Cardiovascular disease represents a major burden of health in our society. The cardiovascular program at the McGill University Health Centre (MUHC) provides multi-disciplinary integrated care, from primary to quaternary levels. The MUHC Cardiology division serves patients of both the Montreal General Hospital (MGH) and Royal Victoria Hospital (RVH) and acts as a referral service for all McGill-affiliated teaching hospitals The McGill RUIS, covering a large part of Quebec, is also served by the MUHC cardiology division.
The division provides complex, advanced care for the province of Quebec in such areas as:
- congenital heart disease
- mechanical hearts
- heart and multi-organ transplantation
In the MUHC hospitals, the division provides support for the Emergency Department, the Medical, Surgical and Women’s Missions, as well as the Trauma Program and Intensive Care Units.
Coronary Intensive Care Unit (CICU)
The CICU team is responsible for providing emergency, advanced, cardiac life support. The Cardiology Division is an integral part of the Cardiac Surgery, Vascular and Medical programs of the MUHC, which together constitute the Cardiovascular Sciences Program.
Heart Failure Program
The heart failure program is a large referral centre for all of Quebec. Cardiology offers the most advanced, end-stage heart failure therapies in the province and is the only centre to offer combined heart and other solid organ transplants.
Cardiac Catheterization Laboratory
The cardiac catheterization laboratory is at the core of hospital-based complex cardiology. It provides advanced imaging and hemodynamic diagnostic equipment in all categories of cardiac disease for advanced therapeutic treatments. The laboratory facilities also support traditional open-heart surgery, as well as advanced mechanical heart support for acutely failing hearts.
Advanced cardiovascular imaging is provided in collaboration with the Department of Diagnostic Imaging.
Specialized clinics in congenital heart disease, heart failure, electrophysiology, and cardiovascular genetics provide the MUHC patients with access to world-class expertise and state-of-the-art technologies.
The MAUDE Unit, dedicated to congenital heart disease (CHD), provides care in cardiac surgery, cardiac intervention, valvular heart disease and transplantation. The unit's integration of medicine and obstetrics allows it to monitor patients from infancy onward. A cornerstone of its success is the provincial CHD database of more than 71,000 patients, dating from 1983. The multidisciplinary team at the MAUDE Unit cares for about 500 patients.
Percutaneous Aortic Valve Implantation – one of many state-of-the-art cardiac procedures performed at the MAUDE Unit – involves the replacement of worn-out heart valves using a non-invasive technique. The entire procedure, conducted via a blood vessel in the leg, avoids the need for potentially risky open-heart surgery. The MAUDE Unit, which was created in 2000, is one of only a few clinics in North America capable of performing this complex procedure.
When external hospitals and physicians refer patients to the catheterization laboratory, they ensure a streamlined process in elective and emergency situations, including:
- direct consultation with an experienced interventional cardiologist
- access to all diagnostic and conventional surgical interventions
- surgical referral when indicated