Cardiac Pacing and ICD

Base Knowledge

Anatomy of the Cardiovascular system;

Physiology of the cardiovascularsystem;

Pharmacology;

Biophysics applied to the cardiocirculatory system and the conduction system;

Biochemistry (muscle contraction, metabolism, energy);

Electrocardiography and Cardiac Ultrassonography

Teaching Methodologies

The teaching of the curricular unit is divided into TP and PL. The teaching methods applied to TP components are a) Expository method, in which the principles and concepts are approached as is in the proposed program, using audio visual means: b) the Interactive Method with privileged discussion on major themes introduced in class, and allow a practical integration of theoretical concepts. In the PL component students are part of the multidisciplinary team in the Pacing Laboratory, under a senior supervision, developing in real context the instrumental skills arising from the process of theoretical training.

Learning Results

At the end of this curricular unit students should be able to:

-Know the equipment, materials, techniques and protocols of implantation of pacemakers,  and ICDs.

-Monitor the patient and analyze the various parameters in the implantation of pacemakers,  ICDs and cardiac resynchronization devices.

– Follow up on patients with implantable devices, analyzing parameters and implementing the necessary programming.

-Know the procedure, materials, protocols and interpretation of Tilt table test.

Program

I. Introduction

II. Pacing

1. Single chamber and dual chamber Pacing

2. Algorhytms and special functions

3. Follow-up of patients with pacemakers

4. Malfunctions of Pacemaker and their correction (Troubleshooting)

5. Leadless Pacemaker

6. Conduction System Pacing: Left bundle branch area pacing (LBBAP) and Hisian Pacing

7. Pacing in Heart Failure – Cardiac Resynchronization Therapy

8. Sudden Death – Implantable Cardioverter Defribilator

III. Syncope:

1. Tilt table Test

2. Implantable Loop Record

Curricular Unit Teachers

Paula Elisabete Dinis Rodrigues

Grading Methods

The assessment of the course takes the form of a written test and continuous assessment, in the theoretical-practical component, and practical assessment and continuous assessment in the practical component, within the framework of the Academic Regulation.

The final classification will result from the application of the following formula: NF = (2xTP + PL)/3.

Approval to the UC will take place when the final grade is greater than or equal to 10 points, defining the minimum grade in each component (TP and PL) as 9,5 points.

The access to the exam (100%) periods takes the form of a written test with  the Theoretical-practical and Practical components, with a mandatory minimal classification of 10 points.


    Internship(s)

    NAO

    Bibliography

    The Nuts and Bolts of Paced ECG Interpretation. Tom Kenny. 2009. Wiley-Blackwell. ISBN: 978-1-405-18404-5

    Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. Kenneth A. Ellenbogen, Bruce L. Wilkoff. Fifth Edition. 2017. Elsevier. ISBN: 978-0-323-37804-8

    Cardiac Pacemaker and Resynchronization Step by Step. S. Serge Barold, Roland X. Stroobandt. 2010. WileyBlackwell. ISBN: 978-1-405-18636-0