II. Department of Internal Medicine - Department of Cardiology and Angiology provides comprehensive care for patients with all types of cardiovascular disease. Together with II. Department of Cardiovascular Surgery and the Department of Anesthesia, Resuscitation and Intensive Care is the backbone Cardio centers of the General University Hospital in Prague.

Activities

The main activity of the clinic is the treatment of cardiovascular diseases. Every year, approximately 40,000 patients with heart and vascular diseases pass through our clinics, mainly ischemic heart disease, valve defects, cardiomyopathies, heart rhythm disorders, pulmonary hypertension and arterial and venous diseases. A significant part of our patients are patients with acute conditions, for whom there are three specialized intensive care units available at the clinic (coronary, antiarrhythmic and angiological) together with continuously functioning catheterization laboratories. We treat some patients in a one-day hospital.

Workplace equipment

At the clinic, we use all the usual ones non-invasive examination methods in cardiology and angiology. We are top equipped echocardiography laboratory. The clinic offers a full range stress tests. Thanks to the cooperation with the Radiodiagnostic Clinic and the Institute of Nuclear Medicine, all imaging methods are available for our patients, including magnetic resonance imaging of the heart and blood vessels, CT and nuclear medicine methods. The clinic is equipped with three fully modern ones catheterization laboratories.

Basic spectrum of care and methods

OF invasive methods is the most important catheterization examination. Every year, more than 2,500 diagnostic cardiac catheterizations and around 1,000 coronary interventions are performed, of which more than a quarter are in patients with early-stage acute myocardial infarction. In addition to coronary artery procedures, we also perform other interventional procedures, such as structural intervention 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 the atrial septal defect by Amplatz occluder, occlusion of the left atrial appendage, septostomy in pulmonary arterial hypertension. At the same time, we are able to perform any of the performances using mechanical cardiac supports.

The clinic is equipped with a modern coronary unit, which provides a wide range of methods intensive care including all types of artificial lung ventilation, hemoelimination methods and methods of mechanical circulatory and lung support. The clinic is part of it ECMO center HOSPITAL. He is developed circulatory collateral program.

The center treats arrhythmias at the clinic implantation of pacemakers and defibrillators, resynchronization therapy is increasingly being applied to patients with refractory heart failure. It is used in other arrhythmias catheter ablation, the number of procedures in these patients is still growing.

A separate area is the Center for Diagnostics and Treatment pulmonary hypertension, the largest in the Czech Republic, which uses all available diagnostic and treatment procedures for this serious disease. In the indications for lung transplantation, we cooperate with III. Department of Surgery 1 LF UK and FN Motol. The Center for Diagnostics and Treatment also operates here Fabry disease.

After incorporation angiological groups to structure II. A new, modernly equipped intensive care unit specializing in vascular issues 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 invasive vascular diagnostics In addition to routine methods, we also use intravascular ultrasound in the arteries and venous system. We perform performances on

peripheral arteries, but also carotid, renal and aortic arteries, including stent graft implantation into the aorta in both chronic and acute conditions.

Approximately 1,300 diagnostic catheterizations and nearly 850 interventional procedures on the arteries and venous system are performed each year. A significant proportion of patients are examined and treated for venous problems, including acute conditions, which are the same as arterial procedures are performed in continuous operation. As in the coronary artery, interventional arteries and veins are treated with percutaneous transluminal angioplasty or stent implantation. Various types of catheterized thrombectomies are performed and cavalry filters are implanted there. In the area of local thrombolytic treatment of arterial and venous occlusions, the workplace has priority not only from the national point of view.

The clinic is involved in teaching students medical faculties in the fields of internal medicine. There are a lot going on at the clinic research projects, clinical trials and educational activities. The clinic is an important training facility in the fields of cardiology, angiology and intensive care.