心臟內(nèi)科

心臟內(nèi)科
心臟內(nèi)科
宣武醫(yī)院心內(nèi)科歷經(jīng)60年發(fā)展歷程,建院伊始,在國內(nèi)著名心血管病專家汪家瑞教授帶領(lǐng)下始創(chuàng)心內(nèi)科,從無到有,從小到大,逐步發(fā)展成為專業(yè)齊全、技術(shù)精良、診療規(guī)范、學(xué)科特色鮮明、醫(yī)教研并舉、國內(nèi)知名的心臟學(xué)科。心內(nèi)科涵蓋重癥監(jiān)護、冠脈介入、心臟起搏與電生理、超聲心動、無創(chuàng)心電檢查、心臟康復(fù)等專業(yè)組。年門診量、住院患者量和手術(shù)量、介入治療量等均居首都三級甲等綜合醫(yī)院前列。
心臟重癥的前身是冠心病監(jiān)護病房(CCU),順應(yīng)老齡化和多合并疾病及疾病譜的變化,CCU正向CICU發(fā)展,CCU與ICU技術(shù)、理念和診療模式融合,從感染、營養(yǎng)支持、鎮(zhèn)靜、循環(huán)輔助(IABP、ECMO)、有創(chuàng)和無創(chuàng)呼吸輔助、床旁血液濾過、床旁超聲血流動力學(xué)評估等全方位對心血管危重癥患者進行管理,顯著提升了危重癥患者的救治水平,成為醫(yī)院國家臨床重癥醫(yī)學(xué)專科的重要組成部分和心血管專業(yè)發(fā)展的重要支撐。
心內(nèi)科開展冠心病的介入治療二十余年,至今已完成幾萬例冠脈診療,并取得非常好的效果。運用旋磨、激光、血管內(nèi)超聲(IVUS)、光學(xué)相干斷層成像儀(OCT)和血流儲備分數(shù)(FFR)等當(dāng)今先進的病變評價和治療技術(shù)手段實施CTO等冠脈復(fù)雜病變的介入治療,取得非常好的療效。心內(nèi)科已經(jīng)成為全國冠脈介入診療技術(shù)培訓(xùn)基地。
起搏與電生理專業(yè)組在起搏器治療緩慢心律失常方面擁有極其豐富的經(jīng)驗,能夠很好的完成雙腔及三腔起搏器、植入型體內(nèi)自動除顫器等國內(nèi)先進儀器的安裝,取得了良好的療效。特別指出的是,近幾年,在射頻消融治療快速心律失常方面心臟科取得了巨大的發(fā)展。運用先進的三維電生理射頻消融儀完成頻發(fā)室早、室速、室上速、房撲、房顫等多種心律失常疾病的治療,治療例數(shù)及療效位于北京前列。心內(nèi)科已經(jīng)成為全國心律失常介入專業(yè)培訓(xùn)基地。
心內(nèi)科擁有國內(nèi)先進的心臟超聲設(shè)備和經(jīng)驗豐富的專家。除完成一般超聲檢查外,還常規(guī)開展床旁心臟超聲、經(jīng)食道心臟超聲、右心聲學(xué)造影檢查、心臟手術(shù)術(shù)前術(shù)后血管評估、心臟外科及神經(jīng)外科手術(shù)術(shù)中監(jiān)測等工作。
作為首都醫(yī)科大學(xué)第一臨床學(xué)院,心臟內(nèi)科承擔(dān)了物理診斷學(xué)和心血管臨床醫(yī)學(xué)的教學(xué)任務(wù),是最早的住院醫(yī)師規(guī)范化培訓(xùn)基地,擁有一大批臨床經(jīng)驗豐富、教學(xué)能力超強的老師,贏得了諸多的榮譽和良好的口碑。心內(nèi)科也是首都醫(yī)科大學(xué)最早設(shè)置碩士和博士生培養(yǎng)點的學(xué)科,先后培養(yǎng)碩士、博士、博士后近百人。
在“爭創(chuàng)國內(nèi)一流,國際知名的學(xué)院型醫(yī)院”方針的指導(dǎo)下,心內(nèi)科始終重視科研對學(xué)科發(fā)展的助推作用。心血管病研究室創(chuàng)立于1986年, 1988 年在國內(nèi)首次發(fā)現(xiàn)并分離、提取了人類白細胞血管緊張素Ⅱ物質(zhì),建立了血漿腎素活性的檢測方法;率先在國內(nèi)提出國人老齡化進程中心功能及心臟結(jié)構(gòu)的衍變特點、心包具有合成、貯存、分泌心鈉素的功能、單純性收縮期高血壓主要表現(xiàn)為舒張功能損害、舒張期高血壓主要表現(xiàn)為收縮功能損害、生理性舒張功能減退與舒張性心力衰竭的鑒別診斷及臨床意義等觀點。在高血壓病個體化治療、心臟結(jié)構(gòu)、血流及功能與循環(huán)心鈉素及腎素-血管緊張素系統(tǒng)關(guān)系、急性心肌梗死溶栓纖溶系統(tǒng)監(jiān)測等方面作了許多有意義的工作。心內(nèi)科同時承擔(dān)了多項科研基金項目,并取得了豐厚的成果。先后承擔(dān)國家攻關(guān)、國家自然科學(xué)基金、首都醫(yī)學(xué)發(fā)展基金重大課題、市科委、市教委、市衛(wèi)生局、首醫(yī)大基臨課題等二十余項,獲得市部級以上科技進步獎十余項。
現(xiàn)在,宣武醫(yī)院正進入新的歷史發(fā)展時期,心內(nèi)科將依托國家老年醫(yī)學(xué)中心和神經(jīng)學(xué)科優(yōu)勢,在老年心血管病和心腦共病及跨學(xué)科診療領(lǐng)域拓展、創(chuàng)新,形成新的學(xué)科發(fā)展優(yōu)勢及新型診療模式,造福患者。
The Department of Cardiology of Xuanwu Hospital has gone through a 60-years of development. From the beginning of its establishment, under the leadership of Professor Wang Jiarui, the famous expert on cardiovascular disease in China, the Department of Cardiology was founded and gradually developed into an integrated well-known cardiovascular discipline, with professional and advanced technology, standardized diagnosis and treatment, distinctive characteristics, along with its medical teaching and research in China. Cardiology includes intensive care, coronary intervention, cardiac pacing and electrophysiology, echocardiography, non-invasive ECG examination, cardiac rehabilitation and other professional groups. The annual number of out-patient, inpatient , operation and interventional treatment are all ranked at the top list of capital Grade 3A general hospital.
To response to aging and changes of disease spectrum and many complications diseases, the coronary heart disease intensive care unit, which previously known as CCU, is developing to CICU. CICU has combined ICU technology, concept and diagnosis and treatment mode, through multiple management including infection control, nutritional support, auxiliary cycle (IABP, ECMO), invasive and noninvasive respiratory support, bedside hemofiltration, bedside ultrasound hemodynamic evaluation, etc. CICU has significantly improved the treatment level of critically ill patients, and becomes an important part of the national clinical specialty in intensive care and an important supporter for the development of cardiovascular specialty.
The interventional therapy of coronary heart disease has been carried out for more than 20 years in Department of Cardiology. Tens of thousands of cases of coronary artery disease have been diagnosed and treated so far, and achieved very good results. The interventional therapy technology of rotablator, laser, intravascular ultrasound ( IVUS ), optical coherence tomography (OCT) and Fractional flow reserve (FFR) have been widely used in complex lesions coronary artery such as CTO. Department of Cardiology has become the national training base of coronary intervention technology.
The cardiac pacing and electrophysiological specialty group has rich experience in treatment of bradyarrhythmia with pacemakers, and can well complete the installation of advanced instruments such as dual-chamber and three-chamber pacemakers and implantable cardioverter-defibrillator (ICD). Good curative effect has obtained. Particularly, great progress has been made in radiofrequency ablation in the treatment of tachyarrhythmias in recent ten years. Advanced three-dimensional electrophysiologic radiofrequency ablation apparatus was used to complete the treatment of frequent ventricular premature, ventricular tachycardia, supraventricular tachycardia, atrial flutter, atrial fibrillation and other arrhythmia diseases. The number of cases and effect were in the forefront of Beijing. Department of Cardiology has become the national arrhythmia intervention professional training base.
Department of Cardiology has advanced cardiac ultrasound equipment and experienced experts. In addition to the general cardiac ultrasound examination, we also complete lots of bedside echocardiography, transesophageal echocardiography, right ventricular contrast echocardiography, preoperative and postoperative vascular assessment, operation monitoring of cardiac and neurosurgical surgery .
As the first clinical hospital of the Capital Medical University, the Department of Cardiology undertakes the teaching tasks of physical diagnostics and cardiovascular clinical medicine, and is the earliest standardized training base for residents, has lots of experienced teachers. Department of Cardiology is also the first to set up master's degree and doctoral training point discipline of the Capital Medical University, and has trained students who obtained master's degree, doctoral and postdoctoral degree nearly 100.
With the guideline of "striving to first-class and famous collegiate hospital internationally ", Department of Cardiology always attached importance to the role of scientific research in promoting the development of disciplines. The cardiovascular laboratory was established in 1986 . In 1988, angiotensin II in human leukocytes was been isolated and extracted for the first time in China, and established a method for plasma renin activity. It was first proposed that the central function of aging process and the evolution of cardiac structure in China, the pericardial function of synthesizing, storing and secreting atrial natriuretic peptide, and the isolated systolic hypertension mainly manifested diastolic function damage. The diastolic hypertension manifested systolic dysfunction, the difference of physiological diastolic dysfunction and diastolic heart failure. individualized treatment of hypertension, the relationship between cardiac structure, blood flow and function and circulating atrial natriuretic peptide (ANP) and renin-angiotensin system, and the monitoring of thrombolytic and fibrinolytic system in acute myocardial infarction (AMI). At the same time, Department of Cardiology has successively undertaken more than 20 national key research projects, the national natural science foundation, the capital medical development fund, the municipal science and technology commission, the municipal education commission, the municipal health bureau, and the basic and temporary projects of the first medical university, and we have won more than ten scientific and technological progress awards at or above the ministerial level.
Now, Xuanwu Hospital is entering into a new historical period of its development, the Department of Cardiology will take the advantages of the National Geriatrics Center and neuroscience, expanding and innovating in the fields of cardiovascular diseases, and diagnosis and treatment in cardio-cerebral co-diseases interdisciplinary in the elderly. the Department of Cardiology will strengthen the new discipline development and innovated diagnosis and treatment pattern , to benefit our patients.