There are five inpatient cardiology services at the Shands Hospital:
- General Cardiology which includes the Coronary Care Unit Medical Cardiology Teaching (MCT)
- Heart Failure/Transplantation Service Medical Cardiology Heart Failure/Transplant (MCH)
- Arrhythmia/Electrophysiology Service Medical Cardiology Electrophysiology (MCE)
- Interventional Service Medical Cardiology Intervention (MCI)
- Cardiology Consultation Service available 24 hours a day
The inpatient cardiology services at Shands Hospital admit patients that are under the direct care of our full-time faculty. The MCT is our primary teaching service and is staffed by one full-time cardiologist, one cardiology fellow, one medicine resident, two interns, and a physician’s assistant. A fourth-year medical student often serves as an extern. Heart transplant and complicated heart failure patients are managed by a special cardiac transplant team (the MCH) staffed by a transplant cardiologist attending, a cardiology fellow, and a physician’s assistant. Patients with complex arrhythmias and/or electrical devices are managed on the MCE staffed by an attending electrophysiologist, a cardiology fellow, and an advanced EP fellow. Patients with recent percutaneous interventions are managed on the MCI staffed by an interventional cardiologist and an advanced interventional cardiology fellow. Finally, the Cardiology Consult Service staffed by an attending cardiologist, a cardiology fellow, one medicine resident, and a variable number of fourth-year medical or physician assistant students, sees patients daily with cardiovascular disease residing on other inpatient services.
Acutely ill cardiac patients are admitted to an acute cardiac care unit staffed by the inpatient cardiologist. Housestaff make daily rounds with the faculty cardiologist on all patients in the unit. In general, these patients are admitted to the unit to treat acute ST elevation myocardial infarction, refractory heart failure, ventricular arrhythmias, cardiogenic shock, and post-op alcohol septal ablation.