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The Inherited Heart Disease Unit is basically devoted to providing care. We have a team of two cardiologists, three interns and two nurses, one full-time and one part-time. This Unit addresses all myocardiopathies in general, and inherited cases in particular.
Myocardiopathies are diseases where the myocardium is weak, dilated or has some other structural problem. Often, the heart is unable to pump or work properly. In the case of inherited myocardiopathies, due to the fact they are often treated as part of uncommon diseases, specialist management is not within the scope of all clinical cardiologists. It requires specific treatment and involves specific technology.
We have an outpatient clinic connected to a day hospital and conventional hospitalisation, with support from the Imaging, Haemodynamics, Electrophysiology and Arrhythmias Units.
This Unit is also responsible for teaching and research. It is connected to the Genetics Unit with a unit for clinical research and a unit for basic research.
The main healthcare objectives of our Unit are:
The Cardiovascular Critical Care Unit is a part of the Cardiology Department at Vall d’Hebron. It treats people with acute and serious cardiovascular disease. It mainly looks after cases of complex ischaemic heart disease, such as acute myocardial infarctions or chest angina.
The Cardiovascular Critical Care Unit (initially known as the Coronary Care Unit) was created in 1971 to admit patients with acute myocardial infarction, or other acute cardiovascular diseases. It also dealt with cardiac surgery post-operative care. In 1989 the unit was divided into two. The current Cardiovascular Critical Care Unit became responsible for the patients and became a part of the Cardiology Department.
The unit has 10 hospital beds for critical patients and 4 for semi-critical patients.Around 1,000 patients are admitted each year. Out of these admissions, two-thirds are due to an acute myocardial infarction. The remaining admissions are the result of other acute cardiovascular diseases, such as:
The unit also provides 24 hour support for cardiac emergencies via Vall d’Hebron Accident and Emergency Services. It also cares for outpatients.
The Cardiovascular Critical Care Unit offers the following advanced equipment and procedures:
Acute myocardial infarction and other acute heart diseasesThis is the main cause for admission to the Cardiovascular Critical Care Unit. An acute myocardial infarction occurs when cholesterol plaques build up in the coronary arteries. These take the blood to the myocardium, the heart’s muscle tissue that is responsible for pumping the blood around the blood stream. When the blood flow in the coronary arteries decreases, a myocardial ischaemia occurs. It usually causes a pain similar to pressure on the chest, known as chest angina. When the coronary artery is completely obstructed, an acute myocardial infarction occurs which causes heart cells to die.
It is a serious illness and requires the artery to be opened immediately. This is usually done with a catheterisation. The patient is then admitted to the Cardiovascular Critical Care Unit. Their vital signs are monitored and any drugs needed are administered.Imaging tests and invasive procedures are done, if necessary. Possible complications, such as arrhythmias, cardiac arrest or repeat ischaemic episodes, are also treated.
Acute, or chronic flare-up, heart failure and cardiogenic shockHeart failure is the heart’s inability to supply the blood properly to the rest of the body.The most frequent causes are ischaemic and myocardial heart disease. The main symptoms are difficulty in breathing and congestion of the entire body. The most extreme level of heart failure is cardiogenic shock.This occurs when the heart has almost no capacity to pump blood and impacts on other organs such as the kidneys, liver, lungs, intestine or the brain. The treatment consists of coronary revascularisation, which is surgery to recover blood flow in the artery. Drugs and mechanical circulatory support systems are also used. A heart transplant is the last resort.
Cardiopulmonary arrestVentricular arrhythmias are a heartbeat disorder coming from the ventricles, which are the heart’s lower cavities. They can cause cardiopulmonary arrest if they occur in the context of an acute myocardial infarction or any other heart disease. Breathing and the heartbeat suddenly stop. They may cause the person's death if they are not immediately reanimated. Reanimation is done with heart massage, defibrillating with an electric shock and assisted breathing.
The most feared outcome after reanimation is brain damage. This may occur due to the lack of blood supply during the arrest. These patients are admitted to the Cardiovascular Critical Care Unit where they get brain support and protection while they recover.
Ventricular tachycardia and arrhythmic stormAnother reason for admissions is sustained or repeated ventricular arrhythmias. They are known as arrhythmic storms and can have serious consequences.They occur in patients affected by an infarction or other advanced structural heart disease. Patients with arrhythmias caused by hereditary heart disease also suffer from them.
Anti-arrhythmia treatment and ablation of the tachycardias, or fitting a defibrillator, are needed to stabilise the patient. In the most serious cases assisted breathing and circulation support devices may be necessary.
Atrioventricular blockThis consists of the loss of electrical connection between the heart’s atria and ventricles. It frequently occurs in the elderly due to degeneration. It causes a very slow heartbeat. It can turn into fainting (syncope), a sudden, temporary loss of consciousness or heart failure. It is treated by fitting a pacemaker.
Acute aortic syndromeThe aorta is the body’s main artery. It may split, suffer internal bleeding or an ulcer on the walls. This can lead to very serious consequences, such as a rupture to the artery or a lack of blood flow to any organ. It frequently requires emergency surgical treatment.
Complications in congenital heart disease in adults and complications during pregnancy and postpartum in patients with congenital heart disease or other heart diseaseThe Cardiology Department is a benchmark for congenital heart disease in adults. The Cardiovascular Critical Care Unit cares for complications arising from the disease. For example, those occurring during pregnancy or postpartum. The unit provides complex surgical procedures for these cases.
The Cardiovascular Critical Care Unit has a long tradition of research. It researches the fields of thrombosis, prognostic factors and complications in acute myocardial infarction, heart failure and cardiopulmonary arrest. It also studies nursing care for cardiovascular disease.
Its members have their own lines of research and participate in several research networks. The results of the research are regularly presented at cardiology conferences. They are also published in Spanish and international scientific journals. Several members of the unit belong to Catalan, Spanish and European scientific associations focusing on acute cardiovascular diseases.
The Cardiovascular Critical Care Unit's team of professionals take part in academic education and practical training on the medicine and nursing degree courses. Cardiology residents usually spend time at the unit, along with residents in other specialities at the hospital. Residents from other hospitals in the Vall d’Hebron area and from other Spanish, European and Latin American hospitals also do so, where they are interested in training in caring for acute cardiovascular disease.
The unit's professionals regularly take part in training activities outside the hospital. They run master’s courses in cardiovascular disease, and collaborate on them. One of the unit’s members currently coordinates the Advanced Clinical Simulation Centre at Vall d’Hebron.
The Cardiovascular Critical Care Unit consists of medical and nursing professionals, assistants, porters and administrative staff. They work as a team and in close collaboration with the rest of the Cardiology Department and other departments at the hospital. The medical staff consists of a section head and four assistants, plus on-call doctors and residents.
The nursing team consists of a supervisor and thirty-two professionals. They are spread over four 12 hour shifts. Mercè Andorrà López is the current nursing supervisor.
In addition to providing multidisciplinary care for patients of all ages who suffer this condition, the objectives of Vall d’Hebron Hospital’s Hereditary Angioedema Unit include teaching and research in this field.
The Hereditary Angioedema Unit (UAEH) of Vall d’Hebron University Hospital’s Allergology Department has been treating patients with this disorder for more than 25 years.
UAEH outpatients are treated by allergology specialists in a multidisciplinary manner in the Outpatient Clinic in the Old Nursing School and in the Children’s and Women’s Hospital, ensuring transference and continuity of care from childhood through to adulthood for this genetic, lifelong condition.
The Unit is made up of popular, immunologists, geneticists, gynaecologists, maxillofacial surgeons, pharmacists and nurses, who are responsible for:
Depending on the type of care to be given to patients with diagnosed hereditary angioedema and their profile, they should be treated by the following divisions and/or units:
The specialists who work in the adult and paediatric allergology sections are responsible for treating patients aged 16 and under in the Children’s Hospital areas and subsequently facilitating their transfer and continuity of care with monitoring to the adult care departments in the Old Nursing School and the Allergology Day Hospital in the General Hospital.
The Hereditary Angioedema Unit (UAEH) offers an outpatient service to monitor patients with this disease: the Outpatient Clinic on the second floor of the Old Nursing School. Also, as it is a multidisciplinary unit, and depending on the type of patient (child, adult, pregnant woman), it provides care in a number of departments and units in the Children’s and Women’s Hospital, the General Hospital and A&E.
The nursing team specialises in education and specific care for patients with this disease.
Emergency care is provided at the Children’s Hospital for patients up to the age of 16 and at the General Hospital from the age of 17. The professionals who work in the A&Es have been trained to recognise the symptoms of this disease and to quickly provide its specific treatment.
When a patient needs a complex dental or maxillofacial procedure they will be assessed by the hospital’s maxillofacial surgeons and their operation will be organised with the suitable prophylaxis.
The Obstetrics, Foetal Medicine and Anaesthesia Departments have created a Working Unit for High-Risk Pregnancies for women with hereditary angioedema with the aim of monitoring the well-being of mother and child during pregnancy and of providing care during the delivery and postpartum period in accordance with a protocol specific to their type of hereditary angioedema and clinical situation. Care is also provided for high-risk postpartum cases.
In parallel to these services, there is also a reproductive counselling clinic for women with hereditary angioedema. The clinic is part of the Hereditary Angioedema Unit, and is that provided in conjunction with Gynaecology in the Outpatient Clinics of the Children’s and Women’s Hospital.
In this clinic an allergist and a gynaecologist combine their expertise to determine, in accordance with the patient’s clinical situation and type of hereditary angioedema, the possible effects of their having children. Their mission is to provide information and advice in relation to family planning and the reproductive possibilities of the patients living with this disease.
Oculoplastic and orbital surgery is a sub-specialism that treats the pathology related to the eye attachments, with four main fields of interest: orbital pathology, tear duct anomalies, anophthalmic cavity pathology and eyelid disorders.
The main characteristic of this field is its multi-disciplinary nature, due to the diversity of systemic diseases that may be involved. It is also an area that touches on other specialisms, including maxillofacial surgery, ear, nose and throat, plastic surgery and neurosurgery.
Treatment in this field often involves inter-relation with other medical specialisms, including endocrinology, internal medicine, radiology and oncology. We also provide medical and surgical care for oculoplastic pathology at the Children’s and Women’s Hospital.
We are a benchmark centre (CSUR) for orbital tumours nationwide and have set up an Orbital Tumour Hospital Committee to provide our patients with the best care and treatment.
This Section treats conditions affecting the optic nerve and Strabismus, a loss of ocular alignment.
This Section treats conditions affecting the optic nerve, whether secondary to intracranial hypertension, inflammatory/demyelinating, ischemic, infiltration-related (such as sarcoidosis), compressive, autoimmune, due to nutritional/toxic deficits, paraneoplastic or genetic, those affecting the visual field due to involvement of the visual pathway, whether cranial tumours, stroke, traffic accidents, infections (meningitis, encephalitis…) and those affecting pupil shape, size or reactivity.
In short, all those systemic or neurological entities that can cause visual dysfunction.
It is a multidisciplinary sub-specialty in which we collaborate with other hospital services, such as Internal Medicine, Neurosurgery or Neurology. We work particularly closely with the Neurology department of the Multiple Sclerosis Centre of Catalonia (Cemcat).
Strabismus is a loss of ocular alignment.
In our Department, we offer treatment by means of glasses, with or without prism, botulinum toxin or surgery of the extraocular muscles.
We treat strabismus in patients who have presented it since childhood (whether they have been treated previously or not), as well as in patients who present it in an acute way due to paralysis, restrictions (severe myopia, thyroid pathology, orbital trauma, tumours), age-related strabismus (sagging eye) and sensory strabismus (secondary to visual deficit).
The main reason for treatment is diplopia (double vision), improving eye mobility or compensatory torticollis and also for aesthetic reasons.
Uveitis is an inflammation of the middle layer of the eye, the uvea, and can affect only the ocular and periocular region or it may be associated with systemic diseases. The aetiology of this clinical picture is very varied and includes trauma, infection, previous eye surgery, systemic inflammatory disease and others.
In this Section, we have access to all the testing required to diagnose and manage these conditions, from exclusively ocular tests, such as wide-field retinography, autofluorescence, optical coherence tomography, campimetry, etc., to extraocular testing in close relation with other specialties across the hospital.
Due to the huge amount of damage that ocular and extraocular tissues can undergo, these conditions are usually treated using powerful anti-inflammatory medicines, such as glucocorticoids. In many cases, inflammation is chronic and therefore requires medicines that allow us to bring it under control effectively and safely in the long term, such as immunosuppressant and biological therapies. These patients must therefore be treated using a multi-disciplinary approach, in collaboration with internal medicine specialists. Our Department benefits from professionals with a huge amount of experience and many years working in this field, who visit patients in appointments within the Department, together with the ophthalmologist.
Sometimes these conditions require surgery, which is performed in the Uveitis Department, whether for aetiological diagnosis (diagnostic vitrectomy, eye tissue biopsy...), or for treatment (cataract surgery, therapeutic vitrectomy...).
The retina sub-specialism is a branch of ophthalmology concerned with studying, diagnosing and treating retina, uvea and vitreous conditions.
Among the pathologies tackled by this sub-specialism are pathologies of the retina that require medical treatment, including: diabetic retinopathy, retinal vascular disorder, such as venous thrombosis or arterial occlusions, age-associated macular degeneration or severe myopia.
The Department has the most advanced technology for the surgical treatment of various retina conditions:
The Department also has the technology required for correct differential diagnosis of tumour pathologies of the eye and to conduct multi-disciplinary exams to diagnose and monitor patients. With regard to treating choroidal melanoma, the Department performs treatment through vitrectomy, acquiring tumour samples, and through tumour endoresection, as well as plaque brachytherapy implant (local radiotherapy).
The Retina Department at Vall d'Hebron Hospital constantly works on implementing and updating protocols of action on the different diseases of the retina and vitreous. The Retina Department is highly committed to research and teaching. It stands out for its long tradition of publications and for publishing chapters in books, as well as for taking part in various national and international studies on the latest scientific advances and technological innovation, allowing us to offer our patients the latest therapeutic advances.
The clinical and basic research activity of the ophthalmology research group focuses on finding new treatments for blindness. We have a research programme in developing new therapeutic strategies based on: a) gene and cell therapies to regenerate or halt the retina degeneration process in pre-clinical models; b) eyewash formulae to discover new anti-inflammatory and anti-oxidant compounds to treat retina conditions; and c) 3D retinal organoids derived from hiPSC and bioscaffolds used as models of retinal disease, both for genome editing and drug screening.
Integrated monitoring of patients with glaucoma, from diagnosis at the GP surgery/hospital to surgical treatment, where required.
Care services are currently conducted
For the past 12 years, the Glaucoma Department has trained resident doctors in the medical and surgical techniques for glaucoma, in weekly sessions divided into three trimesters (1st, 2nd and 4th T). These sessions cover diagnosis and the medical and surgical treatment of the condition. Our aim is to continue this work, as it has had excellent results.
The Glaucoma Department is responsible for annual coordination of and participation in the course. We would like to deliver a yearly course related to the condition glaucoma in which speakers from different hospitals are invited to participate.
Scholarship course for a 4th year resident (R-4) interested in glaucoma as a sub-specialism so that they can take part in the annual European Glaucoma Society (EGS) residents' course.
Residents receive teaching during their rotation in the Glaucoma Unit. It is currently split into two periods of 3 or 4 months. Face-to-face sessions take place with residents on Monday mornings (PSPV). There are also annual refresher courses led by physicians from the Glaucoma Service and physicians external to our hospital.
We are currently involved in several research studies. Scientific activity:
Our Section deals with the diagnosis and treatment of all pathologies affecting the ocular surface, whether inflammatory, infectious, dystrophic, traumatic, tumour-related or degenerative.
Within the Department, we have the most up-to-date complementary tests for diagnosing ocular surface pathologies: specular microscopy, pachymetry, state-of-the-art topography (Pentacam, Cassini), high-resolution anterior segment OCT, etc.
We maintain a close relationship with the departments involved in the diagnosis (Microbiology and Pathological Anatomy) and treatment (Blood and Tissue Bank) of ocular pathologies. This allows us to speed up the diagnostic processes (especially in infectious and tumour processes) and to improve the performance of the treatments applied (amniotic membrane, amniotic membrane extract eye drops, autologous serum eyedrops, cord blood plasma, platelet-rich plasma...)
We have three weekly sub-specialty operating room sessions, which gives us a very short waiting list for ocular surface and keratoplasty techniques. We are a centre especially involved in performing corneal transplants, and in recent years we have remained among the public centres that have performed the most transplants, both in Catalonia and nationally. In the last few years, we have been incorporating lamellar techniques into our transplants (anterior lamellar, DALK type, and posterior endothelial lamellar, DSAEK and DMEK type), so that currently only 30% are penetrating. We thus achieve a lower rate of intraoperative complications, better and earlier sight recovery and a reduction in the incidence of rejection and/or endothelial failure in the medium and long term.
Like the other sections in our Department, we actively participate in training residents in the specialty, as well as in Ophthalmology classes and in placements for fourth-year students of Medicine at the UAB.
As far as research is concerned, the members of the Department conduct work as principal investigators or collaborators in different projects, both in the Ophthalmology Department and in other hospital departments (Oncology). One of these projects allows us to have access to topical treatment of our patients with umbilical cord blood plasma eye drops, which is far superior to other therapeutic options in ocular surface pathologies.
We are a benchmark national unit of expertise (CSUR) for surgical techniques involving complex reconstruction of the ocular surface, especially those using amniotic membrane and temporary or permanent keratoprosthetics.
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