The Cardiovascular Intensive Care Unit is equipped with 4 beds each in its own single box. It is the facility where the patient with acute cardiac pathology is welcomed, in need of intensive care, with the possibility of continuous bloody and bloodless monitoring of all vital parameters and where urgent pharmacological care is started.
The Coronary Unit has the possibility, for 1 of the boxes, to carry out haemodialysis and haemofiltration.
The Cardiology and Sub-Intensive Care department has 12 beds in single and double rooms with the possibility of telemetric electrocardiographic monitoring.
Services/Activities provided
Depending on the areas of intervention, the following services can be distinguished:
- Cardiological outpatient clinic: visits and electrocardiograms are performed for baseline diagnosis and for controls of patients with coronary, arrhythmic or structural diseases;
- Ergometry outpatient clinic: cardiovascular stress tests are performed on a cycle ergometer and on a mobile platform for the screening, study and diagnosis of silent ischemic heart disease and for the follow-up of patients undergoing myocardial revascularization, both percutaneous and surgical, or to evaluate stress tolerance in patients with non-coronary heart disease;
- Diagnostic imaging: Echocardiography exams of various types are performed in the diagnostic imaging clinic (one-dimensional echocardiogram, transthoracic or transesophageal color-Doppler, pharmacological or stress echostress, echocontrastography, pediatric echocardiography);
- Electrostimulation: as part of the electrostimulation activity, the following are performed:
- traditional unicameral or bicameral peace-maker systems for the treatment of bradyarrhythmias;
- implantation of traditional implantable automatic defibrillators (AICDs) in association with single-chamber, bicameral stimulation the implantation of subcutaneous defibrillators (S-ICDs) that do not provide for the use of endovascular catheters;
- electronic control: implanted Pace Maker
- PAC for heart decompensation: another activity side by side with the performance of the UOC, able to follow up with continuous care programs in patients with chronic heart failure, in order to improve their quality and quantity of life, to select possible candidates for interventional procedures;
- PAC for temporary loss of consciousness: relevant point of the diagnostic activity of the Department in patients with lipothymia-syncope as an alternative to ordinary hospitalization and in collaboration with the Multidisciplinary Day Surgery for the study and diagnosis of bradyarrhythmias;
- PAC for chest pain: chest pain is the most frequent cause of access to the emergency room and the route organized in our UOC absorbs a high number of patients.
The specialist services provided are as follows:
- ecg
- ecg dynamic sec Holter
- ecg of stress at the cyclolergometer
- treadmill stress ecg
- flecainide test (S Brugada screening)
- cardiology visits
- arrhythmological examinations
- one-dimensional echocardiogram
- doppler color one- or two-dimensional echocardiogram
- transesophageal echocardiogram
- echocardiogram with pharmacological stress
- eco-contrasography
- pace-maker electronic control
- remote control of implantable devices (loop recorder, ICD,PMK)
In the departments and Services, all cardiorespiratory diseases are diagnosed and treated:
- acute and chronic ischaemic heart disease
- acute and chronic heart failure
- bradyarrhythmias and tachyarrhythmias
- pericardial diseases
- pulmonary diseases with cardiac involvement
- kidney diseases with prevalent cardiac involvement
Cardiology visits are performed in the departments and in the Services for non-competitive sports activity suitability, screening for dyslipidemia, assessment of thrombotic risk in atrial fibrillation, prevention visits for work.
How to access
Admission to the Facility takes place in the following ways:
- URGENT hospitalization: through access to the Emergency Room and urgent reports from other Facilities (other Departments of the Hospital or the Cardiology Outpatient Hospital of the territory or other hospitals);
- ORDINARY hospitalization: scheduled is planned for users already reported to our Facility, the date of hospitalization has been established to perform invasive investigations, surgeries and in-depth diagnosis;
- HOSPITALIZATION IN DSMD (Multidisciplinary Day Surgery): it is planned for some interventions and procedures that do not require hospitalization (e.g. replacement of the pacemaker or defibrillator generator, electrical cardioversion, loop recorder implantation, etc.)
Hours and days of receipt
The hours and days of receipt vary depending on the department:
- In the UTIC Department: visiting hours for patients are daily from 1.00 pm to 2.00 pm and from 7.00 pm to 8.00 pm. Interview with the Manager or with the Doctors from 13.00-14.00; access is allowed to one visitor at a time and children under the age of 12 are prohibited from entering;
- In the Cardiology Department: The visiting hours for patients are daily from 1.00 pm to 2.00 pm and from 7.00 pm to 8.00 pm. Interview with the Manager or with the Doctors from 13.00-14.00; access is allowed to one visitor at a time and children under the age of 12 are prohibited from entering. Family members and acquaintances can only access during visiting hours and the simultaneous presence of no more than 3 people is allowed for the comfort and tranquility of the patients. Any exceptions concern patients who:
- have had surgery or performed invasive examinations (such as: coronary angiography);
- are not self-sufficient or disoriented or confused and agitated;
- are minors
Family members may not board ambulances while transporting patients to other hospitals for examinations or transfers.
