Coronary Care Unit
While you are on the Coronary Care Unit rotation, you will treat critically ill patients and:
- Gain experience running the intensive care unit
- Insert all hemodynamic lines and temporary pacemakers
- Supervise the medical residents and students taking rotations on the unit
The Coronary Care Unit averages 1,500 admissions per year. These patients have acute ischemic syndromes, arrhythmias, refractory heart failure, pacemaker difficulties and a wide variety of other complex cardiac problems.
Cardiology Hospital Service
This important rotation allows the fellow to have primary responsibility for the evaluation and treatment of patients hospitalized with cardiology problems. Through overview by cardiology staff, expeditious cost-effective medicine is emphasized.
There is a large, outpatient subspecialty practice in cardiovascular diseases. During this rotation you will see 15 to 20 new outpatients per week, with a diversity of diagnoses, including coronary artery disease, valvular heart disease, pericardial disease, cardiomyopathy and vascular disease. You will be responsible for the full work up and follow-up of these patients.
During these rotations you will see up to eight new cardiac patients per day on the consulting services, and make follow-up visits on previous patients as needed. A cardiovascular consultant will be assigned to discuss each case with you and help you develop a plan for diagnosis and patient management.
Vascular Medicine/Prevention Service
While assigned to this service, you will:
- Care for patients with vascular diseases
- Conduct bedside diagnoses of the peripheral vascular system
- Learn noninvasive techniques for evaluating peripheral venous and arterial circulation
- Learn to interpret arteriograms and venograms
Peripheral vascular disease is an integral part of cardiovascular medicine. The University of Minnesota has established a dedicated vascular center that brings together the disciplines of clinical medicine, vascular radiology and vascular surgery. The vascular practice performs approximately 1,400 surgical procedures, 4,500 peripheral arteriograms and venograms and 5,500 noninvasive procedures each year.
During this rotation you will:
- Learn to read a wide variety of complex tracings dealing with disorders of cardiac rhythm, acute myocardial infarction or ischemia, and congenital heart disease
- Review 24-hour ambulatory monitoring recordings and interpret signal-averaged electrocardiograms
- Participate in a clinical research project
You may assist with Electrocardiography Laboratory emergencies, such as when a patient has markedly abnormal rhythms or evidence of myocardial ischemia or injury during an electrocardiogram.
During all four years of your fellowship, you will spend one-half day every week in the Continuity Clinic, providing follow-up care to your patients.
The University of Minnesota operates one of the few adult congenital heart disease clinics in the United States. Referrals from all over the world come to this clinic for subspecialty consultation and possible surgery. For more information on the Congenital clinic, please see this recent article in Twin Cities MD News (pdf) . These are optional rotations.