This course provides a comprehensive understanding of cardiovascular diseases, integrating basic pathophysiology with clinical diagnosis, modern investigations, and evidence-based management.
Students will gain hands-on experience in bedside cardiac examination, ECG interpretation, echocardiography, and management of common cardiac emergencies. The course emphasizes clinical reasoning, diagnostic skills, and a holistic approach to cardiovascular health and prevention.
Course Objectives:
By the end of the course, the student should be able to:
- Understand the anatomy, physiology, and pathophysiology of the cardiovascular system.
- Recognize clinical presentations of major cardiac disorders.
- Perform a full cardiovascular examination and interpret diagnostic findings (ECG, echo, X-ray, labs).
- Diagnose and manage ischemic heart disease, heart failure, valvular, congenital, and rhythm disorders.
- Understand the principles of hypertension, cardiomyopathies, pericardial diseases, and infective endocarditis.
- Manage cardiovascular emergencies (MI, arrhythmias, cardiac arrest, pulmonary edema).
- Apply preventive strategies and lifestyle modifications to reduce cardiac risk.
- Demonstrate professional communication and ethical responsibility in cardiac patient care.
Course Contents (Summary of Modules):
- Introduction & Cardiovascular Diagnostics
- Ischemic Heart Disease & Myocardial Infarction
- Heart Failure & Cardiomyopathies
- Valvular Heart Disease & Rheumatic Disorders
- Hypertension & Hypertensive Emergencies
- Arrhythmias & Conduction Disorders
- Pericardial and Myocardial Diseases
- Congenital Heart Diseases
- Infective Endocarditis & Cardiac Infections
- Pulmonary Hypertension & Cor Pulmonale
- Cardiac Emergencies & Resuscitation (CPR/ACLS)
- Preventive Cardiology and Rehabilitation
Teaching Methods:
- Lectures: theoretical foundation and disease mechanisms
- Clinical Rounds: bedside teaching in cardiac wards and outpatient clinics
- ECG & Echo Workshops: practical interpretation sessions
- Simulation & Case-Based Learning: emergency management and diagnostic reasoning
- Seminars & Presentations: student-led discussions on recent cardiology topics
Assessment Methods:
- Written Exams: MCQs and essay-type questions (knowledge assessment)
- Clinical/Oral Exam: bedside case, ECG interpretation, and viva
- Practical Assessment: procedural and diagnostic skill evaluation
- Continuous Assessment: attendance, participation, case discussions, and presentations
Skills Acquired:
- Measuring and interpreting blood pressure and pulse
- Reading and interpreting ECG and echocardiograms
- Detecting cardiac murmurs and extra sounds
- Managing cardiac emergencies (MI, arrhythmia, heart failure)
- Applying risk prevention and patient education techniques
Clinical Rotation Structure:
- Duration: 4–6 weeks
- Departments: Cardiology wards, CCU, cardiac outpatient clinic, and emergency unit
- Activities:
- History taking & cardiovascular examination
- Bedside case discussion
- ECG & echo interpretation
- Exposure to cardiac procedures (catheterization, angiography)
Recommended Textbooks & References:
- Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine
- Harrison’s Principles of Internal Medicine (Cardiology Section)
- Oxford Handbook of Clinical Cardiology
- ECG Made Easy – John R. Hampton
Learning Outcomes:
Upon completion, students will be able to:
- Identify and manage the most common cardiac conditions.
- Interpret diagnostic tests accurately and correlate them with clinical findings.
- Provide first-line treatment in cardiac emergencies.
- Demonstrate professionalism and teamwork in cardiology practice.
Curriculum
- 15 Sections
- 92 Lessons
- 10 Weeks
- 1. Introduction to Cardiology4
- 2. Cardiovascular Diagnostic Methods15
- 2.1A. Non-invasive Techniques
- 2.2Electrocardiography (ECG) – normal and abnormal patterns
- 2.3Echocardiography: M-mode, 2D, Doppler, Color Flow
- 2.4Exercise stress testing & Holter monitoring
- 2.5Cardiac CT & MRI in diagnosis
- 2.6Chest X-ray in cardiac diseases
- 2.7B. Invasive Techniques
- 2.8Cardiac catheterization and coronary angiography
- 2.9Hemodynamic measurements
- 2.10Electrophysiological studies
- 2.11Practical Skills:
- 2.12Measuring blood pressure and pulse
- 2.13Performing ECG
- 2.14Interpreting basic echo findings
- 2.15Reading chest X-rays in cardiac cases
- 3. Ischemic Heart Disease (IHD)8
- 3.1Atherosclerosis & Risk Factors: hypertension, diabetes, smoking, dyslipidemia
- 3.2Stable Angina Pectoris – pathophysiology, diagnosis, and management
- 3.3Acute Coronary Syndromes (ACS) : Unstable angina – NSTEMI – STEMI
- 3.4Post-MI Complications & Rehabilitation
- 3.5Coronary Artery Bypass Grafting (CABG) & percutaneous interventions
- 3.6Clinical training 1 : Recognize symptoms (chest pain patterns, radiation, duration)
- 3.7Clinical training 2 : Interpret ECG and cardiac enzymes in ACS
- 3.8Clinical training 3 : Management of acute myocardial infarction and complications
- 4. Heart Failure8
- 4.1Definition, types (systolic vs diastolic, right vs left)
- 4.2Etiology and pathophysiology
- 4.3Clinical features, stages, and NYHA classification
- 4.4Investigations and diagnostic criteria
- 4.5Medical and device therapy (ACE inhibitors, diuretics, beta-blockers, CRT, ICD)
- 4.6Acute heart failure and cardiogenic shock management
- 4.7Clinical session 1 : Examination for signs of heart failure (JVP, edema, crackles, hepatomegaly)
- 4.8Clinical session 2 : Prescription and follow-up plans
- 5. Valvular Heart Diseases7
- 5.1Rheumatic heart disease overview
- 5.2Mitral stenosis, mitral regurgitation
- 5.3Aortic stenosis, aortic regurgitation
- 5.4Tricuspid and pulmonary valve disorders
- 5.5Diagnostic echo findings and surgical indications
- 5.6Clinical skill 1 : Cardiac auscultation (murmur types and locations)
- 5.7Clinical skill 2 : Timing of surgery and anticoagulation use
- 6. Hypertensive Heart Disease7
- 6.1Primary and secondary hypertension
- 6.2Pathophysiology and organ damage
- 6.3Diagnostic workup and classification
- 6.4Pharmacological and non-pharmacological management
- 6.5Hypertensive emergencies and urgencies
- 6.6Clinical training 1 : Blood pressure measurement and ambulatory monitoring
- 6.7Clinical training 2 : Lifestyle modification counseling
- 7. Arrhythmias & Conduction Disorders7
- 7.1Mechanisms and classification of arrhythmias
- 7.2Atrial fibrillation, flutter, tachycardias, bradyarrhythmias
- 7.3Heart block (AV and bundle branch)
- 7.4ECG interpretation and management principles
- 7.5Use of pacemakers and defibrillators
- 7.6Practical skill 1 : ECG rhythm recognition
- 7.7Practical skill 2 : Emergency management of arrhythmia (drugs, electrical therapy)
- 8. Cardiomyopathies5
- 8.1Dilated, hypertrophic, and restrictive types
- 8.2Inflammatory (myocarditis) and infiltrative (amyloidosis) diseases
- 8.3Clinical features, investigations, and treatment options
- 8.4Clinical rotation 1 : Case presentation of DCM and HCM patients
- 8.5Clinical rotation 2 : Differentiating between cardiac and non-cardiac dyspnea
- 9. Pericardial Diseases6
- 10. Congenital Heart Diseases (CHD)4
- 11. Infective Endocarditis4
- 12. Pulmonary Hypertension and Cor Pulmonale3
- 13. Emergency Cardiology6
- 14. Preventive Cardiology3
- 15. Clinical Rotations & Bedside Teaching5
