Clinical Programs in Cardiology

The Division provides expert clinical care in a broad range of programs in arrhythmia electrophysiology, cardiac imaging including echocardiography, coronary intervention, heart failure and transplantation.  Core clinical facilities at the Heart Institute include 4 catheterization laboratories, 2.5 electrophysiology laboratories, 3 clinical ward services with 68 beds, a coronary care unit with 14 beds, a Day Unit with 25 beds and a Reference Centre with 7 beds.  Basic science laboratories are located in the Heart Institute Research Centre, which is an integral part of the Heart Institute.  The Division also provides outreach care to remote areas including Iqualuit in Baffin Island.  The Division of Cardiology at The Ottawa Hospital (General and Riverside Campuses) clinical facilities includes a ward service and CCU, specialized ambulatory care clinics and noninvasive cardiac imaging.

The Arrhythmia and Electrophysiology Service includes an ECG service, ward inpatients, a consulting arrhythmia service, 2.5 electrophysiology laboratories (for electrophysiological studies, ablations, pacemakers, defibrillators and cardiac resynchronization therapy), specialized clinics (Arrhythmia, Inherited Arrhythmia and Pacemaker/Defibrillator) and ambulatory monitoring.

Cardiac Imaging includes cardiac computed tomography (CT) (one 64 slice CT), PET (1 PET/CT camera and a radiochemistry center with 1 cyclotron), nuclear cardiology (5 gamma cameras), echocardiography (11 echo machines), stress Testing, and cardiac magnetic resonance Imaging (MRI) (collaborative effort with The Ottawa Hospital).

The Coronary Interventional Program operates 4 catheterization laboratories. In addition to state of the art coronary diagnosis and intervention, the program has developed a strong program in interventional structural heart disease including percutaneous aortic valve implantations (transfemorally and transapically), mitral valvuloplasty, percutanous mitral annuloplasty, congenital heart disease including ASD and PFO closures, ethanol ablation for HOCM, left atrial appendage occlusion and soon to start percutaneous mitral valve clipping.

The Heart Failure and Transplant programs include inpatient consultation and outpatient clinics (Heart Function/Transplant).

General Cardiology and Specialized clinics include Adult Congenital Heart Disease, Anticoagulation, Cardiology Referral Clinic, Cardiovascular Infectious Disease, Hypertension, Lipid, Pulmonary Hypertension and Preoperative Vascular Assessment.

The University of Ottawa Heart Institute STEMI Regional Program was established in 2004 and is characterized by standardized protocols developed according to guidelines and evidence-based medicine.  The UOHI STEMI program is absolutely unique within North America and now serves as a model for STEMI systems for all national and international communities. The program, in fact, has cut mortality in half for STEMI patients living within the city of Ottawa. The UOHI STEMI program is recognized internationally and has received many awards including the CHIR-CMAJ Top Achievements in Health Research Award in 2009. As of May 2009, all of the hospitals within the Champlain LHIN are part of the UOHI STEMI Regional Program. The results of our citywide program were published in the New England Journal of Medicine in January 2008.

At The Ottawa Hospital, the members of the Division based at the General and Riverside campuses provide clinical care in the inpatient setting (CCU, ward cardiology and consultations) and ambulatory care setting at the General and Riverside campuses.   They also provide high quality noninvasive imaging (5 echo machines including stress echo as well as nuclear cardiology studies) and general cardiology testing (Holter, stress testing, loop monitors) at both sites. Besides daily general cardiology clinics at the General and Riverside campuses, specialized clinics include a unique Cardiology-Oncology Referral Clinic.