University Examination details
P G courses
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DM (cardiology) - 14 students per year
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
DM (cardiology) - 3 Years
Common Entrance Examinations conducted by the Selection committee ,Directorate of Medical Education and Counseling.
The Tamil Nadu DR. M.G.R Medical University, Chennai.
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.
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 paper on Basic Sciences paper related to medicie at the end of first year
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
(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
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.
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 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
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.