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Cardiology

Overview

Cardiology Dept was started in the year 1990 and made a quantum leap in providing advanced cardiac care after the establishment of a Cath Lab in the year 2015. Comprehensive cares ranging from emergency angioplasty for acute heart attack in the middle of the night to educating the public about healthy life style are carried out with lot of enthusiasm.

Facilities

In Patient Services

Acutely ill patients are treated in 1 B ward which has a Cardiac Cath Lab, 4 bed ICCU, 14 beds step down ward, 4 day care beds and 2 private cubicles. 24 by 7 care is provided by trained doctors, nurses, technicians and support staff.
The Cath Lab is well equipped with state of the art equipment. High end interventional cardiac procedures are conducted in the modern unit that was inaugurated on 3rd March 2015. Coronary procedures like angiogram and angioplasty are carried out with Philips X per FD 10 ceiling mounted Cardiac Cath Lab. A Siemens image intensifier is also available for pacemaker implantation. The Cath Ward has two ventilators, one Intra Aortic Balloon Pump (IABP), a portable Vivid I Echo machine and a high end 16 channel ECG machine. All the beds have bedside monitors and syringe pumps. TMH Cath Lab is the only center in the states of Bihar and Jharkhand to have the equipment and the expertise to carry out Electro Physiology Study for cardiac arrhythmia and perform the curative procedure of Radio Frequency Ablation (EPS and RFA). Within the first year of installation itself more than 1000 coronary angiogram, 400 angioplasties and 30 30 EPS/RFA were carried out successfully. Patients with acute heart attack get the standard of care, Primary Angioplasty, any time of the day or night. The facility is extended to the mines and colliery hospitals in the out locations through a ‘Hub and Spoke’ model of care. Pacemaker implantation in TMH was started way back in the year 1982. More than 3000 pacemakers have been implanted and the patients are regularly followed up in a Pacemaker Clinic that is conducted on every Monday in the OPD. After the installation of the Cath lab, Cardiac Resynchronisation Therapy Device for heart failure patients is also being implanted (CRTD). A unique facility of providing free pacemakers to poor patients was started in the year 2005 in association with Rotary Clubs. More than 200 patients were helped by the Pacemaker bank.

Patients who do not require close monitoring are admitted in the 3 A (male) and 3 B wards (female) which also are manned 24 by 7 by duty doctors and nurses.

Out Patient Services

Cardiology OPD is in the first floor of the OPD complex in close proximity to the entrance and the emergency room. It is functional from 9 AM to 6 PM from Monday to Saturday. Four doctors are available for OPD consultation.  A qualified echocardiographer performs Echo tests with Vivid 7 Echo machine. Other non invasive tests available are Tread Mill Test, 24 hour ambulatory holter recording and Head Up Tilt Test. Both male and female technicians are available

Other tests like Myocardial perfusion scan is done in the Dept of Nuclear Medicine, CT Coronary angiogram is done in the MTMH and all blood tests are done in the TMH NABL accredited Pathology laboratory, all in close proximity to the OPD.

Community Services

The doctors and staff nurses are keenly involved in preventive cardiology measures to raise public awareness about risk factors for heart attacks, screening tests and education about early action plan including CPR. These activities are conducted annually on the occasions of World Heart day and World Hypertension Day.

Doctors in this department