Unit SYSTEMIC PATHOLOGY II

VASCULAR SURGERY

Code	GP005892
CFU	1
Teacher	Enrico Cieri
Teachers	Enrico Cieri
Hours	12.5 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 II 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	GP005890
CFU	2
Teacher	Erberto Carluccio
Teachers	Erberto Carluccio
Hours	25 ore - Erberto Carluccio
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)

CARDIOVASCULAR DISEASES - MOD. 2

Code	GP005891
CFU	1
Teacher	Giuseppe Ambrosio
Teachers	Giuseppe Ambrosio
Hours	12.5 ore - Giuseppe Ambrosio
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 main heart and vessels disease.
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 main heart and vessels diseases.
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 main aim course is to provide the basis for a diagnosis and clinical classification of the main heart and vessels disease and their complications. - Cardiomyopathies (dilated, hypertrophic, restrictive, arrhythmogenic right ventricular cardiomyopathy, ventricular non-compaction, acute stress myocardopathy): Classification, pathophysiology, etiopathogenesis, hemodynamics, natural history, complications, signs and symptoms. Clinical examination. Indications for surgery. - Myocarditis - Acute and chronic pericarditis. Pericardial effusion. Constrictive pericarditis. - Infectious endocarditis - Pulmonary embolism. Pulmonary hypertension. Acute and chronic cor pulmonale. - Acute and chronic heart failure. Cardiogenic pulmonary edema and cardiogenic shock. Heart failure with preserved systolic function. - Atrial and ventricular hyperkinetic arrhythmias: extra-systolic, paroxysmal tachycardias, fibrillation and flutter. - Hypokinetic arrhythmias: sino-atrial blocks, bundle branch blocks, atrio-ventricular blocks, Morgagni-Adam-Stokes syndrome - Ventricular pre-excitation syndrome. - Cardiac arrest: causes and treatment approach - Primary and secondary arterial hypertension. Hypertensive heart disease.

CARDIOVASCULAR DISEASES - MOD. 3

Code	GP005893
CFU	1
Teacher	Isabella Tritto
Teachers	Isabella Tritto
Hours	12.5 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	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	GP005895
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)
Language of instruction	Italian
Contents	Clinical activities at the Unit of Vascular Surgery of the Azienda Ospedaliera di Perugia

PROFESSIONALISING TRAINING IN CARDIOVASCULAR DISEASES I

Code	GP005894
CFU	1
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo
Hours	25 ore - Gaetano Vaudo
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	• Clinical semeiotics of Cardiovascular Diseases • Cardiovascular hemodynamics and pathophysiology • Electrocardiography • Echocardiography • Cardiological functional tests • Cardiac catheterization and diagnostic angiographic examination. - Indications for cardiac catheterization. -Techniques of catheterization. - Catheterization of the right heart sections. - Catheterization of the left heart sections. -Measurement of pressures. -Measurement of flows. - Cardio-angiographic examination. -Aortography. - Ventriculography. -Coronarography. • Therapeutic applications of cardiac catheterization. - Coronary heart disease: clinical manifestations with coronary artery correlations e cardio-angiography. Coronary angioplasty: indications and results. -Surgical myocardial revascularization (Aorto-Coronary Bypass): indications and results - Percutaneous pulmonary, mitral and aortic valvuloplasty. Percutaneous closure of congenital or acquired defects (atrial or ventricular defects, patent ductus arteriosus). -Cardiac arrhythmias and indication to pacemakers, implantable defibrillators and Transcatheter Ablation
Reference texts	Autore: HARRISON Titolo: “PRINCIPI DI MEDICINA INTERNA
Educational objectives	Knowledge of the pathophysiology of cardiovascular diseases and acquisition of independent judgment for the purpose of applying the concepts learned in clinical practice
Prerequisites	Knowledge of the anatomy and physiology of the cardiovascular system. Bases of clinical semeiotics.
Teaching methods	Clinical activity in the ward. Participation in meetings in Cardiology. Attendance of the various departments of Cardiology (Hemodynamic, Electrophysiology, ICT, Inpatient Cardiology, Echocardiography, Stress Test, Myocardial Scintigraphy, Cardiac Magnetic Resonance)
Learning verification modality	The evaluation will be oral together with the other modules of Systemic Pathology II. At the time of evaluation for this course, at least one question will be asked that includes the reading of cardiac exam reports or procedures: ECG, stress ECG, left and right heart catheterization, coronary angiography, coronary angioplasty, cardiac angiography, echocardiography.
Extended program	• Clinical semeiotics of Cardiovascular Diseases • Cardiovascular hemodynamics and pathophysiology • Electrocardiography • Echocardiography • Cardiological functional tests • Cardiac catheterization and diagnostic angiographic examination. - Indications for cardiac catheterization. -Techniques of catheterization. - Catheterization of the right heart sections. - Catheterization of the left heart sections. -Measurement of pressures. -Measurement of flows. - Cardio-angiographic examination. -Aortography. - Ventriculography. -Coronarography. • Therapeutic applications of cardiac catheterization. - Coronary heart disease: clinical manifestations with coronary artery correlations e cardio-angiography. Coronary angioplasty: indications and results. -Surgical myocardial revascularization (Aorto-Coronary Bypass): indications and results - Percutaneous pulmonary, mitral and aortic valvuloplasty. Percutaneous closure of congenital or acquired defects (atrial or ventricular defects, patent ductus arteriosus). -Cardiac arrhythmias and indication to pacemakers, implantable defibrillators and Transcatheter Ablation

PROFESSIONALISING TRAINING IN CARDIOVASCULAR DISEASES II

Code	GP005896
CFU	1
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo
Hours	25 ore - Gaetano Vaudo
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	• Pulmonary hypertension -Pressures of the Pulmonary System -Hemodynamic characteristics of the pulmonary circle - Precapillary and Postcapillary Pulmonary Hypertension - Vasoreactivity test - Acute and chronic pulmonary heart and interventional indications. • Hemodynamics of shock - Physiopathology and classification of shock -Invasive evaluation of haemodynamic parameters and haemodynamic alterations. -Indications for interventional therapy of cardiogenic shock and aortic counterpulsation -Indications for interventional therapy of cardiogenic shock and aortic counterpulsation
Reference texts	Autore: HARRISON Titolo: “PRINCIPI DI MEDICINA INTERNA
Educational objectives	Knowledge of the pathophysiology of cardiovascular diseases and acquisition of independent judgment for the purpose of applying the concepts learned in clinical practice
Prerequisites	Knowledge of the anatomy and physiology of the cardiovascular system. Bases of clinical semeiotics.
Teaching methods	Clinical activity in the ward. Participation in meetings in Cardiology. Attendance of the various departments of Cardiology (Hemodynamic, Electrophysiology, ICT, Inpatient Cardiology, Echocardiography, Stress Test, Myocardial Scintigraphy, Cardiac Magnetic Resonance)
Learning verification modality	The evaluation will be oral together with the other modules of Systemic Pathology II. At the time of evaluation for this course, at least one question will be asked that includes the reading of cardiac exam reports or procedures: ECG, stress ECG, left and right heart catheterization, coronary angiography, coronary angioplasty, cardiac angiography, echocardiography.
Extended program	• Pulmonary hypertension -Pressures of the Pulmonary System -Hemodynamic characteristics of the pulmonary circle - Precapillary and Postcapillary Pulmonary Hypertension - Vasoreactivity test - Acute and chronic pulmonary heart and interventional indications. • Hemodynamics of shock - Physiopathology and classification of shock -Invasive evaluation of haemodynamic parameters and haemodynamic alterations. -Indications for interventional therapy of cardiogenic shock and aortic counterpulsation