Chosen by the Health Care Financing Administration (HCFA) and the Delmarva Foundation as an "Exemplary Service," the Division of Cardiology delivers secondary and tertiary care to a diverse patient population. Recognized for innovation in a variety of fields--including ischemic heart disease, congestive heart failure, valvular heart disease, clinical electrophysiology, and cardiac arrhythmia--the division supports active and ongoing research.
An average census of 30 patients per day includes the eight-bed coronary care unit, fully equipped for invasive hemodynamic and electrophysiological studies, and a 24-bed progressive care unit. A combined cardiac surgery-cardiology service serves patients undergoing heart surgery. There is an active consultation service providing cardiology input to other services in the hospital.
Each year, the ECG and Echocardiographic Laboratories perform and interpret more than 36,000 electrocardiograms, two dimensional and transesophageal echocardiograms, and other non-invasive procedures. The heart station administers multistage exercise testing (including radionuclear exercise imaging), Holter monitoring, and M-mode, 2-D, and Doppler Echocardiography. Cardiac nuclear imaging, multi-slice CT, cardiac MR and vascular noninvasive ultrasound studies are read jointly with the Department of Radiology.
The Cardiac Catheterization Laboratory performs hemodynamic and angiographic studies. In addition, the laboratory performs all invasive procedures including balloon angioplasties, atherectomies, rotablations and stents and invasive electrophysiologic investigations of ventricular and supraventricular arrhythmias. A dedicated bi-plane digital subtraction unit further enhances the laboratory's capabilities.
A large outpatient service exposes residents to daily clinics including general Cardiology, lipid disorders and arrhythmia. House officers participate in daily rounds on the coronary care unit and on the combined cardiac-surgery consultation services. Attending physicians, fellows, and residents are actively involved in all phases of the teaching program. A variety of conferences—grand rounds, cardiac catheterization, imaging, electrocardiography, and research in progress—meet on a regular basis.
The Division of Cardiology offers a three-year fellowship program for individuals who have completed their training in internal medicine. The fellowship program provides broad training in all aspects of invasive and non-invasive cardiology, and active participation in research projects. Fourth and fifth years of training in invasive cardiology and electrophysiology are also offered.
Funded research projects of the Division of Cardiology focus upon electrophysiology, effects of drugs on electrical properties of canine myocardium, interventional angiography including thrombolysis, new applications of cardiac imaging, cardiac pharmacology, lipid disorders, and woman's health.