Rehman Medical Institute’s department of Cardiovascular and Thoracic Surgery is recognized for its coronary artery, aortic, valvular, thoracic, and congenital cardiac disease treatments. It is the first department of its kind in the province leading the way in performing state of the art cardiac surgery. Our clinicians perform more than 1000 surgeries annually, building on heart surgeon Prof. Dr. Muhammad Rehman’s legacy of innovation. The department boasts a complete team comprising of surgeons, cardiac anesthetists, cardiac intensivists, perfusionists and allied staff working round the clock. It is proud to be the pioneer of establishing cardiovascular & thoracic surgery service that is at par with international standards and continue to invest in research and development to further improve and inculcate the latest practices and technology to help further patient care.
The Cardiac Surgery department at RMI has the leading edge on both acquired and congenital heart diseases. In state-of-the-art operating facilities, world-renowned surgeons work with cardiac anesthesiologists and a specialized nursing staff to provide patients with the best cardiac care possible. Many aspects of the division's activities work in association with other subspecialties and involve multidisciplinary approaches to evaluation, management, and treatment.
The cardiac care includes prevention and early detection programs, emergency care, advanced diagnostic and treatment capabilities, cardiac, pulmonary, and peripheral vascular rehabilitation, and a nationally recognized surgery program that performs more open-heart surgeries than any other hospital in the region.
Tests and procedures that detect heart muscle damage include:
- Electrocardiogram (ECG) to record electrical activity in the heart muscle. They may confirm that a heart attack has occurred. Continuous ECG monitoring (known as telemetry) allows the doctor to detect and immediately treat any unstable heart rhythms caused by the damaged heart muscle and sluggish pumping that follows a heart attack.
- Blood tests to show an increase in heart muscle enzymes that are released from the damaged heart cells into the blood after a heart attack.
- Chest X-rays to check the size of the heart and evaluate the lungs for fluid overload.
- Echocardiogram to evaluate the heart's pumping function and the heart valves.
- Nuclear Scan to determine if the heart muscle is irreversibly damaged or may be improved by restoring blood flow.
- Cardiac catheterization to assess the coronary arteries and the extent of injury.
Vascular surgery is a specialty of surgery in which diseases of the vascular system or arteries and veins are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction.
RMI Vascular team aims to improve the diagnosis and management of patients with vascular disease. Our first goal is to apply preventive measures to decrease the incidence of this disease. Secondly, patients who have acquired these disorders should be given timely open surgery, endovascular surgery, and medical management for treatment. We also promote and participate in clinical and basic research in vascular diseases. We are continuously making progress, especially in development and implementation of new technologies for diagnosis and treatment of vascular disease.
Congenital Heart Surgery
A child’s heart is a muscle about the size of his or her fist. The heart works like a pump and beats 100,000 times a day. Congenital Heart Defect (CHD), also known as a Congenital Heart Anomaly or Congenital Heart Disease, is a problem in the structure of the heart that is present at birth.
Approximately 50,000 infants in Pakistan are born with Congenital Heart Defect every year and almost 25% of them need immediate surgery in the first year of their life.
CHD changes the normal flow of blood through the heart. There are many types of CHD. They range from simple defects with no symptoms to complex defects with severe, life-threatening symptoms. CHD is the most common type of birth defect.
Many of these defects are simple conditions. They need no treatment or can be easily fixed. The treatment a child receives depends on the type and severity of his or her heart defect. Other factors include child’s age, size, and general health.