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ESTABLISHMENT
                   The department of cardiology is a part of the Government Stanley Medical College and functions under the Ministry of Health and the Directorate of Medical Education, Government of Tamilnadu. The Government of Tamilnadu is the funding for the treatment provided.
              The department of cardiology was established in the year 1979. It was started by Professor N. Sivarajan, under whose able guidance the department saw tremendous growth during its formative years. It quickly evolved from a department with just an outpatient clinic to a department with fully functioning and manned ICCU. 

Subsequently it was equipped with a cardiac catheterisation laboratory in year 1988 which has been used extensively for various diagnostic and therapeutic procedures. The D.M Cardiology course was started in the year 1993.
 
                The department is fully equipped eight bedded ICCU.  It has three state of art echocardiography machines one of which is dedicatedly used in ICCU. There is an advanced treadmill testing unit which offers non invasive testing for coronary artery disease and for functional assessment. The 24 hour X-ray department is dedicated to the department of cardiology and is located close to the outpatient unit. The male ward has 22 beds and female ward has 10 beds. The outpatient clinic functions five days a week.

MERITS OF THE DEPARTMENT
 
 Patient Services:
      The outpatient services cater to about 40,000 cardiac patients annually and provide quality care to all age groups. The patients are consulted in separate op cubicles. The patients are reviewed by the respective consultant and offered advice and medications. The outpatient services are available from Monday to Friday.
     The dedicated electrocardiography section caters to about 50 to 75 outpatients daily and to all inpatients daily and as per need basis. The machines used are 12 lead state of art machines. The Treadmill unit is proximal to the outpatient unit and offers non invasive testing for coronary artery disease and for functional assessment in post myocardial infarction patients. Daily about 2-4 patients undergo this test. Trained technicians, staff and doctors monitor the test. Standby defibrillator and emergency cart are available to take care of possible emergencies.
    There is a dedicated X ray department which functions round the clock and provides good quality X rays. The developed X rays are made available within a few minutes.
     The Echocardiography unit is equipped with three latest echocardiography machines. This caters to about 60 to 70 patients a day and provides accurate diagnosis for patients with various cardiac ailments and also for effective cardiac screening for preoperative cardiac risk assessment. This unit also possesses multiplane transesophageal echocardiography which is very useful in patients for whom transthoracic echocardiography could not provide adequate information.
      The cardiac catheterization lab provides various diagnostic and therapeutic procedures. The unit has well trained technicians and staff who can manage routine and cardiac emergencies with equal efficiency.
      The inpatient services forms the backbone of the department. The intensive coronary care unit provides quality intensive care to critically ill patients. This unit has 8 beds and individual monitors. The unit is also equipped with exclusive ECG machines, defibrillators and also temporary pace makers. It also equipped with latest mechanical ventilators. The ICCU is manned with dedicated and highly experienced paramedical team. Post graduates and assistant professors of cardiology are on duty round the clock to manage all the cardiac emergencies.                                       
      The male ward with 22 beds and female ward with 10 beds is a well maintained, spacious and pleasant place were round the clock medical care is provided by the doctors and the nursing staff.

Academic programmes
     The department of cardiology provides excellent training through clinical teaching, clinical research, hands on training in diagnostic procedures, dissertation, publication of papers, emergency coronary and cardiac care and over all patient care.
     There are daily case presentations, topic or journal presentations. The academic schedule for the week prepared in advance, which helps the attending postgraduates and the faculty to be prepared for the academic activity. The seminar is conducted once a month with our faculty members.
     The department has daily ward rounds by the postgraduates, assistant professors and the professor. These rounds form the back bone of the teaching schedule and teach issues on patient management, treatment options and therapeutic debates. All post graduates attend the ward rounds and discussions are actively encouraged and appreciated by the faculty.
     The department has a dedicated internet connection that provides rapid access to all the latest information. The department library has various national and international journals and a large collection of journals spanning more than 15 years. The books in the library are updated regularly and all the new editions of a significant number of cardiology books are available.
 
Training programmes
 The department of cardiology offers speciality courses in cardiology (DM cardiology). The training offers excellent clinical teaching, hands on training in diagnostic procedures, clinical research, dissertation, publication of papers, management of the coronary care units and overall patient care. Course offered
 
 
DM Cardiology Super Speciality Courses
Number of seats 2
Duration of the course 3 years


Admission procedure                                                                                                                              
The admission to the course for DM cardiology is through an entrance examination conducted by the directorate of medical education, government of tamilnadu. This exam is open to all candidates who are resident of tamilnadu and is a merit examination. The selection is based on the marks scored in entrance and published merit list.
 
Syllabus
                                               THREE YEAR PROGRAMME SYLLABUS
1.       Applied anatomy- regional and development of heart and great vessels; Congenital anomalies
2.       Applied physiology, cardiac cycle, cardiac output, pressure and blood volume, cardiac contractility, pulmonary circulation, coronary circulation, blood pressure, bio control mechanisms, electro cardiology, cardiac failure, acid base balance.
3.       Autonomic control of heart and vasculature, pulmonary function test and their application to cardiology and interpretation data on PET.
4.       Applied pathology: Congenital heart disease,  classification and pathophysiology, rheumatic fever, valvular lesions, myocarditis,  cardiomyopathy, pericarditis, constrictive pericarditis , bacterial and infective endocarditis , viral agents in heart disease, autoimmune mechanisms, coronary heart disease, myocardial infarction , hypertensive heart disease, pulmonary embolism, extrinsic heart disease, cardiac tumours, electron microscopy in heart disease, clinical pathology tests for assessing the coagulation mechanisms-brief methodology, principle of the tests and interpretation of their results
5.        Applied pharmacology; Cardiac Glycosides, antihypertensives, diuretics, drugs for coronary artery disease, alpha and beta-blockers,, ionotropic agents, antibiotics, antiarrythmic  agents.
6.       Cardio Vascular engineering: Principles of cardio vascular instrumentation, pressure recording , phonocardiography, angiocardiography, heart lung bypass, cardiac  assist devices, cardiac nuclear studies , diagnostic instrumentation , catheterisation equipment, image intensifiers, TV monitors , video recorder,  ultrasonic imaging in medicine, ultrasonic transducers, electrodes , processing units, amplifiers, display devices, various types of recorders, intensive care instrumentation, morning equipments , ventilators, defibrillators and pacemakers.
7.        Clinical, investigational , interventional, or surgical management in cardiology, clinical methods , chest x ray, electrocardiography, echocardiography , vector cardiography, cardiac catheterisation, angiocardiography, exercise studies, newer diagnostic procedures, management in  cardiac failure, cardiogenic shock, congenital heart disease, rheumatic fever,  valvular heart disease, cardiomyopathy, hypertensive heart disease, coronary artery disease, cardiac arrhythmia , myocardial infarction, infective endocarditis.
8.        Role of surgery in congenital and acquired heart disease
9.        Training programme- the training programme will aims to give the candidate a sound training of cardiac diagnosis and  management. During the period of training, they shall take part in all activities of the department including ward rounds, lectures and seminars, teaching assignments, laboratory studies, surgical session and other duties assigned to them by the head of the department.
 
 
                                                                       
ACADEMIC SERVICES                             
The department of Cardiology provides teachings teaching material and faculty for the undergraduate, postgraduate and cardiology postgraduates. The regular teaching activities and the CME programmes conducted by the department or by various faculties from outside keep the department up-to-date.
                                                                                       
 
FACULTY     
                        The faculty of the department of cardiology has dedicated professors and assistant professors, who with their abundant teaching and clinical experience provide the guidance and necessary teaching for the undergraduate, postgraduate, and the cardiology postgraduates.        (There are two graduated units).
                                                                       
 
Teaching Programme

The department provides excellent environment for learning and is equipped with experienced staff to teach clinical, diagnostic and interventional cardiology.
                                                                       
 
ACADEMIC SCHEDULE                                           
        The academic schedule for the coming week is posted at the department notice board signed by professor. This contains the topic and the presenter and the case for discussion.  This helps both the attending postgraduates and the faculty to be prepared for the academic activity.  The seminar will be conducted once in a month with our faculty members.

 The department has daily ward rounds by the postgraduates, assistant professors and the professors. These rounds form the backbone of the teaching schedule and teach issues on patient management, treatment option and therapeutic debates.
        All the postgraduates attend the ward rounds and discussions are actively encouraged and appreciated by the faculty.
        This provides ample opportunities for the postgraduates to clarify their queries.

The journal clubs that are held weekly provide an opportunity to update information for the entire faculty and student.  The list of available journals is provided at the end of this booklet
                                                                               
 
INTERNET FACULTY
The department of cardiology has a dedicated internet connection that provided rapid access to all the latest information and as a powerful tool for searching information.  Postgraduates mostly use this faculty to prepare topics and their related activities.
 
 
ECG CLUB
ECG Club was started in the year 1979. Members include undergraduates, postgraduates and Higher Specialty students and local practitioners in and around GSH.  We used to discuss interesting ECGs once in a month.

LIBRARY FACILITIES
Apart from Stanley Medical College’s main Library, our department has various national and international journals and has a large collection of these journals spanning more than 10 years.  The journals from the basis for our update activities in the department
The book is update regularly as and when the new edition arrives.  The books are available round the clock for faculty and postgraduates.
VISITING FACULTY
The department of Cardiology regularly conducts teaching programmes in which eminent cardiologists from the city, from the country and from all over the world participates.

The department offers patient emergency medical services round the clock with the other sections functions regularly from 8: AM to2:00 PM.
The services are available to all patients and most are referred from general medical and other outpatient department.  A significant number of patients are referred from the casualty department directly to the intensive care unit.

Outpatient services

The outpatient services cater to about 30,000 cardiac patients annually and provide quality care for all age groups. Patients are registered at our outpatient department and given a unique cardiology number (CD Number). Then the patient is consulted at the cubicles and sent for various investigators within and outside department. The patient is reviewed after the relevant investigations by the respective consultant and offered advice and medications. The prescriptions are valid for 2 weeks and after which the patient returns for a repeat prescription.


Inpatient services

The inpatient services forms the backbone of our department.  People from all over the state stay in our wards together.  The patient has problems ranging from minor forms of rheumatic heart disease, complicated myocardial infarctions and rare complex cyanotic heart disease.      

General ward

The male consists of 23 representing the two units. Patients are admitted for medical care and investigations.  Patients are provided with round the clock availability of medical care.
 Patients are admitted for evaluation, treatment and for recovery after myocardial infarction.

ICCU

The intensive coronary care unit provides quality intensive care to critically ill patients, mostly myocardial infarction.  This unit had 8 beds individual patient monitors and a central monitor to monitor all the patients from one point.  Currently our ICCU has a unique “Zero delay” protocol in which the patient with chest pain arrives directly to the ICCU by passing the emergency room.

The electrocardiography section of the department caters to about 50-75 outpatients daily and offers daily recordings of the ECG for all inpatients.  The ECGs are 12 lead ECG with state of the art machines.   Patients who come to the outpatient department have their electrocardiograms taken and sent for consultation.
                
The X-ray department is dedicated to the department of cardiology and is located close to the outpatient department.  It offers good quality X-rays for all the patients who come to the department for investigation and treatment.
The developed x-ray are given to the patient in a few minutes and the patient takes it along for his/her consultation.

The cardiac catheterization lab that was installed at the department in the year 1988 has been used extensively for various diagnostic and therapeutic procedures. The department has specially trained staff nurses and other technical personnel who manage the routine work and cardiac emergencies efficiently and add to the quality of patient care.  A large number of patients have had the benefit of tertiary cardiac care at our department.
                We like to infrom that the new cath lab has been sanctioned vide G.O (4D) No.20 health and family welfare department dated: 16.11.2004 under Japanese dept relief grant assistance.
               
               
 
Our department has published a number of papers in national journals.
 1. Value of recording V7-V9leads in acute myocardial infarction.
 2. Right Ventricular function in acute anterior wall myocardial infarction.
 3. Cardiac involvement in acute nephritic syndrome
 4. Artial function in acute myocardial infarction.
5. Role of QT dispersion as a predictor of mortality in acute myocardial infarction.
6. Prevalance of carotid and peripheral vascular diseases in patients with CAD.
7. Clinical profile of premenopausal women with acute coronary syndrome.
8. Cardio vascular changes In elderly.
9. Genetic status status of primary pulmonary hypertension.
10. Right ventricular involvement in acute anterior wall myocardial infarction.
11. Does IV Nicorandil have adjunct role in improving the outlook of high risk patient with acute myocardial infarction undergoing thrombolysis?
12. Admission blood glucose level as a predictor of early out come in acute myocardial infarction.
13. Is LV Diastolic dysfulnction as independent predictor of in-hospital mortality and morbidity in acute myocardial infarction?
14. A study of clinical efficacy of SILDENAFIL in patient with primary plulmonary hypertension.
15. Echo changes in elderly.
16. Diagnostic and prognostic of value of recording V7-V9 leads in acute myocardial infarction.
17. QT dispersion and left ventricular muscle mass in malnourished children.
18. Lp (a) as predictor of coronary artery disease in the young:  A family study.
19. Electrocardiograpihic changes in the Elderly.
20. Lp (a) levels in acute myocardial infarction.
21. Implication of extra coronary atherosclerosis in coronary artery disease.


                
     

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