES - MOD. 2

Code	GP005633
Location	PERUGIA
CFU	1
Teacher	Isabella Tritto
Teachers	Isabella Tritto
Hours	12 ore - Isabella Tritto
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	Acute and chronic heart failure; cardiogenic pulmonary edema; cardiogenic shock. Cardiomyopathies. Principles of surgical and interventional treatment of heart failure and cardiomyopathies. Heart transplantationMyocarditis. Pericarditis. Cardiac tamponade. EndocarditisPulmonary embolism. Pulmonary hypertension . Acute and chronic cor pulmonale
Reference texts	Harrison. Principles of Internal Medicine. Last available edition.
Educational objectives	The learning outcomes are compliant with the provisions in the didactic regulations of the degree course as published on the web site:http://www.med.unipg.it/cclIt is expected that the student acquires: - Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of therapy, principles of surgical approach to cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale - skills allowing a proper approach to patients with cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale, and adequate understanding of the diagnostic role of imaging studies in this context
Teaching methods	The course is structured in frontal lectures, that will be organized in a coordinated way among teachers responsible for the various teaching modules.In addition, the following activites may be planned:- seminars- practical interactive training sessions, with special focus on clinical evaluation of patients with cardiovascular diseases, also with the use of simulation techniques.
Learning verification modality	Oral exam
Extended program	Acute and chronic heart failure; cardiogenic pulmonary edema; cardiogenic shock. Pathophysiological basis of heart failure therapy. Heart failure with preserved ejection fraction. Cardiomyopathies: .dilated, hypertrophic, restrictive cardiomyopathies; .arrhythmogenic right ventricular dysplasia, myocardial non compaction, acute stress cardiomyopathy. Principles of surgical and interventional treatment of heart failure and cardiomyopathies. Heart transplantationMyocarditis. Acute and chronic pericarditis. Pericardial effusion and cardiac tamponade. Constrictive pericarditis. Endocarditis Pulmonary embolism. Pulmonary hypertension . Acute and chronic cor pulmonale

CARDIOVASCULAR DISEASES - MOD. 3

Code	GP005634
Location	PERUGIA
CFU	1
Teacher	Ketty Savino
Teachers	Ketty Savino
Hours	12 ore - Ketty Savino
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Physiopathology, clinical examination, complications, natural history, diagnosis and therapy of mitral and aortic valvulopathies (stenosis and regurgitation) and congenital heart disease. The role of non-invasive cardiovascular imaging in the diagnosis and risk stratification of ischemic heart disease and valvulopathies
Reference texts	Braundwald’s Heart Disease. A textbook of Cardiovascular Medicine. 11th Edition
Educational objectives	The main course aim is to provide the basis for a correct physiopathological, diagnostic, clinical and therapeutic classification of the mitral and aortic valvulopathies and their complications. It will also give a general overview of simple and complex congenital heart disease: pathophysiology, clinical, natural history and pharmacological and surgical therapy (corrective and palliative surgery).
Prerequisites	Students must have the basic knowledge of the anatomy and physiology of the heart and great vessels.
Teaching methods	The course is organized with: frontal lesson on all the topics of the course, through the projection of slides and films.
Other information	The teacher will be available to all students who deem it necessary to investigate, discuss and resolve any questions / problems regarding cardiovascular disease program.
Learning verification modality	The learning test will be carried out with interactive questions made at the end of each lesson and / or topic. The test will be to evaluate the exhibition, analysis, acquired knowledge and critical evaluation skills of individual students. The final exam includes an oral exam consisting of a discussion lasting about 10 minutes for each question (1-2 questions) with the purpose of ascertaining the level of knowledge and understanding achieved by the student on the theoretical and methodological contents indicated in the program. The oral test will also allow to verify the ability to communicate, the property of language and autonomous organization of the exposition on the topics with a theoretical content.
Extended program	The teaching will consider valvulopathies and congenital heart diaseases from physiopathology to clinic and diagnosis. The bases of non-invasive cardiovascular imaging use in the clinical-therapeutic management of ischemic heart diaseases and valvulopathies will also be provided. The main aim course is to provide the basis for a diagnosis and clinical classification of the valvulopathies and congenital heart disease and their complications. - Valvulopathies: mitral and aortic stenosis and regurgitation. Pathophysiology, aetiopathogenesis, hemodynamics, natural history, symptoms and complications. Clinical examination. Indications for surgery. - Heart embryology. Physiopathology of congenital heart disease. Classification of congenital heart disease (simple and complex, with pulmonary hyperafflux, with pulmonary hypoafflux). Clinical history. Complications. Hemodynamics. Indications to surgery. - Role of noninvasive cardiovascular imaging in the diagnosis and risk stratification of ischemic heart disease and of valvulopathies.

PROFESSIONALISING TRAINING IN VASCULAR SURGERY

Code	GP005637
Location	PERUGIA
CFU	1
Teacher	Enrico Cieri
Teachers	Enrico Cieri
Hours	25 ore - Enrico Cieri
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/22
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN CARDIOVASCULAR DISEASES I

Code	GP005636
Location	PERUGIA
CFU	1
Teacher	Giuseppe Ambrosio
Teachers	Giuseppe Ambrosio
Hours	25 ore - Giuseppe Ambrosio
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN CARDIOVASCULAR DISEASES II

Code	GP005638
Location	PERUGIA
CFU	1
Teacher	Isabella Tritto
Teachers	Isabella Tritto
Hours	25 ore - Isabella Tritto
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)