Department of Cardiology
    P K Goel 
    Aditya Kapoor
    Satyendra Tewari
    Naveen Garg
    Sudeep Kumar

The department of Cardiology was amongst the first departments established at SGPGIMS, Lucknow, in late 1987. In October 1987, the first patients started to trickle into the OPD while indoor admission facilities got underway in mid 1988 in the general hospital. With the procurement of Treadmill Stress Testing and Colour Doppler Echocardiography facilities, the non-invasive laboratories were set up in the same year and with the ICU monitoring system being installed a sophisticated cardiac intensive care unit started functioning. The Cardiac Catheterization Laboratory (a Biplane System) became operational in 1989. Professor PS Bidwai joined in September 1989 as Professor and Head of cardiology, and the first DM Cardiology student was admitted in Jan 1990. The department started many procedures – both invasive and non invasive, under his leadership and guidance, prime among them being coronary interventions which started in 1991. Following his retirement in 1991, Dr Savitri Shrivastava’s arrival imparted a new impetus to various aspects of the cardiology services, especially in the fields of Paediatric and Interventional Cardiology. She was instrumental in starting mitral valve balloon dilatations and paediatric therapeutic interventions. The leadership qualities and progressive outlook of these stalwarts enabled the department to progress rapidly and become self-sustaining, so that even after their departure from the Institute, we can look back on our achievements with pride and satisfaction.

Today the department has a whole range of facilities for diagnosing and treating all varieties of cardiac diseases. Besides other necessary equipment, the department has two cardiac catheterization laboratories and is actively involved in both pediatric and adult Cardiac interventions, making it the leading center for non-invasive and invasive interventional cardiology in the state of Uttar Pradesh. The Cardiac catheterization laboratory performs more than 3500 cases per year including coronary angioplasties, balloon valvuloplasties and interventions for congenital heart disease and peripheral vascular diseases. The Department is the only center in the state of Uttar Pradesh providing facilities for complex coronary interventions including use of stents and other devices, three dimensional echocardiography, intravascular ultrasound during diagnostic and interventional coronary procedures, and electrophysiological treatment of cardiac arrhythmias besides having a dedicated paediatric cardiology and cardiac epidemiology unit. The department also offers facilities for Primary Coronary Angioplasty where patients of acute myocardial infarction (heart attack) can be treated by balloon angioplasty and stent implantation, if the patients are brought in time. 

In the last few years the department has also started doing Automatic Internal Cardioverter Defbrillator (AICD) implantation for life threatening ventricular arrhythmias, Biventricular pacing for Heart failure, implantation of Drug Eluting stents for prevention of coronary restenosis and Amplatzer device closure of congenital heart defects. The department has been very active in doing both clinical and basic research and has published more than hundred research papers and original articles in reputed national and international journals. 

Today, the department has established itself as one of the leading cardiology center in the country. The department’s long-term goals include strengthening of its existing clinical and postgraduate training services and research activities together with offering innovative, new and cheaper methods of treatment and at the same time increasing public awareness about the rising trends of heart disease in our population, besides educating the public about its prevention aspects. The department is proud to have five faculty members honoured by the prestigious Fellow of American College of Cardiology (FACC) degree. The department has got an unique record in that most of the hospital service senior residents participating in our teaching programme have got selected in a formal DM training program here or elsewhere.

Clinical Activities
The facilities available in the department include the following:

  • Fourteen beded centrally monitored intensive care unit 
  • Digital angiography equipment for coronary angiography 
  • Percutaneous transluminal coronary angioplasty (PTCA) and coronary stents (including drug eluting stents) 
  • Primary angioplasty for acute myocardial infarction. 
  • Coronary atherectomy and thrombus extraction devices 
  • Radiofrequency ablation for management of arrhythmias 
  • Permanent Pacemaker (including biventricular) and AICD implantation 
  • Mitral, Aortic and Pulmonary valve balloon dilatation 
  • Peripheral arterial (renal, carotid , aorta etc) and venous dilatations 
  • Balloon septostomy, 
  • Device Closure of ASD, VSD, PDA 
  • Colour Doppler echocardiography 
  • Portable echocardiography with Doppler 
  • Transoesphageal Echocardiography 
  • Dobutamine Stress Echocardiography 
  • Contrast echocardiography 
  • 3-Dimensional Echocardiography 
  • Holter monitoring 
  • Defibrillators with emergency Transthoracic pacing facility 
  • Treadmill Exercise Test 
  • Preventive Cardiology LIPID Clinic (Comprehensive Risk Factor Management) 

Teaching and Training

  • The department runs a three year DM (Cardiology) course. It was the first department in the country to start with a three year training program keeping in view the extended and extensive requirements for teaching and training. In addition, hospital service senior residents receive training for Diploma of the National Board of Examinations. The department has a strong teaching , training and research program. The endeavor is to continue to lead , innovate and train cardiologists for the state and the country.
  • The departmental faculty conduct regular CME's and physician training programme aimed at updating  the clinical skills and knowledge base of cardiologists of UP. In addition the department has conducted many public awareness regarding diagnosis & treatment of heart disease besides stressing upon the the need for prevention. 

    Ongoing projects include:

  • Sentinal Surveillance of cardiovascular risk factors in Industrial population under aegis of WHO 
  • Web Based Taxus Intercontinental Observational Data Transitional Registry Program (MILESTONE TWO Registry). SGPGIMS is one of the five participating centers in India 
  • INNOVA Observational Data Transitional Registry Program of Pronova stent 
  • EXCEL Observational Data Transitional Registry Program of Excel stent 
  • TRANSIT Observational Data Transitional Registry Program of Translumina stent 
  • Isolated Low HDL As A Risk Factor In Indian Patients of Coronary Artery Disease 
  • Multicentre Drugs Trials 
  • Low Molecular Weight Heparin in PCI 
  • FMD & other surrogate markers of atherosclerosis in patients with SLE 
  • Ventricular Dyssynchrony in patients with LV dysfunction 

Useful Links
   Cardiological Society of India (UP Chapter) A useful link for Physician, Cardiologist and patients alike.
   American College of Cardiology
   Mid-term National Interventional Meeting 2005

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