Faculty
P K Goel
Aditya Kapoor
Satyendra Tewari
Naveen Garg
Sudeep Kumar
Activities
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:
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Fourteen beded centrally monitored intensive care unit
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Digital angiography equipment for coronary angiography
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Percutaneous transluminal coronary angioplasty (PTCA) and coronary stents
(including drug eluting stents)
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Primary angioplasty for acute myocardial infarction.
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Coronary atherectomy and thrombus extraction devices
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Radiofrequency ablation for management of arrhythmias
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Permanent Pacemaker (including biventricular) and AICD implantation
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Mitral, Aortic and Pulmonary valve balloon dilatation
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Peripheral arterial (renal, carotid , aorta etc) and venous dilatations
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Balloon septostomy,
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Device Closure of ASD, VSD, PDA
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Colour Doppler echocardiography
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Portable echocardiography with Doppler
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Transoesphageal Echocardiography
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Dobutamine Stress Echocardiography
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Contrast echocardiography
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3-Dimensional Echocardiography
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Holter monitoring
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Defibrillators with emergency Transthoracic pacing facility
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Treadmill Exercise Test
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Preventive Cardiology LIPID Clinic (Comprehensive Risk Factor Management)
Teaching and Training
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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.
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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.
Research
Ongoing projects include:
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Sentinal Surveillance of cardiovascular risk factors
in Industrial population under aegis of WHO
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Web Based Taxus Intercontinental Observational Data
Transitional Registry Program (MILESTONE TWO Registry). SGPGIMS is one
of the five participating centers in India
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INNOVA Observational Data Transitional Registry Program
of Pronova stent
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EXCEL Observational Data Transitional Registry Program
of Excel stent
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TRANSIT Observational Data Transitional Registry
Program of Translumina stent
-
Isolated Low HDL As A Risk Factor In Indian Patients
of Coronary Artery Disease
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Multicentre Drugs Trials
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Low Molecular Weight Heparin in PCI
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FMD & other surrogate markers of atherosclerosis
in patients with SLE
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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
Cardiosource
Mid-term
National Interventional Meeting 2005