The department is well equipped with
most of the modern facilities to enable the vast work that is being carried out
in the department. There are eight computers with laser printers, installed
with the latest software’s. There is also an internet connection, with email
and Fax facility, which enables the department to be in touch with the latest
information in the field of cardiology, and with other centers round the globe.
All the divisions are interconnected with an intercom facility for quick
communication and improved patient care. The department has its own overhead
projectors in seminar room for effective presentation. There is also a separate
departmental library which has most of the important books connected to the
various aspects of Cardiology.
Intensive Coronary Care Unit
The Intensive Coronary Care Unit
located on 2nd floor is spread over an area of 1000 square feet and has 14
beds.The annual admissions to the ICCU is ~ 2000 per year and consists of
patients with Acute Coronary Syndromes, Heart failure, Complex life threatening
arrhythmias, Complete Heart Blocks, Pericardial tamponade, Valvular heart
disease with Pulmonary edema, Infective endocarditis causing hemodynamic
compromise etc. This ICCU also caters to the patients with post catheterization
complications.
The ICCU is well equipped with one
Senior Registrar and two Junior Doctors working round the clock. 4 out of 12
beds are equipped with multi parameter monitors which continuously monitor the
Electrocardiogram, NIBP, Respiratory rate and Oxgen Saturation. Rest of the
beds have Electrocardiographic scope monitoring .There is a central monitor
which has the facility for recording and storing on-line ECG tracings of the
ICCU admitted patients . There are facilities for temporary pacing,
Defibrillation, Oxygenation, Invasive hemodynamic monitoring which include
monitoring of CVP, Pulmonary capillary wedge pressure, and intra-arterial blood
pressure. There are 2 state of the art Vela and Benett Puritan Ventilators and
the residents are well trained in Invasive as well non invasive ventilation.
Cardiology Ward 32
Cardiology ward 32 is adjacent to the
ICCU which serves as an intermediate care as well as general ward for patients
admitted electively for procedures. It has 32 beds.
It caters to the admissions from the
OPD, elective patients admitted for cardiac catheterizations and those
transferred after stabilisation from the ICCU. There is one sister in charge
for the ward and 2 junior staff Nurses working in shift duties who look after
the patients in the ward.
The patient management in the ward is
supervised by a senior faculty everyday. The ward also has all the facilities
for emergency treatment when required.
Catheterization
Laboratory
The department has one Cardiac
Catheterization laboratory to provide the state of art medical treatment to the
patients. It is a Philips Machine which is the latest in town providing
the best resolution and clarity while doing procedures. It is located close to
the ICCU.It is well equipped with all the essential pre-requisites needed for
cardiac catheterization and emergency medical care.
The number of catheterizations performed per year is ~ 1900 with all
types of diagnostic and therapeutic catheterizations. The procedures performed
are coronary angiography and angioplasties, Balloon Mitral/Aortic and Pulmonary
Valvotomy, pediatric catheterisations, Permanent pacemaker implantations,
peripheral interventions like peripheral angiographies and angioplasty of
renal, carotid, subclavian and Iliofemoral vessels.
Device closure of the ASD and PDA has been started in LTMMC Cath lab.
The Catheterization lab is well
equipped with doctors and paramedical personnel. There are always three
technicians, four servants, one Chief Sister in-charge and two Staff-nurses in
the Lab all the time. There are always senior consultant supervising every case
in the lab. The lab is functional from 8 AM to 5 PM most of the days. Emergency
BMV’s are done irrespective of the hour and has got the best success rate with
minimal complication rates comparable with the international standards.
It is a matter of pride for the entire department.
All the interventions are done with a CVTS back up in case of a complication
with a very low morbidity and mortality
Cath Lab is equipped with a ACT machine which is performed for all
interventional patients.
Fly kill Kits are installed in the cath lab an cath lab is disinfected with a
fogger machine twice a week keeping infection rates to the minimum.
All the patients are given laminated copies of the angiographic pictures and
pressure tracings.
Non Invasive Cardiology
·
Echocardiography
Department
Department of Cardiology at LTMMC has
GE Vivid 3 Sync Master 550B Color Doppler and 2D Echo machine which
is equipped with 3.0and 7.0 MHz probes. The echo lab runs routinely from
morning 9 am to 4 pm in the evening six days a week. Appointments are given for
elective patients. Emergency Echoes are done round the clock.
Annually 15000-20000 echoes are done.
All echoes are primarily performed by
a Senior resident supervised by member from faculty.
·
Other
Noninvasive Studies
The other noninvasive studies
performed here include Exercise stress testing and Holter Monitoring.
The Stress test system is GE Marquette
MAC 5000 machine. There is one technician and a doctor always present during
the tests. There are facilities for emergency care in lieu of a complication
during the stress testing.
Annually 500-700 stress tests are
performed .The procedures are generally uncomplicated.
Department of Cardiology is currently
in the process of acquiring SAECG machine and 24 hours Holter Machine.