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    Cardiology Outline

    Cardiology Consist: Clinical Cardiology, Invasive & Non-invasive Cardiology, Cardiac Electrophysiology,

    and Interventional Cardiology

    General Training days

    Tuesday 23 October 2012

    General Day 1: Chest Pain & Stable Angina

    Tuesday 11 December 2012

    General Day 2: Acute coronary syndromes and myocardial infarction

    Tuesday 22 January 2013

    General Day 3: Cardiovascular response to exercise in health and disease; Cardiac rehabilitation

    Monday 11 February 2013

    General Day 4: Heart failure Day 2Friday 1 March 2013

    General Day 5: Assessment and care of patients before and after cardiac and non-cardiac, surgery

    Wednesday 17 April 2013

    General Day 6: Heart Disease in Pregnancy

    Thursday 20 June 2013

    General Day 7: The prevention and management of endocarditis

    Friday 5 July 2013

    General Day 8: Pre-syncope, syncope and Bradyarrhythmias

    Electrophysiology sub specialty training

    Monday 3 December 2012

    Day 1: Narrow complex tachycardia II

    Monday 14th January 2013

    Day 2: Cardiac arrhythmias and sudden death: From Bench to Bedside

    Thursday 14 February 2013

    Day 3: "Pacemaker implantation & programming, managing device-related complications Lead management,

    engineering"

    Friday 12 April 2013

    Day 4: Narrow complex tachycardia III Tracings

    Tuesday 14 May 2013

    Day 5: Heart Failure and EP

    Tuesday 4 June 2013

    Day 6: Title to be confirmed

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    Wednesday 3 July 2013

    Day 7: Atrial tachycardia

    Cardiac imaging sub specialty training

    Friday 12 October 2012

    Cardiac Imaging Day 1

    Wednesday 7 November 2012

    Cardiac Imaging Day 2

    Friday 8 February 2013

    Cardiac Imaging Day 3

    Friday 22 February 2013

    Cardiac Imaging Day 4

    Monday 25 March 2013

    Cardiac Imaging Day 5/ BSE

    Monday 29 April 29 2013

    Cardiac Imaging Day 6

    Thursday 27June 27 2013

    Cardiac Imaging Day 7

    Intervention sub specialty training

    Friday 2 November 2012

    Coronary artery assessment: Pressure and flow wire, IVUS, OCT

    Wednesday 16 January 2013

    Non-coronary intervention: Valves, septal ablation, PFO/ASD, carotid and renal interventions Tuesday 12

    February 2013

    Trial evaluation: design, statistics, interpretation

    Wednesday 6 March 2013

    PCI for STEMI/ACS: 2b3a, bival, PCI in NSEACS including timing

    Friday 19 April 2013

    Complications of PCI: Peri-and post-procedure, recognition and management

    Thursday 6 June 2013

    Complex PCI: CTOs, SVG, LM, bifurcations, calcified lesions

    Heart failure sub specialty training

    Friday 7 December 2012

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    Heart Failure Day 1

    Friday 7 June 2013

    Heart Failure Day 1

    (also see General day 4 for Heart Failure Day 2)

    Adult congenital heart disease

    Monday 11 March 2013

    ACHD Day1

    Friday 27 September 2013

    ACHD Day 2

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    Hypertension

    Section 3: Genetics of Hypertension

    I . Monogenic causes of human hypertension

    A. Glucocorticoid remediable aldosteronism

    B. Liddles syndrome

    C. Apparent mineralocorticoid excess

    D. Congenital adrenal hyperplasias

    1. Caused by mutations in 11--hydroxylase

    2. Caused by mutations in 17--hydroxylase

    E. Pseudohypoaldosteronism Type II

    F. Hypertension + brachydactyly syndrome

    G. Gain of function mutation ofthe mineralocorticoid receptor

    I I . Genetics of human primary hypertension

    A. Risk of primary hypertension in population

    B. Risk of primary hypertens ion in individuals with positive family history

    C. Polygenic nature

    D. Familial clustering of other cardiovascular risk factors

    E. Renal involvement

    F. Pharmacogenetic implications

    Section 4: Pathophysiologic Mechanisms of Hypertension

    I. Hemodynamic Subsets

    II. Neural Mechanisms

    III. Renal Mechanisms

    IV. Vascular Mechanisms

    V. Hormonal Mechanisms

    A. Renin-Angiotensin-Aldosterone System

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    B. Endothelin

    C. Insulin Resistance/Obesity

    Section 5: Diagnostic Assessment

    I . Accurate and adequate measurement of blood pressure (BP)

    A. Office

    B. Automatic ambulatory monitoring

    C. Home, self- recorded

    I I . Additional assessment of prognosis

    A. Nocturnal pattern of BP

    B. BP on arising

    C. BP during exercise

    D. Masked hypertension

    I I I . White coat hypertension

    IV. Initial evaluation

    A. Purposes

    1. Recognize specific identifiable causes of hypertension

    2. Assess target organ damage

    3. Determine overall cardiovascular risk status

    B. Procedures

    1. History

    2. Physical examination, including fundoscopic

    3. Laboratory testing: routine and additional as indicated

    V. Overall cardiovascular risk stratification

    Section 6: Metabolic Abnormalities and Hypertension

    I . Obesity related hypertension

    A. Prevalence of the association

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    B. Pathophysiology

    C. Evaluation

    D. Management

    I I . Dyslipidemia

    A. Prevalence of the association

    B. Mechanisms

    C. Management

    I I I . The metabolic syndrome

    A. Components of the syndrome

    B. Pathophysiology

    C. Management

    IV. Diabetes mellitus

    A. Prevalence of the association with types 1 and 2 diabetes

    B. Pathophysiology

    C. Evaluation

    D. Management