Duration
38h Th, 5h Pr
Number of credits
| Bachelor in medicine | 6 crédits |
Lecturer
Vincenzo D'Orio, Philippe Delvenne, Gaëtan Garraux, Patrizio Lancellotti, Pascale Quatresooz, Marc Radermecker
Substitute(s)
Language(s) of instruction
French language
Organisation and examination
Teaching in the first semester, review in January
Schedule
Units courses prerequisite and corequisite
Prerequisite or corequisite units are presented within each program
Learning unit contents
Through different approached fields, principal normal aspects and general principles of the heart will be studied, including its blood vessels and embryonic development, the heart and its tissues' anatomies, its systemic arterial and pulmonary system. The different components' nervous innervation of the cardio-vascular system will be examined, by establishing a relationship between the structure and the function (when it's possible).
Heart's and blood vessels' anatomy has essential implications in semiology, in x-ray examination's interpretation, not to mention the importance of an accurate knowledge of these notions in any doctor's life. Histological structure of the cardiovascular system's components will be examined by establishing a relationship between the structure and the function. General pathological aspects and the common pathopsysiological mecanisms, related to the cardiovascular system, will also be examined from normal morphological and physiological data with a deductive approach.
Knowledge and comprehension of the physiognomy and biochemistry of the heart muscle and its blood vessels (in particular their coupling) are at the heart of this module. Acutally, these notions are needed by the future doctor, by allowing him to interpet the patient signs and symptoms (semiology) and to understand a disease's ins and outs and the interest of further tests.
The class on biochemistry and physiology of the cardiovascular system consists of the following sections:
1. Introduction
2. Automaticity of cardiac activity
- Action potential and conduction
- Basics of ECG
- Cardiac cycle Filling or preloading (Frank-Starling law)
- Myocardial contractility
- Resistance to systolic ejection or afterload
- The laws of blood flow
- Self-regulation of regional traffic
- Cardiac energetics
- Coronary flow
- Control of blood pressure level
- Regulation of cardiac output
- Cardiovascular adaptation to muscular effort
- Diastolic insufficiency
- Pressure overload
- Volume overload
- Impairment of contractility
Learning outcomes of the learning unit
Such as, in particular (in a not exhaustive way) :
- Know the position of the heart, as well as the structure and the functions of the wall, the cavities of the big vessels and the valves of the heart, as well as the cardiac irrigation.
- Know the structural characteristics of the cardiac muscle and the vessels.
- Know the physiology of the contraction of the cardiac muscle and the phases of the cardiac revolution.
- Know the factors which determine the cardiac output and the factors of regulation of the cardiac output.
- Know the interactions between cardiac and respiratory function.
- Know the mechanisms of regulation of the heart rate.
- Know the essential elements of fluid mechanics essential to the understanding of the flow of the blood in vessels.
- Know the structure and the function of the various types of blood vessels.
- Know the mechanisms of regulation of the vascular tonus.
- Define the notion of blood pressure and know the factors which make vary this pressure.
- Know the control mechanisms of the blood pressure.
- Understand the interactions between hormonal and nervous mechanisms of cardiovascular control.
- Understand the peculiarities of the foetal cardio-circulatory system and the modifications in the birth.
- Understand some methods of exploration of the circulatory system.
- Get acquainted in certain medical terms in touch with the big pathological syndromes.
- Know physiopathological aspects such as those of the states of shock, for example.
Prerequisite knowledge and skills
Co and pre-requisites are detailed in the general Baccalaureate Medical formation (global course program).
Planned learning activities and teaching methods
This Module is multidisciplinar (based on different theoretical courses in different disciplines).
Practical works (MEDE0122 and MEDE0123) and Problem-based seminars (APPR0122) complete the practical and clinical aspects.
Mode of delivery (face to face, distance learning, hybrid learning)
Hybrid course (theoretical aspects in classical classrooms ; some practical aspects are developped within e-learning and small groups sessions).
Organisational adjustments related to the current health context
Histology lectures will be given on podcast.
For the class of Biochemistry and Physiology, in case of yellow, orange or red code, the courses recorded during the last academic year will be put back online. A question-and-answer session will be organized face-to-face, except in the case of code red. The supports are unchanged (syllabus and PPT).
The written exam will take place in person (see schedule in celcat).
Any student who is unable to sit the exam, due to quarantine duly attested by a certificate, must represent the exam in oral or written form. This exam will be scheduled as soon as possible during the session depending on the availability of the teacher(s).
Recommended or required readings
Slides and comments are available on e-campus on line course ; books can be obtained at the Ulg Press Shop (complementary, not compulsory).
Assessment methods and criteria
Below you will find information on the evaluation methods planned for in-person and remote exams as well as those planned for hybrid sessions. Depending on how the health crisis evolves, the chosen method will be communicated to you no later than one month before the start of the exam session.
Any session :
- In-person
written exam ( multiple-choice questionnaire, open-ended questions )
- Remote
written exam ( multiple-choice questionnaire )
- If evaluation in "hybrid"
preferred in-person
Additional information:
On line exam in january and september
regarding pandemic situation
Work placement(s)
Organizational remarks
Contacts
KOLH Philippe
Liège University Hospital - Cardiovascular surgery.
Tel. +32 4 3665196
+32 4 3668445
E-Mail : Philippe.Kolh@ulg.ac.be