II. Internal Clinic - Cardiology and Angiology
II. internal clinic - the clinic of cardiology and angiology provides comprehensive care for patients with all types of cardiovascular diseases. Together with II. The Department of Surgery, Cardiovascular Surgery and the Department of Anesthesia, Resuscitation and Intensive Care, is the backbone of the Cardiocentre of the General University Hospital in Prague.
The main activity of the clinic is cardiology. Every year, approximately 40,000 patients with heart and vascular diseases, mainly with ischemic heart disease, valve defects, cardiomyopathies, heart rhythm disorders and pulmonary hypertension, pass through our clinics. A significant part of our patients are patients with acute conditions, for whom there are three specialized intensive care units (coronary, antiarrhythmic and angiological) available at the clinic together with a continuously functioning catheterization laboratory.
At the clinic, we use all common non-invasive examination methods. We have a state-of-the-art echocardiography laboratory. Thanks to the cooperation with the Radiodiagnostic Clinic and the Institute of Nuclear Medicine, all imaging methods are available for our patients, including examination of the heart and blood vessels by magnetic resonance imaging, CT and nuclear medicine methods.
Of the invasive methods, catheterization is the most important. Every year, more than 2,500 diagnostic cardiac catheterizations and about 1,000 coronary interventions are performed, of which more than a quarter are in patients with acute myocardial infarction in its early phase.
In addition to coronary artery procedures, we also perform other interventional procedures, such as structural interventions on the valves (catheter replacement of the aortic valve, balloon valvuloplasty of the aortic valve, implantation of mitraclip in the treatment of mitral valve insufficiency), closures of atrial septal defect by Amplatz occluder, occlusion in pulmonary arterial hypertension. At the same time, we are able to perform any of the procedures using mechanical cardiac supports, if necessary.
The clinic is equipped with a modern coronary unit, which provides a wide range of intensive care methods, including all types of artificial lung ventilation, hemoelimination methods and methods of mechanical support of the circulation and lungs. The clinic is part of the ECMO hospital center. A program of circulatory pledges has been developed.
The clinic of pacemakers and defibrillators is dedicated to the treatment of arrhythmias at the clinic, and resynchronization therapy is increasingly being applied to patients with refractory heart failure. For other arrhythmias, ablation techniques are used, and the number of procedures in these patients is still increasing.
A separate area is the Center for Diagnosis and Treatment of Pulmonary Hypertension, the largest in the Czech Republic, which uses all available diagnostic and therapeutic procedures for this serious disease. For indications for lung transplantation, we cooperate with III. Department of Surgery 1 LF UK and FN Motol. There is also a Center for the Diagnosis and Treatment of Fabry Disease.
After the incorporation of the angiological group into the structure II. A new modernly equipped unit of intensive angiological care specialized in vascular problems was opened to the internal clinic, and a new angiographic complex was opened, which is intended only for non-cardiac invasive and interventional procedures.
A full range of non-invasive and invasive examination methods, including duplex sonography, is available in the diagnosis of vascular diseases. In addition to routine methods, we also use intravascular ultrasound in the arteries and venous system in invasive diagnostics. We perform procedures on the peripheral arteries of the limbs, but also procedures on the carotid, renal and aortic arteries, including implantation of stent grafts into the aorta in chronic and acute conditions.
Approximately 1,300 diagnostic catheters and almost 850 interventions on the arteries and venous system are performed each year. A significant part of patients is examined and treated with venous problems, including acute conditions, which, as well as operations on the arterial bed, are performed in continuous operation. As in the area of the coronary artery, interventional treatment of arteries and veins is performed by percutaneous transluminal angioplasty or stent implantation. Various types of catheter thrombectomies are performed and caval filters are implanted there. In the field of local thrombolytic treatment of arterial and venous occlusions, the workplace has priority not only from a national point of view.
The clinic participates in the teaching of medical students in the fields of internal medicine. The clinic is undergoing a number of research projects, clinical studies and educational activities. The clinic is an important training facility in the fields of cardiology, angiology and intensive care.
- U Nemocnice 499/2, 128 08 Prague 2, (pavilion A12, A14)
- +420 | 224 962 605 | 224 922 692
- +420 224 912 154