Coronary care and Cardiology ward

Unit

The Coronary Care Unit (CCU) and the Cardiology ward, part of Cardiology Unit, deal with diagnostic and therapeutic approaches to cardiovascular diseases requiring an hospital admission. Herein, by definition, patients admitted either to the Cardiology Ward or to the CCU present clinical features or the need of diagnostic pathways not in keeping with an outpatient status.

The pathologies more commonly needing hospital admissions are acute and chronic ischemic heart disease (stable and unstable angina, acute myocardial infarction), decompensated valvular diseases, acute and chronic heart failure requiring monitoring or endo venous administration of drugs, complex or unstable arrhythmias, pericarditis myocarditis and endocarditis. Similarly, patients can be admitted to the hospital to undergo invasive examinations requiring post-procedural observation.

Hospitalised patients can be admitted to the Cardiology Ward, when in stable conditions, or to the CCU, when dealing with an acute phase of a cardiovascular disease or after a complex procedure.

The access to hospitalisation is elective, or urgent (the latter in the case of a transfer from another hospital or when admitted through the emergency room).

When hospitalized into the cardiology ward or the CCU, the patient goes through a comprehensive clinical evaluation, usually undergoes non-invasive tests (such as echocardiography or functional tests) and sometimes invasive tests (such as the hemodynamic or electrophysiological diagnostic procedures).  The treatment of cardiovascular diseases uses an integrated approach of medical therapy, continuous monitoring of the patient's condition, or interventional procedures.

Patients commonly admitted to the Unit usually undergo hemodynamic procedures for the diagnosis and treatment of ischemic and structural heart disease, for the execution of right and left cardiac catheterisation, diagnostic coronary angiography and coronary angioplasty. The hospital admission can also be scheduled for left atrial appendage closure, treatment of valvular heart diseases percutaneously, closure of the patent oval foramen, or of the inter-ventricular and inter-atrial defect (please see also the Cardiac Catheterization Laboratory).

The Coronary Care Unit and Cardiology Ward is also responsible for elective hospitalisations for the execution of electrophysiological procedures, such as implantation of pacemakers or defibrillators, for the implantation of devices for cardiac resynchronisation and ablation of supraventricular and ventricular arrhythmias.

The services are provided under the coverage of the health care system or, when requested, as private practice (please ask for specific plans).

Research fields

  • Ischemic heart disease
  • Arrhythmia
  • Diseases of the myocardium and pericardium
  • Valvular diseases
  • Cardiovascular pharmacology
  • Heart failure
  • Cardiovascular prophylaxis

Clinical and research collaboration

The team of the Unit collaborates constantly both for clinical and research activities with numerous Italian, European and North American academic institutions (please see also the web-page of the Cardiology Unit).

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