::Departments : Super Specialities : Cardiology
Academic activities
    Courses handled
    Intake
    Eligibility
    Course duration
    Selection procedure
    Affiliated University
    Academic Curriculum
    Academic schedule
    University Examination details
    Conferences
 
Courses handled
 
P G courses
                DM (cardiology)
 
Para medical courses
                ECG &TMT  technician  course
                Echocardiography  technician course
                Cath. Lab technician course
 
Intake             
                DM (cardiology) - 14 students per year
 
Eligibility 
                M.D (general medicine) or M.D (pedatrics) Degree from any Indian university    recognized by the Medical Council of India & and obtained permanent registration                from any of the Medical Councils 
 
Course duration             
                DM (cardiology) - 3 Years
 
Selection procedure
                Common Entrance Examinations conducted by the Selection committee ,Directorate     of Medical Education and Counseling.
 
Affiliated University
                The Tamil Nadu DR. M.G.R Medical University, Chennai.
 
Academic Curriculum
                 Applied Anatomy: Heart and great vessels, congenital anomalies; development of          heart.
 
                Applied Physiology: Cardiac cycle, cardiac output, pressure and volume loops, cardiac     contractility, pulmonary circulation, coronary circulation, blood pressure, cardiac                failure, acid base balance. Autonomic control of heart and vasculature, pulmonary                function tests and their application to cardiology, interpretation of data on PET.
 
                Applied Pathology: Congenital heart disease, rheumatic fever and lesions,           myocarditis, cardiomyopathies, pericarditis, constrictive pericarditis, infective     endocarditis, coronary artery disease including myocardial infarction, hypertensive     heart disease, pulmonary embolism, cardiac tumors.
 
                Applied Pharmacology: Cardiac glycosides, anti-hypertensives, diuretics, drugs for           coronary artery disease, betablockers, calcium channel blockers, inotropic agents,             antibiotics, antiarrhythmic agents.
 
                Cardiovascular Imaging: Chest x-ray, ECG, Echo, Nuclear medicine imaging, MRI, CT         scan, PET scan. Hemodynamics and interventions: Cardiac catheterization, oxymetry,    hemodynamics, angiogram, interventional procedures in cardiology practice.
 
                Clinical Cardiology: Congenital, ischemic heart disease, myocardial disorders,      pericardial, valvar heart disease, pulmonary hypertension, cardiac tumours, cardiac           arrhythmias, other system disorders affecting cardiology.
 
Academic Schedule
                Monday               - Important topic discussion
                Tuesday               - Journal Club
                Wednesday        -X –Ray/ECG/ECHO discussions
                Thursday             -Clinical  panel discussion
                Friday                    - Therapeutics & Guidelines
                Saturday              - Cath conference
 
University Examination details
                The Examination for DM cardiology  is held at the end of the 2 nd year when students    write a theory paper on Basic Sciences and the final examination at the end of 3rd            academic year. Two University examinations are held in an academic year, always 1st            March &  1 st August
 
Theory Examination
               
Part -A
                Theory paper on Basic Sciences paper related to medicie at the end of first year
Part -B
                The Post Graduate students write 4 theory papers each of 100 Marks and of 3 hours       duration (Total 300 marks) at the end of the 3rd  year
 
                Paper I -Basic Sciences
 
                Paper II -Clinical Cardiology
 
                Paper III -Hemodynamics therapeutics and intervention
 
                Paper IV - Recent Advances
 
Practical Examination
 
(a) Clinical Patient presentation/discussion:
 
(i) One long case: The long case will be structured comprising – history taking, clinical examination, investigations, decision making, proposed treatment modalities, ethical justification and personal attributes.
 
(ii) Three short cases: The short cases will also be structured in which only one particular system may be considered and therapy decision/discussion, made.
 
(b) Identification of Surgical Pathology, excised specimens & discussion, reading X-rays & CT Scan/MRI, identification of Instruments & discussion, identification of braces & calipers & discussion thereon.
 
(c)  Dissertation and Log book Evaluation
Services Offered
 
Out patient services
Our  OPD  is one of the busiest  sections of our hospital. About  175  new patients and 400 review patients are seen per day. Bulk of patient   population  is referred from other institutions and hospital .Our OPD is a major attraction among the General practitioners of the city as it gives a complete work up of common clinical cardiac problems including  an echocardiogram  in a   single visit.  A   rapid   screening for cardiac fitness  in patients who await non cardiac surgery is available. We also provide  support to master cardiac health check program.
 
In patient services
This  forms the back bone of our service. People    from all over the state stay together in our wards. The   problems ranges  from minor forms of rheumatic heart disease, complicated myocardial infarctions, to rare complex cyanotic heart disease. Our success rate in all common curable heart disease is comparable to the best available in the country.
 
General  ward , children ward , special ward
We   have   separate wards for women, men and children with  a special ward   facility.  It is generally acclaimed by all  as  a decent place and patients spend their time with comfort.
 
 Coronary care unit
Our   CCU  started  functioning in the year 1972  shortly after the concept of acute coronary care was introduced in the western world. It has been associated with   all aspects of evolution of coronary care. Currently our CCU has a unique “Zero delay” protocol in which the patient with chest pain arrive here directly by passing the ER. It provides the state of art of coronary care with one of the shortest mean door to lysis time of 10mts ever reported. It’s now realized we are probably the only  centre where fully qualified consultants administer the treatment right from the patient arrival in CCU.
 
The overall  AMI mortality has steadily declined from around 20% in the early seventies, to 7% currently, bringing at par with sophisticated centers of the world. There have been number of important contributions to the world literature from this CCU.  The concept  thrombolysing ACS with isolated tall T waves  has been suggested and  newer regimen for thrombolysing the elderly population is also determined with success. And we have also reported our  30 yrs experience where in, we have found the routine aggressive approaches in unstable angina is largely unnecessary and now, the same is being increasingly  acknowledged   in many centers abroad.
 
Intermediate Care Unit
This unit has 8 beds with exclusive staff and it  receives patients from Coronary Care Unit. It also has facilities to tackle any emergency
 
Intensive Cardiac Care Unit (ICCU)
It is functioning for the past 30 years right from the inception of this Institute in 1972.  It takes care of all non coronary emergencies like heart blocks, end stage heart failure and valvular diseases.
 
Echo Lab
 Our Echo lab is one of the earliest to be launched in the country in the year 1978. It has contributed immensely to development and propagation of this vital non  invasive facility in the region. It has  grown  with strong foundations in the fundamentals of echocardiography right from  M mode echo to the current tissue   Doppler echocardiography. Our institute has authored two books on echocardiography and is hugely popular among  the medical professionals.
 
Around   50,000 echocardiograms are done per annum. We have reported original work on   Dobutamine stress echocardiography , and the largest collection of  infective endocarditis and intra cardiac masses.
 
3 Dimensional  echocardiography
We have acquired the  live  3 dimensional echocardiographic machine  from Philips IE33 .The technology used is latest in the field and our hospital is one of earliest to get this in the country .It has a capacity to process the 3 D data real time and produce stunning images of heart  in 3D.It also has strain rate imaging and has the facility to analyse the entire raw data  offline using  Q .lab
 
Stress echocardiography
Stress echocardiography  using drugs like dobutamine  is  specifically used in patients with Coronary artery disease who cannot exercise .It is becoming a  useful investigation in the evaluation of CAD. We perform this   test in selected subgroup of patients with CAD
 
Transesophageal   echocardiography
We have three Echo machines   with facility   to do TEE .  Being a referral hospital TEE has become the vital investigation in our institute. We have done about 300 TEE studies in the last 6 months.
 
Holter -24 Hr  ECG
We have 2 holter machines. The new  Holter system  helps to analyse complex brady and tachy arrhymias and aids us to select patients for pacemaker implantation. We are also aiming to improve   the utility value of this device in various coronary artery disease patients
 
Exercise stress  testing
Stress ECG by means of computerized treadmill and analyzer done for all patients  prior to  coronary angiogram and also for subsequent evaluation of revascularisation procedures.
 
Cardiac catheterization lab
Our cardiac catheterisation lab is one of the earliest to be installed in our country and has pioneered the early research work in defining all forms of congenital heart disease. This had enabled our surgeons to bring our institute as international center for excellence in cardio thoracic surgery. The focus had shifted to coronary artery disease in recent decades.
Now we have a sophisticated  cineless digital Cardiac Catheterisation Laboratory which is one of the best in the country.  Right and left heart catheterization, angiogram are done routinely for diagnosis and management.  Coronary angiogram has become the essential investigation for our patients. We do on an average of 3000 procedures /year. Recently we have started device closure for congenital heart diseases such as ASD, PDA, RSOV etc.
 
               
 
 
 
 

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