The Coronary Care Unit (CCU) is a twenty-bed facility specializing in the treatment of patients with acute cardiovascular disorders. Over 1,500 patients are admitted to this unit each year. The CCU is equipped with computerized arrhythmia monitoring, bedside hemodynamic monitoring, and facilities for hard copy hemodynamic recording and measurement of arterial and mixed venous oxygen saturation. The CCU team consists of
- an attending cardiologist
- cardiology fellow
- is the team leader
- responsible for the care of all CCU patients under direct supervision by the attending cardiologist
- 2-3 residents
- nurse manager
Cardiac Catheterization Laboratories
Diagnostic cardiac catheterizations and interventional procedures are performed in nine Cardiac Catheterization Laboratories. Equipment includes state-of-the-art physiologic recorders and single and biplane digital cineangiographic imaging systems and digital subtraction angiography.
- coronary angiography
- simple and complex PCI
- supported high-risk PCI (IABP, Impella)
- primary PCI for acute myocardial infarction
- mitral and aortic valvuloplasty
- endomyocardial biopsy
- peripheral vascular interventions
Advanced interventions include
- carotid stenting
- transcatheter aortic valve replacement (TAVR)
- mitral valve repair
- alcohol septal ablation
- percutaneous repair of congenital (ASD, PFO, VSD) and acquired (perivalvular leak, post infarction VSD) structural heart diseases
Imaging modalities include
- infrared spectroscopy, OCT, and intravascular ultrasound.
- Physiologic measurements, including coronary blood flow and vasodilator reserve using intracoronary Doppler flow techniques.
- A hybrid cath lab/operating room is used for hybrid procedures and structural heart interventions.
Approximately 1,500 detailed electrophysiological studies, 400 pacemaker insertions, and 175 Implantable Cardiac Defibrillators are performed yearly in three Electrophysiology Laboratories.
Fellows participate in the Pacemaker Clinic which has computerized Zymed instrumentation and an ART system utilized in the processing of Holter monitors and signal-averaged ECGs. The Electrocardiographic Laboratory handles approximately 75,000 electrocardiograms per year and is served by an HP-1000 computer.
Approximately 10,000 patients annually undergo combined echocardiographic and/or color Doppler studies performed in the Echocardiography Laboratories. Specialized studies including stress echocardiography, transesophageal echocardiography, contrast echocardiography, and 3-D echocardiography are performed in the outpatient and inpatient settings. Transesophageal echocardiography is also employed in the Emergency Department, Cardiac Catheterization Laboratory, and Operating Room settings. State-of-the-art imaging is available with computerized tomography angiography (CTA), magnetic resonance angiography (MRA), and cardiac magnetic resonance imaging (CMR). Cardiac MRI and CT are owned and operated by the Department of Cardiovascular Medicine, allowing unique training and educational opportunities for the fellows. Virtually all fellows acquire sufficient expertise for board certification in nuclear cardiology, echocardiography, and cardiac computerized tomography.
Beaumont Hospital Rehabilitation and Health Centers
These facilities provide exercise physiology and clinical exercise testing.
Various tests employed in this high-volume center, which performs approximately 5,000 tests annually using a computerized electrocardiographic recording system:
- exercise treadmill
- arm and leg bicycle ergometry
- transesophageal pacing
- isometric handgrip exercise
- cold pressor and hyperventilation tests
- work simulation (e.g. vocational assessment)
These tests are complemented by an automated system which offers the capability of direct "on-line" assessment of oxygen consumption, minute ventilation, respiratory exchange ratio, and ventilatory (anaerobic) threshold.>
Center for Innovation & Research in Cardiovascular Diseases (CIRC)
A unique center for integrated care, physician training, education, and technology transfer. CIRC utilizes the Tyner hybrid lab, a large observation theater, classrooms, bio-skills laboratory, and simulation center for worldwide physician training and education for various new invasive procedures.