Cardiology

Rotation supervisor: Civic Campus, Dr. Marino Labinaz Tel: 761-4983

                             General Campus, Dr. Michelle Turek

The following rotational goals and objectives will be accomplished with the direction of the rotation supervisor by active participation in:

   The general cardiology consultation service

   The acute referral cardiac consultation service

   Review of ECG’s with attending staff cardiologists

   Participation in patient assessment in the cardiology clinics

   Night call coverage in the Coronary Care Unit at the Heart Institute / General

The rotational goals and objectives listed below define the minimum core knowledge content that should be reviewed during the four-week block cardiology consultation – diagnostic rotation.

  The clinical exposure to each of the knowledge content areas will vary and is not expected to be an-inclusive.

Rotational Goals and Objectives:

1.    To gain an appreciation of the presentation, diagnosis, pathophysiology and management of:

a)   Acute coronary syndromes (unstable angina, MI)

b)   Congestive heart failure and cardiogenic shock

c)    Cardiomyopathies (restrictive, dilated, congestive, and hypertrophic)

d)   Cardiac arrhythmia’s

2.    To acquire and enhance the residents knowledge base for interpretation of relevant ECG findings of ischemia / infarction, pressure overload, and conduction blocks.

3.    To acquire and enhance the residents’ knowledge base of common cardiovascular medications used in the management of chronic arrhythmia’s, ischemia, and heart failure.

4.    To enhance and improve upon relevant physical examination skills for the patient with heart disease.

5.    To teach and supervise junior houses staff, and participate in departmental rounds.

Recommended reference reading:

1.              Anesth Analg 1996; 82:854 – 60.  Executive Summary of the ACC/AHA Task Force Report:  Guidelines for Perioperative Cardiovascular Evaluation for Non Cardiac Surgery.

2.              Can J Card vol. 12 (12) Dec 1996 1279-1290.  Unstable Angina – report from a Canadian Expert Roundtable.

3.              J Amer Coll Card. 28:5 Nov 1 1996 1328-1428.  ACC/AHA Guidelines for the Management of Patients with Acute Myocardial Infarction.

4.              J Amer Coll Card. 32:5 Nov 1 1998 1486-1588.  ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease.

5.              J Amer Coll Card. 26:5 Nov 1 1995 1376-1398.  ACC/AHA Guidelines for the Evaluation and Management of Patients with Heart Failure.

6.              Can J Card Vol 10 (6) July 1994 613-29.  Diagnosis and management of heart failure.

7.              Can J Anesth 43:5 1996 R24-32.  The patient with a pacemaker or related device.

8.              Dubin’s or Marriott’s ECG textbook.

9.              Anesthesia and Co-Existing Disease (Cardiomyopathies, cardiac tamponade)

10.         ACLS Manual (Arrhythmia’s)