Multan Institute of Cardiology (MIC), is a hospital located in

Multan Multan (; ) is a city in Punjab, Pakistan, on the bank of the Chenab River. Multan is Pakistan's seventh largest city as per the 2017 census, and the major cultural, religious and economic centre of southern Punjab. Multan is one of the List ...

city in

Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...

. It was established by

Nawaz Sharif Mian Muhammad Nawaz Sharif (Urdu, Punjabi language, Punjabi: ; born 25 December 1949) is a Pakistani businessman and politician who has served as the Prime Minister of Pakistan for three non-consecutive terms. He is the longest-serving prime ...

, the former chief minister of

Punjab Punjab (; Punjabi: پنجاب ; ਪੰਜਾਬ ; ; also romanised as ''Panjāb'' or ''Panj-Āb'') is a geopolitical, cultural, and historical region in South Asia, specifically in the northern part of the Indian subcontinent, comprising ...

province, in 2016.

History

A project for the establishment of a specialised, tertiary care centre for patients with cardiovascular diseases, was subject to a range of issues. Despite millions hoping for this project to be initiated, the convoluted bureaucracy consequently delayed it, denying millions, access to specialised healthcare. In early 2003, Pervaiz Elahi, the Chief Minister of Punjab, prioritised this initiative, evident by his appointment of Col. (Ret) Prof M A Cheema as the Project Director of MIC. He has been a pioneer in cardiac surgery within Pakistan and had previously established the Punjab Institute of Cardiology, in Lahore. The centre initiated its outpatient services in 2005, while inpatient services commenced in 2005. The first

open heart surgery Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to corr ...

was performed on 29 October 2007 and by March 2008 over 50 open heart operations were conducted without any surgical mortality. After the completion of the project Prof M A Cheema, was succeeded by Prof Syed Ali Raza Gardezi to assume the responsibilities of the first

Executive Director Executive director is commonly the title of the chief executive officer of a non-profit organization, government agency or international organization. The title is widely used in North American and European not-for-profit organizations, though ...

of the institute. Prof. Dr. Syed Ali Raza Gardezi is an accomplished cardiologist who came from the respectable Gardezi family of Multan. The institute achieved several milestones during the tenure of Prof Gardezi. The construction of a modular operation theatre suite was an achievement despite the medical

Fraternity A fraternity (from Latin language, Latin ''wiktionary:frater, frater'': "brother (Christian), brother"; whence, "wiktionary:brotherhood, brotherhood") or fraternal organization is an organization, society, club (organization), club or fraternal ...

in Punjab not being convinced of the benefits of modular theatres. Prof. Dr. Muhammad Mujtaba Ali Siddiqui is the current Executive Director of CPEIC after Prof Rana Altaf Ahmed and Prof. Syed Ali Raza Gardezi.

Infrastructure

CPE Institute of Cardiology Multan is a

tertiary care hospital A tertiary referral hospital (also called a tertiary hospital, tertiary referral center, tertiary care center, or tertiary center) is a hospital that provides tertiary care, which is a level of health care obtained from specialists in a large hos ...

providing comprehensive services of cardiology and cardiac surgery for both adult and

congenital heart disease A congenital heart defect (CHD), also known as a congenital heart anomaly and congenital heart disease, is a defect in the structure of the heart or great vessels that is present at birth. A congenital heart defect is classed as a cardiovascular ...

s. It has one of the largest Modular Operation Theater suites in the country. There are five operating rooms with dedicated preparation and scrub areas. The construction of this modular theater complex was completed in 2009 and the first surgery in the new complex was performed in March 2009. The intensive care has a capacity of 20 beds. The hospital has three

Cardiac Catheterization Cardiac catheterization (heart cath) is the insertion of a catheter into a chamber or vessel of the heart. This is done both for diagnostic and interventional purposes. A common example of cardiac catheterization is coronary catheterization that ...

Laboratories. The Institute also has facilities of Cardiac CT-scan, Nuclear Cardiology, Exercise Tolerance Testing and Echocardiography.

Departments & Services

Department of Anesthesia

The department of anesthesia is led by an the Professor of Anesthesia. Their main area of service is associated with post operative care for cardiac patients in the

intensive care units 220px, Intensive care unit An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensiv ...

(ICU) and providing other anesthetic services to the whole hospital on a 24 hours basis.

Department of Cardiac Surgery

On an average over 1300 surgeries are performed annually. The types of surgeries offered include: • Coronary artery bypass surgery. • Valve replacements and repair • Surgery for aortic dissection and aneurysms. • Repair of atrial and ventricular septal defects. • Repair of Fallot’s Tetralogy • PDA • Surgery for Coarctation of aorta • PA banding • Right Heart bypass in uni ventricular heart • Surgery for peripheral artery disease The department is led by a professor, an associate professor and two assistant professors for adult cardiac surgery, and two assistant professors for Paediatric Cardiac Surgery. The department is evolving into an entirely independent Paediatric Cardiac Surgery Department in near future.

Department of Cardiology

The cardiology department provides diagnostic and therapeutic services to patients with heart diseases. The department has a twelve bedded emergency and twenty bedded CCU for critical patients. The department is headed by Professor of cardiology and its faculty consists of one Associate Professor and four Assistant Professors. The following diagnostic facilities are available: *

Transthoracic echocardiography An echocardiography, echocardiogram, cardiac echo or simply an echo, is an ultrasound of the heart. It is a type of medical imaging of the heart, using standard ultrasound or Doppler ultrasound. Echocardiography has become routinely used in t ...

* Transesophageal echocardiography (TEE) * Exercise Tolerance testing (ETT) * 24-hour

ECG Electrocardiography is the process of producing an electrocardiogram (ECG or EKG), a recording of the heart's electrical activity. It is an electrogram of the heart which is a graph of voltage versus time of the electrical activity of the hear ...

(Holter) monitoring *

Nuclear Cardiology Nuclear medicine or nucleology is a medical specialty involving the application of radioactive substances in the diagnosis and treatment of disease. Nuclear imaging, in a sense, is "radiology done inside out" because it records radiation emitting ...

having a dual head dedicated

gamma camera A gamma camera (γ-camera), also called a scintillation camera or Anger camera, is a device used to image gamma radiation emitting radioisotopes, a technique known as scintigraphy. The applications of scintigraphy include early drug development ...

. It performs Stress SPECT &

Myocardial Cardiac muscle (also called heart muscle, myocardium, cardiomyocytes and cardiac myocytes) is one of three types of vertebrate muscle tissues, with the other two being skeletal muscle and smooth muscle. It is an involuntary, striated muscle that ...

viability scans. The Department has two

Angiography Angiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. Modern angiography is performe ...

labs where following procedures are done: * Diagnostic coronary angiography * Right and left

heart catheterization Cardiac catheterization (heart cath) is the insertion of a catheter into a chamber or vessel of the heart. This is done both for diagnostic and interventional purposes. A common example of cardiac catheterization is coronary catheterization that ...

Coronary angioplasty Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat narrowing of the coronary arteries of the heart found in coronary artery disease. The process involves combining coronary angioplasty with stenting, which is the ...

with stent implantation * Implantation of pacemakers

Department of Pediatric Cardiology

Being a highly specialized field, its importance emerges from the high incidence of

congenital A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can ...

and acquired disorders found in children. It provides services in all diagnostic and several therapeutic areas. The department consists of two consultant pediatric cardiologists. The department is doing regular cardiac catheterization for congenital lesions and has started transcatheter treatment of suitable congenital disorders like ASD,

PDA PDA may refer to: Science and technology * Patron-driven acquisition, a mechanism for libraries to purchase books *Personal digital assistant, a mobile device * Photodiode array, a type of detector * Polydiacetylenes, a family of conducting poly ...

pulmonary stenosis Pulmonic stenosis, is a dynamic or fixed obstruction of flow from the right ventricle of the heart to the pulmonary artery. It is usually first diagnosed in childhood. Signs and symptoms Cause Pulmonic stenosis is usually due to isolated valvula ...

and mitral stenosis.

Department of Pathology

The department has modern equipment and provides a complete array of routine and specialized tests.

Department of Radiology

It provides comprehensive diagnostic imaging facilities round the clock. The following tests are routinely done: * Ultrasound / Color Doppler * General Radiography * Special Radiography * Interventional Radiography The department has facilities of processing digital images which are displayed online.

Dental Section

The primary aim of the dental section is to provide preoperative dental clearance of the patients undergoing valve surgery. However any patient requiring dental treatment is provided this service within the institute saving them the trouble and cost of visiting the Dental Hospital. The Dental clinic is located on the first floor and is run by two consultant dental surgeons.

Central Sterilization Supplies Department (CSSD)

CSSD is one of the systems installed in Pakistan and ensures sterilized surgical instruments and linen used in the operation theatres and the catheterization laboratories.

Laundry

The laundry system of this hospital is of European make and is able to clean and wash bulk of hospital linen.

Library

Textbooks and international journals for doctors, nurses, and paramedics are available here. It remains open till late evening.

Pharmacy

According to the policy of the Government of Punjab, the hospital pharmacy provides the supply of free medicines to the poor patients. For the convenience of paying patients a retail pharmacy is established in the hospital. It provides medicines at lower than market price. It is located on the ground floor opposite the office of the Executive Director. The retail pharmacy is being updated and upgraded.

Cardiac Surgery Database

The department of cardiac surgery has a state of the art electronic database donated by Dr. Anjum Jalal, one of the developers of the software. The database presently has complete records of over 4000 patients who underwent surgery from 2009 onwards. It retrieves records quickly so is extremely useful in maintaining consistency of follow-ups. The dynamic lookup facility of the database is also helpful in conducting heavyweight research studies. Such database software is extremely costly, usually over 30000 dollars per year. The role of the database has been recognized and appreciated by both the local and international community of cardiac surgeons.

Clinical Performance

Multan institute of cardiology is primarily serving the poor people living in the region of south Punjab. However, due to its convenient geographic location many patients from upper

Sindh Sindh (; ; ur, , ; historically romanized as Sind) is one of the four provinces of Pakistan. Located in the southeastern region of the country, Sindh is the third-largest province of Pakistan by land area and the second-largest province ...

Balochistan Balochistan ( ; bal, بلۏچستان; also romanised as Baluchistan and Baluchestan) is a historical region in Western and South Asia, located in the Iranian plateau's far southeast and bordering the Indian Plate and the Arabian Sea coastline. ...

and Khyber-Pakhtunkhwa also visit for treatment of heart diseases. In 2016 a total of 474,552 patients visited the Outpatients Department, 1568 patients underwent open heart surgery, 6468 patients had angiographies and 2947 patients underwent PCI. The institute provided free medicines, as per Government policy, to over 292,900 patients. In 2017, the institute is going to complete its 10-years of its indoor services of clinical excellence. The data presented above has put the institute among some of the best centers in the world. The charts given below show clinical performance: Besides such a large number of patients served, the institute has also achieved distinction for performing highly complex interventions and surgical operations. A large number of adult congenital operations have been performed by the team of cardiac surgeons with exceptional results. Complex aortic root replacements have also been performed routinely. Surgical correction of extremely rare conditions (like aorto-ventricular tunnel and ruptured

sinus of Valsalva An aortic sinus, also known as a sinus of Valsalva, is one of the anatomic dilations of the ascending aorta, which occurs just above the aortic valve. These widenings are between the wall of the aorta and each of the three cusps of the aortic valv ...

) have also been performed with excellent outcomes.

Academic Achievement

Academic session (Multan Institute of Cardiology)

The institute has a record of having prominent names in its faculty. Prof Haider Zaman, Prof Rana Altaf Ahmed, Prof Ijaz Ahmed are respectable names among the academia of cardiac surgery and cardiology. As a result of the tireless efforts of its faculty, the institute was accredited by the College of Physicians & Surgeons soon after its establishment. It has trained several cardiologists and cardiac surgeons. The academic activities are a regular feature of the institute. Cath. Meetings, Audit Meetings, and GP training programs are on the regular academic calendar of the institute. The institute has hosted several national meetings including the annual meetings of Pakistan Society of Cardiovascular and Thoracic Surgeons as well as Pakistan Hypertension League. Some of the publications done by the doctors of MIC include the following: * ''Right Ventricular Dysfunction after Coronary Artery Bypass Grafting Is a Reality of Unknown Cause and Significance''. Muhammad-Mujtaba Ali Siddiqui, Anjum Jalal, Mubashir Sherwani, Muhammad Zubair Ahmad * ''Is there any benefit of preoperative trimetazidine in patients undergoing CABG.'' Muhammad Sher-e-Murtaza, Muhammad Zubair, Anjum Jalal * ''Risk factors of prolonged mechanical ventilation following open heart surgery: what has changed over the last decade?'' Muhammad-Mujtaba Ali Siddiqui, Iftikhar Paras, Anjum Jalal * ''The Outcome of VSD Repair in Older Children and Adults.'' Tariq Waqar, Yasir Khan, Anjum Jalal * ''Surgical repair of Tetralogy of Fallot in children and adult patients: A Retrospective analysis of early results.'' Tariq Waqar, Yasir Khan, Anjum Jalal The institute also publishes a monthly news letter under the editorship of Dr. Kashif Hashmi.http://cpeic.gop.pk/bks/NewsLetter-August13.pdf

References

{{authority control Hospital buildings completed in 2007 2006 establishments in Pakistan Buildings and structures in Multan Heart disease organizations Hospitals in Multan