Electrocardiography
Full year
Frequency Mandatory
- 1 CFU
- 12 hours
- Italian
- Trieste
- Opzionale
- Standard teaching
- Oral Exam
- SSD MED/11
- Free-choice subject
Knowledge and Understanding: By the end of the course, the student must have acquired basic knowledge and understanding of the principles of electrocardiography (ECG), technical errors in performing ECGs that may affect correct interpretation, and the normal criteria for ECG intervals and waveforms. The student must know and understand how to determine heart rate and cardiac rhythm. The student should be able to fluently discuss the electrocardiographic criteria for diagnosing arrhythmias, myocardial infarction, pericarditis, and ventricular hypertrophy. Applied Knowledge and Understanding: By the end of the course, the student should be able to apply the knowledge acquired during the course necessary for ECG interpretation. Autonomy of Judgement: The student must be able to independently apply the knowledge acquired in ECG interpretation. Furthermore, the student should be able to critically evaluate their knowledge, recognize their own limitations, and understand the need for continuous updating. Communication Skills: The student must be able to participate in discussions during lessons critically and appropriately, using the specific terminology acquired during the course. Additionally, the student should actively contribute to the discussion and interpretation of various ECGs. The student must know and fluently present the concepts and criteria for ECG interpretation. Learning Skills: The student must be able to apply the concepts learned during the lessons throughout their internships.
Strong understanding of the anatomy, physiology, and pathophysiology of cardiovascular diseases. Successfully completed the ECG microsimulation course on Amboss.
1. Basic principles of electrocardiography;
2. Basic EKG Morphology;
3. Electric axis;
4. Repolarization alterations;
5. QT interval;
6. Evaluation of heart rate;
7. Assessment of heart rhythm;
8. Tachyarrhythmias;
9. Bradyarrhythmias;
10. Myocardial infarction;
11. Pericarditis;
12. Bundle branch block;
13. Ventricular hypertrophy.
Suggested textbooks: 1) ECG Interpretation Made Incredibly Easy! Lippincott & Co. 2) Rapid Interpretation of EKG's, Dale Dubin 3)The AMBOSS learning platform At present, there is no provision for the availability of differentiated teaching material for groups of students.
1.Basics of electrocardiography (correct application of the electrodes, calibrations, measurements, incorrect position of electrodes); 2. The morphology of the waves and intervals (the origin of the waves, criteria of normality, causes of modifications of the waves and intervals PQ/ST); 3. Electric axis (methods for determination of QRS axis, normality criteria, axis deviation, causes of axis deviation); 4. Alterations of repolarization (criteria of normality, causes of alterations of repolarization); 5. QT interval (method of QT interval measurement, calculation of corrected QT (QTc), criteria of normality, causes of QTc interval alterations); 6. EKG rate determination (methods of calculating heart rate); 7. Heart rhythm assessment (rhythm recognition: sinus rhythm, sinus arrhythmia, arrhythmias); 8. Tachyarrhythmias (EKG alterations present during various tachyarrhythmias: supraventricular, ventricular, criteria for diagnosis, differential diagnosis between various tachyarrhythmias); 9.Bradyarrhythmias (EKG alterations present during various bradyarrhythmias, criteria for diagnosis); 10.Myocardial infarction (EKG criteria for diagnosis, signs of necrosis, signs of lesion, signs of ischemia); 12.Pericarditis (diagnostic criteria); 13. Bundle branch block (diagnostic criteria for right bundle branch block, diagnostic criteria for left bundle branch block); 14. Ventricular hypertrophy (criteria for left ventricular hypertrophy, criteria for right ventricular hypertrophy).
Teaching methods include the interpretation of electrocardiograms, encompassing normal and pathological tracings. Lessons are structured for active student engagement. The teacher will facilitate questions from students on covered topics before, after, and during class.
The course runs throughout both semesters of the degree program.
Assessment of learning will involve the practical interpretation of EKG tracings and questions regarding EKG parameters. These tracings will encompass all subjects taught in the course. Learning will be assessed through the reading of electrocardiographic tracings and questions on electrocardiographic parameters. The tracings may cover any of the topics discussed. The assessment will be expressed as approved/not approved.
This teaching explores topics closely related to one or more of the goals of the United Nations 2030 Agenda for Sustainable Development.