The Adult Cardiology Department of the Philippine Heart Center provides state-of-the-art adult cardiac care encompassing both inpatients and outpatients and covering diagnostic, therapeutic, rehabilitative and preventive aspects. It oversees and coordinates the activities of seven (7) divisions namely:
The Department of Adult Cardiology through its Training Committee is also responsible for the implementation of the Adult Cardiology Training Program in coordination with the Department of Education Training and Research. The objective of the program is to equip and train future cardiologists to become excellent and dedicated practitioners in the field of Cardiovascular Medicine. The Department provides the supporting staff, qualified consultants, faculty and administration fully committed to the fellowship training program. They will impart knowledge in their field of specialty, help in producing pertinent researches for future use and serve as role models for future cardiologists. As of academic year 2008, the department has a total of 354 graduates of Adult Cardiology Fellowship Training Program.
- Clinical Cardiology Division
- Invasive Cardiology Division
- Non-Invasive Diagnostic Cardiology Division
- Out-Patient Division
- Preventive Cardiology Division
- Critical Care Medicine Division
- Electrocardiology Division
- CLINICAL CARDIOLOGY DIVISION
The Division of Clinical Cardiology of the Philippine Heart Center is at the forefront of the hospital’s operation. It is involved in patient care, in education and training and in research. Patient care is undertaken by its consultant staff, house staff and secretarial staff.
The primary function of the Division of Clinical Cardiology is to provide accurate cardiac and vascular diagnosis and deliver a rational and effective therapy for patients suffering from any cardiovascular disease.
The Division of Clinical Cardiology is tasked to render patient care in the hospital. The Division takes into priority the service patients admitted to its care. The Division also participates actively in the admission and management of patients in the pay services.
- INVASIVE CARDIOLOGY DIVISION
The Invasive Cardiology Division is directly under the Department of Adult Cardiology. It is responsible for all invasive procedures, both diagnostic and therapeutic, e.g. cardiac catheterization and electrophysiologic studies, percutaneous coronary intervention, valvular intervention, intervention with congenital heart disease.
The Division Head oversees the operations of the two cardiovascular laboratories. Directly under him are the Chief in Invasive Diagnostic Section, Chief in Interventional Cardiology Section, Chief in Peripheral/ Non-Cardiac Intervention Section whose main responsibility is to assist in the formulation and implementation of section policies and guidelines.
- NON-INVASIVE DIAGNOSTIC CARDIOLOGY DIVISION
The Non-invasive Diagnostic Cardiology Division of the Philippine Heart Center is the biggest Heart Station in the country today. It is headed and assisted by the country's best adult echocardiographers namely: Dr. Raul D. Jara as the Head of the Division since 1999, Dr. Romeo J. Santos, Medical Specialist IV, Dr. Viannely Berwyn F. Flores, Medical Specialist II and Training Officer, Dr. Edwin S. Tucay, Medical Specialist II and Dr. Ronald Cuyco, Medical Specialist I. The unit manned by 60 highly competent active medical consultants, 23 skilled medical technologists and 13 office personnel, 3 adult-sub-specialty fellows and 2 pediatric sub-specialty fellows under the Pediatric Cardiology Division headed by Dr. Ma. Lourdes Sr. Casas. Furthermore, cardiology training fellows from the Adult and Pediatric Cardiology Divisions rotate in the laboratory for their exposure and training in resting and 24-hr ECG interpretation, Stress Testing and Echocardiography.
The laboratory renders a quality service to both adult and pediatric patients who may require non-invasive duty as a component of their cardiovascular work-up while being admitted at the Philippine Heart Center or as an out-patient. Two-dimensional echocardiography and Exercise Stress Testing comprise the bulk of the procedures being done daily. The laboratory likewise, handles special procedures like Transesophageal Echocardiography during the peri or intraoperative period, Treadmill/Dobutamine Stress Echocardiography for detection of myocardial ischemia and viability and Fetal Echocardiography. All these are made possible by an array of cardiac-dedicated diagnostic equipments that includes 6 units state -of-the- art 2D echo and Doppler machines with tissue harmonics capability that allow better image quality despite a relatively poor ultrasound “window”.
Aside from performing diagnostic procedures, the non-invasive laboratory also offers training opportunities for medical technologist and cardiology fellows from all over the country who wish to gain more exposure and experience of the different procedures being done that include echocardiography, exercise stress testing, ECG and Holter Monitoring. A weekly echocardiography conference keeps the cardiology fellows in training and technicians well abreast to recent echocardiography and are thoroughly discussed that provides an arena not only for enrichment of knowledge in the subspecialty but generation of more research studies.
- OUT-PATIENT DIVISION
The OPD renders outpatient, non-emergent, medical services to patients with cardiac diseases and other related conditions, providing medical and surgical follow-up for post-operative patients. It also accommodates referrals from other hospitals and various agencies. Medical services are also extended to Philippine Heart Center (PHC) employees.
To perform its tasks, the OPD clinics are divided into the following:
- Screening Room
- General Cardiology
- Subspecialty Clinics
- ECG Room
- Surgical Clinic
- Pulmonary Clinic
- Pediatric Cardiology Clinic
- Employee’s Infirmary Clinic
- Out-Patient Diagnostic Package Services
PREVENTIVE CARDIOLOGY DIVISION
In line with the mission of the Philippine Heart Center, that is to provide comprehensive cardiovascular care that is accessible to all and its objective of providing compassionate and expert patient care, providing world-class education and training and conducting internationally acclaimed research, and responsible dissemination of scientific and lay information to public, the Division of Preventive Cardiology has the following activities:
- To contribute to the provision of patient care by decreasing the level of risk factors of patients at risk for cardiovascular diseases through health education and medical intervention.
- To train cardiology fellows, clinical research fellows, and community health care providers on the prevention and control of cardiovascular diseases (CVD).
- To undertake epidemiological studies and use the finding as basis for planning and implementing programs and services for CVD prevention and control.
- To establish hospital and community-based registry system for CVD.
- To perform data processing and analysis of PHC research project/ activities.
- To render consultancy services to other units of the hospital on research designs, data processing, statistical analysis of results, and data presentation.
- To communicate DPC research findings through publication of papers and presentation of findings in scientific meetings.
- To disseminate cardiovascular health information to population groups through development and distribution of IEC materials, seminars and lectures.
CARDIAC REHABILITATION SECTION
- Process of longitudinal comprehensive care through which identified patients are restored to and maintained at their optimal, physiological, psychological, social, vocational, educational, recreational and spiritual status compatible with functional capacity.
Phases of Cardiac Rehabilitation
- PHASE I - In-patient (from 1-6 days)
- PHASE II - Out-patient (anytime after discharge, duration: from 3 weeks to months)
- PHASE III - Maintenance (6 months to 1 year)
- Shor-term Goals
- Physical reconditioning sufficient for the resumption of customary activities.
- Education of patients and family about the disease process.
- Psychological support during the early recovery phase of the illness.
- Long-term Goals
- Identifying the treating risk factors that influence the progression of disease.
- Teaching and reinforcing health behaviors that improve prognosis.
- Optimizing physical conditioning.
- Facilitating a return to occupational and avocational activities.
- Reducing the risk for sudden death or reinfarction.
- Improving quality of life.
- Stabilizing or reversing the atherosclerotic process.
- Exercise Training
- Risk stratification
- Health Education and counseling
- Risk Factor Modification
- Psychosocial Intervention
CRITICIAL CARE MEDICINE DIVISION
The Division of Critical Care Medicine is involved with the delivery of cost-effective and excellent care to critically ill patients of the Philippine Heart Center. It is manned by adult critical care physicians with multidisciplinary experience and expertise in the critical care teaching environment.
The Division of Critical Care Medicine is composed of the following sections: Emergency Room (ER) and Chest Pain Center, Coronary Care Section, Medical Intensive Care Section, Recovery Room, and Surgical ICU, Nutrition Support Section (newly formed section).
The Division is likewise involved with one (1) year-Subspecialty training accredited by the Philippine Society of Critical Care Medicine with the objective of proper practice of critical care at patient’s bedside integrated on current evidence-based medicine to achieve the best outcomes for the complex seriously-ill patients.
The Division is involved in the training program for Fellow in Adult Cardiology rotation in the Critical Care Medicine in the development of special procedures in the CCU like, subclavian vein insertion, pericardiocentesis and temporary pacemaker insertion. The Division is daily involves in the endorsement of patient-admitted in the ER and critical care complex delegated to respective consultants.
The Electrocardiology Division serves all arrhythmia patients in need of diagnostic and therapeutic electrophysiology and device therapy and follow up.
Diagnostic procedures includes the Head-up Tilt Test, sinus and Atrioventricular Node Function Studies, Supraventricular and Ventricular Tachycardia Studies, Therapeutic Electrophysiologic interventions include Radiofrequency Catheter Ablation for most supraventricular and select ventricular tachycardias and elective electrical Cardioversion.
Device therapy and follow-up includes Temporary pacemaker insertions, Permanent Pacemaker Implantation monitoring and follow-up, Implantable Cardioverter-defibrillator implantation and follow-up.