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Professor
CHRISTIAN CADEDDU DESSALVI (Tit.)
LORENZO ROCCHI
Period
Second Semester 
Teaching style
Convenzionale 
Lingua Insegnamento
ITALIANO 



Informazioni aggiuntive

Course Curriculum CFU Length(h)
[40/64]  NEUROPHYSIOPATHOLOGICAL TECHNIQUES [64/00 - Ord. 2020]  PERCORSO COMUNE 5 40

Objectives

Pathophysiology of the cardiovascular system
KNOWLEDGE AND ABILITY TO UNDERSTAND: the student will have to show to possess the knowledge related to the main pathological conditions that can affect the cardiovascular system and the autonomic nervous system
APPLIED SKILLS: the student should be able to apply the acquired theoretical knowledge to recognize and distinguish the different pathologies of the cardiovascular system and of autonomic nervous system, as well as be able to identify the diagnostic framework and the therapeutic choice to be adopted.
AUTHONOMY OF JUDGMENT: The student will be able to interpret anamnestic and instrumental data to formulate a diagnostic judgment in relation to diseases of the cardiovascular system and of the autonomic nervous system
COMMUNICATION SKILLS: the student will be able to explain the pathophysiological process and the outcome of diagnostic procedures and therapeutic interventions in the field of cardiovascular pathologies and in that of the autonomic nervous system. LEARNING SKILLS: The student will learn to acquire new information and implement their cultural background in a critical manner through consultation and critical interpretation of recent scientific literature.

Prerequisites

Pathophysiology of the cardiovascular system
Knowledge of topics covered in the Human Anatomy and Physiology module is required.
Neurophysiopathology 6 (basic and clinical SNV)
Knowledge of topics covered in Neuroanatomy, Neurophysiology, and Applied Neurophysiopathology 1 is required.
Electroneurophysiological techniques 8 (SNV)
Knowledge of topics covered in the Neurophysiology and and Applied Neurophysiology 1 module is required.

Contents

Pathophysiology of the cardiovascular system
- Cardiovascular system: anatomy and physiology;
- Principles of electrocardiography;
- Pathogenesis and prevention of atherosclerosis;
- Clinical manifestations of atherosclerosis;
- Cerebrovascular disease;
- Peripheral arterial disease;
- Ischemic heart disease;
- Heart failure;
- Valvulopathies;
- Atrio-ventricular conduction abnormalities;
- Tachyarrhythmias;
- Heart failure: pathophysiology and clinical aspects.
- Syncopation;
- Hypotension.
Neurophysiopathology 6 (basic and clinical SNV)
- Role and function of the Autonomic Nervous System;
- Symptoms and signs of vegetative dysfunction;
- Neuroanatomy and physiology of the Vegetative Nervous System;
- Differences between the orthosympathetic and parasympathetic systems;
- Etheric system;
- Vegetative control of the cardiovascular system;
- Vegetative control assessment test of the cardiovascular system;
- Study of circadian rhythms of: blood pressure, heart rate, internal body temperature and sleep-wake cycle;
- Syncope: definition, clinical and instrumental diagnosis;
- Alterations of vegetative control in neurodegenerative diseases: definition, clinical and instrumental diagnosis;
- Orthostatic hypotension syndrome and supine hypertension: definition, clinical and instrumental diagnosis, hints of therapy;
Electroneurophysiological techniques 8 (SNV)
- Characteristics of the neurovegetative laboratory;

- From ECG to RR: Analysis of the process of sampling, conditioning, and analysis in the time and frequency domain of induced or spontaneous heart rate variability.
- Techniques and instruments for measuring blood pressure;
- Interaction with the patient: collection of clinical information to support the interpretation and execution of tests;
- Cardiovascular reflex testing: (techniques of execution, evaluation and analysis of cardiovascular responses criteria for morphological identification of physiological and pathological responses);
- Techniques for analyzing heart rate variability in the time and frequency domains.
- Pattern of pathological response of cardiovascular parameters to the Orthostatic Test (orthostatic hypotension, reflex syncope);
- Instruments and techniques for monitoring circadian changes in vegetative parameters: Heart rate, Blood pressure, Internal body temperature.

Teaching Methods

Pathophysiology of the cardiovascular system
Lectures with examples, guided experiences with real instrumentation aimed at the acquisition of the concepts explained with practical examples. Practical exercises of interpretation and analysis of clinical cases. Practical exercises of interpretation of instrumental investigations used for the study of cardiovascular pathologies.
Neurophysiopathology 6 (basic and clinical SNV)
Lectures with examples, guided experiences with real instrumentation aimed at the acquisition of the concepts explained with practical examples. Practical exercises of interpretation and analysis of clinical cases. Practical exercises of interpretation of instrumental investigations used for the study of autonomic nervous system pathologies.
Electroneurophysiological techniques 8 (SNV)
Frontal lessons with examples, guided experiences with real instrumentation aimed at the acquisition of the explained concepts with practical examples. Practical exercises of interpretation and analysis of traces and tests of vegetative nervous system activation.

Verification of learning

The number of exams is defined in accordance with the Faculty regulations. Extra exams for out-of-course students may be requested from the teacher for justified reasons. The integrated course includes a joint oral test on the three modules of the course. During the test, questions will be asked to assess the candidate's ability to express himself correctly in relation to the subject, his ability to explain the concepts presented and to apply his knowledge. The assessment is objective, defined on the basis of the percentage of correctness of each answer (which is associated with a fixed score, not known to the candidate, based on the level of difficulty). The final mark will be the weighted average of the results obtained in the three modules. The evaluation will be expressed in thirtieths.

Texts

Pathophysiology of the cardiovascular system
Course handouts and material provided by the instructor free of charge to students accessible through the course website.
"Dispense di cardiologia per i corsi di laurea nelle professioni sanitarie” by Maria Penco (2005)
Neurophysiopathology 6 (basic and clinical SNV)
Course handouts and material provided by the instructor free of charge to students accessible through the course website.
Electroneurophysiological techniques 8 (SNV)
Course handouts and material provided by the instructor free of charge to students accessible through the course website.

More Information

Registration for exams will be done by accessing the University website.
Students who have attended no less than 70% of the total number of lectures and no less than 50% of each module and have attended all the hours scheduled for the professional activity will be able to take the exam.

Questionnaire and social

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