Clinical Cardiovascular Services

Clinical Cardiovascular Services

At AHC, the primary concern is Patients, particularly the underprivileged. With that in mind, the AHC's Standards of Service are nothing short of Excellence across the board. The AHC's entire spectrum of Cardiovascular Services - regardless of the complexity of the cases, time-span, allocated resources and expense – is offered completely free of charge to all Patients. More importantly, all services are centralized within the AHC grounds, making it ideal for Patients to get all the necessary checks and/or procedures without having to go through an exhaustive and time consuming process.

Outpatient Clinics (OPC)

Outpatient Clinics (OPC)

The AHC's Outpatient Clinics (OPC) receives the largest volume of patients per annum. The OPCs are the first stop for almost all incoming Patients and is equipped to perform Electrocardiograms and comprehensive Echocardiographic Studies.

The OPC features a comfortable reception area, four examination rooms, one preparation room, one Echocardiography room and a Medical Secretariat room. Cutting down waiting times, fine tuning the appointment scheduling process and enhancing overall clinic efficiency to cope with the increasing patient volumes are all priorities in 2013.

In 2012 alone, more than 5,750 Patients underwent thorough reviews through the OPC, up from 4,250 Patients in 2011. Additionally, over 3,800 follow up consultations were performed in 2012, up from 1,880 in 2011.

In line with The AHC's overall mandate of expanding its service reach, especially to remote underserved areas, real-time 'Tele-Consultation" sessions are conducted on a weekly basis. Clinics from El Wahat El Kharga and Kous share clinical data and investigations with the AHC Team, who can then advise local doctors on case management plans. The E-Clinic Service uses a state of the art tailored telecommunications platform for that purpose. The AHC hopes to expand the E-Clinic Service to reach other areas such as Shalateen and Rafah in 2013.

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Non-Invasive Investigations

Non-Invasive Investigations

The AHC took massive strides during the last two years to integrate and centralize Non-Invasive Investigations within its grounds, the latest of which was the inauguration of The Hamad Bin-Khalifa Imaging Centre. A fully equipped Computed Tomography (CT) Unit also began operating in May 2012 and has performed over 350 CT studies to date.

The Centre also has its own Cardiac Magnetic Resonance (CMR) Imaging Unit, which began operating in October 2012. For the time being, Myocardial Perfusion Imaging tests are being still performed in Cairo while the specifications of the nuclear scanner to be installed in AHC are being determined.

The Hassouna El-Sabae Cardiopulmonary exercise laboratory conducts Comprehensive Cardiopulmonary Exercise tests that are integrated into the routine preoperative workup of specific patient subgroups as well as various research programs.

The AHC also performs routine standard perioperative care Echocardiographic studies for in-patients, Intraoperative Transesophageal Echocardiography for every patient undergoing open-heart surgery or cardiac catheterization for correction of structural heart diseases and Transthoracic Echocardiographic Studies in the OPC.

The AHC is actively moving towards accrediting the lab and personnel by the European Society of Echocardiography in 2013.

Catheter Lab

Catheter Lab

To date, the AHC Cath-Lab has performed over 1500 catheterizations, while still in its pilot phase; the Lab performs both diagnostic and interventional procedures for pediatric and adult cases. The AHC currently operates two cath-labs at near full capacity. In 2012, the cath-lab performed over 800 procedures, up from 526 in 2011. The AHC plans to move from the pilot phase to a fully operational program by 2Q2013, with an expected 60% rise in the number of procedures performed to reach a total of 1300 procedures in 2013.

2012 also saw the implementation of a 24/7 primary care program, where patients with heart attacks are moved directly to the cath-lab to remove arterial blood clots mechanically. A number of scientific and organizational meetings were held with the Aswan Teaching Hospital (ATH), Insurance Hospital and Ambulance Service to draw up a plan for the smooth and swift transfer of patients from their emergency rooms to the AHC cath-lab.

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Operating Theatres

Operating Theatres

The Operating Theatres are located on the first floor of 'Building 1' of the AHC. The building houses two Cardiac Operating Theatres, a 13 Bed Cardiac Intensive Care Unit (CICU), two Cardiac Catheter Labs, a 9 Bed Coronary Care Unit, a 19 Bed Regular Ward, Central Lab, Blood Bank and Pharmacy.

AHC's Operating Theatres provide state-of-the-art cardiac surgical care to children and adults. The rooms are designed to accommodate various cardiac surgeries for patients of all ages, and are purpose-built to provide a germ-free environment where temperature and air exchange per minute are tightly controlled. They are equipped with sophisticated cardiac and hemodynamic equipment like trans-esophageal echo and Swan-Ganz monitoring in addition to cardiac support facilities like heart lung machine and intra-aortic balloon counter-pulsation.

To further improve conditions in the Operating Theatres and achieve full control of the rooms in terms of temperature, humidity and airflow, the rooms have been equipped with a surgical capsule that fully encloses the room. The capsule is coated with a special aluminum compound that fights microorganisms, thus leading to fewer infections.

Being the common destination for all surgical patients, we see it as the heart of the AHC. In 2012, the Centre performed 460 open-heart procedures, up from 323 in 2011. Approximately 40% of these were offered to children. The year also saw an increase in the number of surgical procedures performed to children below one year of age, accompanied by a significant improvement in outcome. The AHC hopes to reach 700+ open-heart surgeries in 2013.

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