CARDIOVASCULAR DISEASES

General Module

Course Sheet

Course code:

OS21B2G

Academic Year of enrolment:

2022

Year of supply:

2023/2024

Type of Course:

Characterising

Degree:

Course of 1st Cycle Degree in MIDWIFERY

Disciplinary Sector:

Cardiovascular Diseases

Is part of:

CLINICAL AND INSTRUMENTAL DIAGNOSTICS, ONCOLOGY E CARDIOVASCULAR DISEASES

Location:

Credits:

Programme Year:

Professor and Collaborators:

RICCI FABRIZIO

Cycle:

Second semester

Obligatory attendance:

Yes

Hours of classroom activity:

Individual study hours:

Objectives

Theoretical Knowledge
- Deeply understand the etiology, pathogenesis, and the most common clinical manifestations of cardiovascular diseases of predominant interest in obstetrics and gynecology.
- Acquire fundamental knowledge about the specific diagnostic techniques for diseases of the cardiovascular system of predominant interest in obstetrics and gynecology.

Knowledge and Understanding
- Know the pathophysiology of the main diseases of the cardiovascular system of predominant interest in obstetrics and gynecology..
- Acquire the fundamental concepts related to cardiovascular prevention and cardiovascular risk assessment of predominant interest in obstetrics and gynecology.
- Know and be able to describe the main diagnostic and therapeutic procedures for the management of cardiovascular diseases of predominant interest in obstetrics and gynecology.

Judgment Skills
- Develop the ability to identify, analyze, and interpret symptoms and clinical-instrumental signs related to cardiovascular diseases of predominant interest in obstetrics and gynecology, in order to provide a personalized care plan.
- Design and implement targeted nursing interventions to assist patients with specific clinical pictures related to specific diseases of the cardiovascular system of predominant interest in obstetrics and gynecology.
- Describe the fundamental points of a therapeutic intervention plan that is strategically aligned with the goal of ensuring the continuity of medical and interventional treatment, and the adoption of preventive behaviors aimed at minimizing the risk of complications.

Clinical-Assistential Competencies
- Know and identify the clinical and assistance implications related to the use and management of the main drugs intended for patients with cardiovascular conditions of predominant interest in obstetrics and gynecology.

Communication Skills
- Establish effective and collaborative communication with members of the cardio-obstetric multidisciplinary team.
- Communicate clearly and informatively on the topics of cardiovascular prevention and health education in the context of maternal-fetal cardiovascular health.

Contents

Adaptive and maladaptive processes of the cardiovascular system during pregnancy (antepartum, peripartum, postpartum)
Cardiovascular urgencies and emergencies in pregnancy
Hypertensive disorders in pregnancy
Arrhythmias
Ischemic heart disease
Heart failure
Valvular heart disease
Cardiomyopathies

Extended Syllabus

1. Overview of the Pathophysiology of the maternal-fetal dyad's cardiovascular system.
2. Adaptive and maladaptive processes of the cardiovascular system during pregnancy (antepartum, peripartum, postpartum).
3. Cardiological urgencies and emergencies in pregnancy: acute pulmonary edema; cardiac arrest; cardiogenic shock; pulmonary embolism; cardiac tamponade; acute aortic syndromes.
4. Hypertensive disorders in pregnancy: classification, diagnosis, treatment, and prevention of the different clinical phenotypes of hypertensive disorders in pregnancy.
5. Ischemic heart disease: risk factors, atherosclerotic cardiovascular disease, acute and chronic coronary syndromes, complications of myocardial infarction, coronary dissection.
6. Heart failure: etiology, pathogenesis, classification, clinical pictures, treatment.
7. Congenital and acquired valvulopathies: aortic, mitral, tricuspid, and pulmonary heart valve diseases, infective endocarditis.
8. Inherited and acquired diseases of the cardiac muscle: peripartum cardiomyopathy, dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, arrhythmogenic cardiomyopathy.
9. Arrhythmias: etiology, pathogenesis, classification, electrocardiographic pictures.

Recommended Bibliography

Harrison’s Principles of Internal Medicine
Malattie Cardiovascolari: approccio clinico-scientifico - Edizioni Minerva Medica
Nursing in Cardiologia e Cardiochirurgia - CG Edizioni Medico Scientifiche
Maternal, Fetal, Neonatal Physiology: a Clinical Perspective - Susan Tucker 2018 (5th Edition)
Cardio-obstetrics: a practical guide to care for pregnant cardiac patients - 2020 (First Edition)

During the course, students will receive a list of selected articles and monographs as essential reference materials for effective in-depth study
of the course content. Additionally, slides used during the lectures will be shared. Importantly, these slides are intended as a supplementary
educational resource and cannot, under any circumstances, replace direct consultation of the recommended bibliography

Other resources:
Team-Based Care of Women With Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum – JACC 2021
https://doi.org/10.1016/j.jacc.2021.02.033

Management ofWomen With Acquired Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum – JACC 2021
https://doi.org/10.1016/j.jacc.2021.01.057

Management of Women With Congenital or Inherited Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum – JACC 2021
https://doi.org/10.1016/j.jacc.2021.02.026

Diagnostic Cardiovascular Imaging and Therapeutic Strategies in Pregnancy – JACC 2021 https://doi.org/10.1016/j.jacc.2021.01.056

Contraception and Reproductive Planning for Women With Cardiovascular Disease – JACC 2021 https://doi.org/10.1016/j.jacc.2021.02.025

Teaching Methods

Lectures

Evaluation methods

Verification of learning:

Learning outcomes will be assessed through a final oral exam to verify the level of achievement of educational objectives. The evaluation criteria
will focus on the correct use of discipline-specific language, knowledge and mastery of content, clarity of exposition, and the ability to synthesize
in critical analysis of cardiovascular system pathologies. Students will be asked questions on topics covered in the course syllabus.
The final grade will be expressed in thirtieths. The exam will be considered failed if the student is unable to answer a question, argue on the topic, or if during the dialogue with the instructor, the student reveals gaps that preclude the understanding of the subject
matter of the question.

The exam result is expressed in thirtieths according to an ascending scale related to the demonstration of knowledge, the appropriateness of
language, and the logic and coherence of the presentation:
Basic but incomplete knowledge: score 18 - 22 thirtieths;
Adequate knowledge and clarity of exposition: score 23-25 thirtieths;
Good knowledge and ability to explain topics with proper language and subject mastery: score 26-28 thirtieths;
Excellent knowledge of topics and excellent expository skills, critical reasoning: score 28-30 thirtieths.

An honorary distinction will be awarded to the student who not only exhibits exceptionally deep knowledge of the course material but also
demonstrates a high level of skill in presenting arguments and a notable capacity for critical reasoning.

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

Aree