教
师
教
案
（2008 ~2009 学年第 2 学期）
课程名称:
授课题目:
授课对象:
授课教师:
职
称:
内科学
心血管疾病（介入治疗）
临床医学七年制 2005 级
佟 倩
副教授
吉林大学第一医院
Teaching Plan
Name of Curriculum：Internal Medicine（Cardiovascular diseases）
Name of the
teacher
Tong Qian
Students
Title
Associate Profess
2005 seven-year program Clinial medicine
Time
2009.4.25 the First
Class (45 min）
Type of the
Class
Theory class
(bilanguage)
Topic of the class
The Interventional Therapy
of Cardiovascular Disease
Teaching methods
Multimedia（ppt）
1. Master the fucntion of pacer and the indication of implanting pacer and
ICD;Comprehend the operation methods and the complications of pacer.
Aim and
requirement
2.Master the indication of RFCA ,Be familiar with the principle of it.
3.Master the indication and clinical significance of PCI and PBMV;Be familiar with the
process of the operation and associated disposal before and after the operation.
4.Comprehend interventional treatment of congenital cardiac diseases.
Key points：
Teaching key
points and
difficult
points
1．The fucntion of pacer and the indication of implanting pacer and ICD;
2．The indication of RFCA ;
3.
The indication and clinical significance of PCI;
Difficult points：
the principle of radio frequency catheter ablation
Textbook and
Reference
Textbook：王吉耀 《内科学》第一版（8 年制教材） 人民卫生出版社 2005
Reference：1．叶任高、陆再英．《内科学》第六版， 人民卫生出版社 2004
Teaching Content
The Interventional Therapy of Cardiovascular Disease
一 pacing:
1. overview about pacing
2. indication of implanting pacemaker
acknowledged indications
Disputed Pacing Indication
3. encoding of pacemaker
4. classification of pacemaker
according to pacing chamber
according to pacing physiologic effect
5.Implantation method
Technique checkpoint：
(1).vien choice
(2).electrode lead fixation
(3.)pacemaker implanted
Time assignment
6.how to choose the mode of cardiac pacing
7.The function of ICD
8.indication of ICD
9.follow up visit and program control after implanting pacemaker
二 Radio-frequency Catheter Ablation to treat arrhythmia
1. overview
2. the forte of RFCA
3. indication
W-P-W syndrome（atrioventricular bypass）
AVNRT
Atrial tachycardia
Atrial flutter
Atrial fibrillation
Ventricular tachycardia
4. the application of RFCA
5. the method of RFCA
Vessel acupuncture
Vessel and inner-heart catheterization procedure
Cardiac electrophysiology test
Target-localization
Radio-frequency ablation
三 interventional treament of coronary artery diseases
1.the anatomy and denomination of coronary artery
2.the gold standard for diagnosis coronary disease----coronary arteriongraphy
3.procedure of cardiograph
4.how to evaluate the degree of coronary artery stenosis
5.Standard of coronary flow (TIMI stage)
6.percutaeneous Coronary Intervention（PCI）
Percutaeneous coronary andioplasty (PTCA)
Coronary stent-implatation
Coronary turnery intervention
Coronary siting rotation
Coronary aspirate system
Coronary laser-angioplasty
四．Cardiac valve disease interventional therapy and Interventional therapy of
congenital heart disease
percutaeneous balloon mitral valvoplasty（PBMV）
Review questions
1. What is the acknowledged indications of implanting pacemaker?
2 What is the acknowledged indications of ICD?
3. What is the indications of RFCA?
4. What is the standard of coronary flow?
5.What is the defination of RFCA?
6.What is the function of ICD?
7. What is the indications of PMBV?
8. What is the indications of interventional trement for atrial seotum defect?
1、using of powerpoint and lots of ECG and cardiac catheterization pictures can
make students better undersand the content of the lesson .
Summarization
after class
2、explain all the focal points and difficulties detail,almost all the students are
satisfied with present lesson.
Problem and advice
It is a little difficuly for all the students to teach in English, combining with
chinese version may be a better way to understand easily.