ESAVS Kardiologie Kurse

Prof. Dr. Gerhard Wess

Dipl. ECVIM-CA (Innere Medizin), Dipl. ECVIM-CA (Kardiologie), Dipl ACVIM (Kardiologie)

Leiter der Abteilung für Tierkardiologie der Medizinischen Kleintierklinik der LMU München

ESAVS Kardiologie Kurse

Kursleiter/Programm Direktor: Prof. Gerhard Wess

ESAVS Kardiologie:

Natürlich bietet eine Residency, bei der man 3-4 Jahre von einem Diplomate ausgebildet wird die bbestmögliche Spezialisierung in einem Fachgebiet.

Wir bieten aber auch Fortbildungen für praktische Tierärzte an. Es gibt weltweit kein ausführlicheres Spezialisierungs Programm für praktische Tierärzte als das aus 5 einwöchigen Module umfassende Programm der European School for Advanced Veterinary Science (ESAVS). Das Programm wurde von Prof. Wess erstellt und er ist auch bei allen Modulen anwesend. Die Kurse finden auf englisch statt.

Anmeldungen zu den Kursen: https://www.esavs.eu/

Kursprogramm Kurs I: Course Overview

The first module of the Cardiology program focuses on diagnostic and therapeutic options, such as heart murmurs, ECG seminars and ECG practicals, thoracic radiographs, biomarkers, cardiovascular drugs and the most common diseases seen in private practice.

– Clinical signs, physical examination and auscultation
– Pathophysiology of heart failure and neuroendocrine regulation
– Biomarker in veterinary cardiology
– Reading chest radiographs – cardiac and non cardiac diseases
– ECG made easy seminar: from the basics to a diagnosis
– ECG Workshops (independent studies in groups) – ECG case examples
– Introduction into echocardiography and doppler examinations
– Therapy of arrhythmias
– Therapy of heart failure: cardiac drugs
– Studies in groups: Congenital heart defects, clinical cases
– Aortic stenosis
– Pulmonic stenosis
– Patent ductus arteriosus
– Mitral and tricuspid dysplasia
– Chronic valvular diseases
– Dilated cardiomyopathy,Doberman pinscher cardiomyopathy and ARVC
– Dirofilariosis/heartworm disease
– Pericardial diseases
– Independent studies in groups: Canine cases
– Cardiac tumors
– Feline cardiomyopathies: HCM, RCM, DCM, ARVC
– Workshop: Feline cases
– Workshop: Canine and feline cases (potpourri)

Anmeldungen zu den Kursen: https://www.esavs.eu/

Course II

The Veterinary Cardiology Course II of the ESAVS requires experience and knowledge in veterinary cardiology.
Topics include advanced treatment options, syncope and ECG, basic echocardiography, feline cardiomyopathies and advanced diseases.

General Program:
In the mornings: lectures with one general topic. In the afternoons: practical training on patients, group case discussion on pre-recorded case material.

– Syncope: practical work-up and differentials
– ECG-repetition: assessment of arrhythmia`s and treatment strategies
– Holter Monitoring: when to use, how to do, and how to Analyse
– Assessment of the diuretic function, the challenge between volume overload and hypo Perfusion
– Advanced treatment options of acute heart failure
– Advanced treatment options of chronic heart failure
– Interactive cases management of challenging cases
– Clinical case studies, heart failure treatment
– Dyspnea in felines
– Feline Cardiomyopathies: physical examination, SAM, DR VOTO, genetic tests
– Feline Cardiomyopathies-ECG, radiography and biomarker changes
– Update: treatment of feline cardiomyopathy
– Aortic thrombosis diagnosis and therapy
– ECG cases – practicals in small Groups
– Atrial septal defect: diagnosis and treatment options
– Ventricular septal defect: diagnosis and treatment options
– Differentiation of MMVD and DCM in large breed dogs
– Cyanotic heart diseases
– Mitral and Tricuspid valve dysplasia
– Systemic hypertension: diagnosis and treatment
– Pulmonary hypertension: diagnosis and Treatment
– Echocardiography basics: standard views
– M-Mode – reference values and results Interpretation
– Spectral Doppler-Echocardiography (PW and CW)
– Colour Doppler-Echocardiography – tips and tricks
– Hands-on: practical training of acquiring Echo-images from the right side
– Hands-on: practical training of Echo-measurement; ECG cases; ECHO cases
– Hands-on: right and left sided ECHO views; ECG cases; ECHO cases
– Problem oriented echocardiography – volume overload
– Problem oriented echocardiography – pressure overload
– ECHO cases – interactive cases Management

Anmeldungen zu den Kursen: https://www.esavs.eu/

Course III


This veterinary course is designed to give the practitioner a basic understanding of small animal echocardiography. Major topics include ultrasound principles, normal cardiac anatomy and physiology, techniques for achieving quality results, case presentations of important diseases and hands-on scanning of normal dogs.
Skills taught in this course include further-on pulse wave Doppler, continuous wave Doppler, color flow Doppler, special measurements and calculations and applying the Bernoulli equation to clinical cases.
The participants will rotate in the afternoon in hands-on sessions through different stations with experienced instructors where individual coaching of how to obtain echocardiographic views and measurements taught in the morning lectures is the main focus.
The ECHO-Lab station focuses on pattern recognition and will present computer based Echo case presentations of clinical cases that will be solved interactive by the participants guided by an instructor. Therefore many important cardiac diseases will be seen by the participants.

Course objectives
At the end of this course, the participant will be able to:
♥ Discuss, identify and perform a complete diagnostic study from the right and left
♥ Measure 2D, M-mode and Doppler echocardiograms to quantify cardiac size
and function.
♥ Compare and contrast the usefulness of 2D and M-mode Echocardiography, and of
PW, CW and color Doppler.
♥ Recognize clinical uses of Doppler for estimation of intravascular pressures.
♥ Describe a complete Doppler examination and obtain Doppler derived flow signals
from the heart and great vessels.
♥ Discuss use of echo and Doppler in recognition, staging and management of
congenital and acquired heart disease.
♥ Describe the typical imaging and Doppler echocardiograpic findings of common acquired
and congenital heart diseases.

Prerequisite: ESAVS course modules I and II provide essential knowledge of cardiac diseases in small animals. These courses provide the necessary knowledge to understand and treat the most common cardiac diseases, whereas this course in veterinary cardiology focuses on performing good ultrasound exams.

Anmeldungen zu den Kursen: https://www.esavs.eu/

Course IV Overview

This module focuses on advanced echocardiographic techniques. As in module III there are advanced lectures about more exotic cardiovascular diseases, diastolic function, case presentations and much more. In the afternoon sessions there is time to practice echocardiography.

Echocardiography – general topics and case examples of this veterinary course in cardiology:

Update on recent clinical studies concerning diagnostic tests
Interactive (difficult) ECG Cases
Interactive (difficult) case examples to apply pressure calculations using CW-Doppler
PISA (proximal isovelocity surface area) to assess severity of valvular insufficiencies, regurgitation-volume and –fraction
Hands on echocardiography (individual coaching) and Echo lab
Echocardiography – Doppler

Update on recent clinical studies concerning treatment options
Diastolic function: Principles and echocardiographic correlates of relaxation, compliance, volume, and filling pressure
Tissue Doppler Imaging basics. Tissue velocity, Strain, Strain Rate: technical aspects, different methods, pitfalls
Doppler Echocardiography: value of Doppler to predict congestive heart failure and to assess HCM stag
Hands on echocardiography (individual coaching) and Echo lab
Echocardiography – Systolic function

Quantitative echocardiography: calculation of stroke volume and cardiac output
Utilizing echocardiography to guide therapy – case examples
Tissue Doppler imaging to assess systolic function – clinical applications
Advanced echocardiographic assessment of pulmonary hypertension and pulmonary fibrosis treatment
Hands on echocardiography (individual coaching) and Echo lab
Congenital heart disease: Echo diagnosis, hemodynamics, and treatment

Complex congenital malformations…
Cardiac Jeopardy – Congenital heart disease
Interactive solving of cool Echo cases – where a diagnosis is not so easy
Hands on echocardiography (individual coaching) and Echo lab
Acquired heart disease: From diagnosis to treatment

Cool ECG cases – where a diagnosis is not so easy…
Myocarditis and Endocarditis: Echo diagnosis
Echocardiographic Assessment of Left Ventricular and Mitral Valve Geometry in Cats with Hypertrophic Cardiomyopathy
Hands on echocardiography (individual coaching) and Echo lab

Anmeldungen zu den Kursen: https://www.esavs.eu/

Course V Overview

As being the last level of the ESAVS cardiology program, this advanced module presents updates of all diseases and new diagnostic and therapeutic options. It is a mixture of practicals and theoretical sessions including interactive presentations of unique ECG and Echo cases.

The first two days we will focus on echocardiography: which techniques have evolved over the last few years, what’s new concerning diagnosis of diastolic function, feline cardiomyopathies, transesophageal echo, lung ultrasound to diagnose pulmonary edema, better measurements for better diagnoses. The course masters will also present some of their coolest echo cases.

There will be also practicals on 5 echo machines in the afternoons during the first two days, where we will have a cat station, probably a 3D station, and most importantly individual coaching to help to improve your daily workflow.
Starting on day three we will give you updates on various diseases, diagnostic tests and therapeutic news, which were published the last few years. Additionally, we will continue with the ECG sessions as practicals as well as more interactive case presentations. We will also cover some non-primary cardiac topics, such as non-cardiogenic pulmonary edema, angiostrongylus, pulmonary hypertension and differentials of SAM, just to name a few topics.

We are very excited to have a module V in Cardiology (which only can be booked after participation of courses 1-4) and have recruited excellent lecturers and instructors; there will be 6 ACVIM or ECVIM Diplomates in Cardiology!

Anmeldungen zu den Kursen: https://www.esavs.eu/