Everybody has a Heart

Cardiology in the Public sector Dr Katrin Stuve

Helderberg Hospital

Helderberg Hospital

Strand RusthofS W

Macassar

SLP

Grabouw

G B

Tygerberg Hospital

Groote Schuur

Hospital

OPD

GP

• Ambulatory Care “ GP”

• Doctors ( Medical Officers, Specialist Family Physicians )• Nurses • Radiology• Physiotherapy• Dietitian• Dentist• Pharmacy ( chronic and acute medication )

Prevention…….. baby clinics , immunization, pap smears , family planning Chronic care TB Clinics Antiretroviral Medication / HIV care Diabetes, Hypertension, Asthma, Heart Disease, Psychiatry etc. Acute care .. “ Whatever you would go to your GP for”

Community Health clinics

Services

• Stable patients• Hypertension • Heart failure • Ischaemic Heart Disease• Previous stroke• Associated conditions ( gout , diabetes , renal failure etc.)• BP checks, basic blood tests, Physiotherapy ,ECGs, medication

Heart Disease at

CHC

• District Hospital• 180 beds• 120% bed occupancy

• 32 Doctors • 50 % qualified < 3 years ago• 4 Full time specialists • Medical students ( stell. and international)

Emergency UnitDr Phillips and 2-3 junior Docs 3800 patients / month 130 /day

Obs and Gynae 250-300 deliveries /month

Internal Medicine

700 admissions/month

32 Beds

Outpatients Department

General Clinics ( GP )

Specialist clinics

Antiretroviral Clinic MedicalAntenatalSurgical OrthopaedicEye Urology PaediatricMental Health

Strand RusthofS W

Macassar

SLP

Grabouw

G B

OPD

GP Emergency Unit

Medical Outpatients Department

• Referral Clinic• One stop shop • Consultation • Investigations ECG, echocardiogram• Exercise stress test, blood tests, X-rays • Medications

Emergency…..

Emergency Unit

High Care Unit

• Heart attacks• Unstable angina • Heart failure • Hypertensive

emergencies • Heart Rhythm

abnormalities

Tygerberg Hospital Cardiology Department

• Angiograms , stents • Cardiac Bypass• Valve surgery • Pacemakers • Complex cardiac conditions • University of Stellenbosch• Research , Training of Cardiology Registrars

TBH

Groote Schuur Cardiology Department • Electrophysiology ( Heart Rhythm)• Heart Transplants • University of Cape Town• Hatter Institute (Research) Training of Cardiology Registrars

Spectrum of Heart Disease

It’s not all Hypertension and Heart Attacks

•Cor Pulmonale•Rheumatic Heart Disease•Pericarditis •Dilated Cardiomyopathy

Cor Pulmonale Sick lungs

Sick Heart

TB… lung scarring and/or Smoking….COAD

TB

Pericardial Effusion .. Water around the Heart

TBYour text here

Rheumatic Heart Disease

Dilated Cardiomyopathy