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RVH has built a solid foundation of cardiac services to support the Catheterization labs. The following is already in place:
A recent partnership with YMCA Simcoe/Muskoka provides outpatient cardiac rehab throughout the region as a great and effective method of helping patients receive rehabilitative care as close to home as possible after a cardiac event
Capital investments have been made with:
An advanced cardiac program at RVH will include diagnostics, treatment and rehabilitation. RVH currently provides many services including diagnostics and some cardiac care for those waiting for an angiogram and/or an angioplasty as well as a rehabilitation program.
In the future, with the community’s support, it will also include two catheterization labs so angiograms and angioplasty can be performed at RVH.
An angiogram is an X-ray image of blood vessels after they are filled with a contrast material. An angiogram of the heart – a coronary angiogram- is the “gold standard” for the evaluation of coronary artery disease (CAD). A coronary angiogram can be used to identify the exact location and severity of CAD. (MedicineNet.com)
An angioplasty is a non-surgical procedure that relieves narrowing and obstruction of the arteries to the muscle of the heart (coronary arteries). This allows more blood and oxygen to be delivered to the heart muscle. PTCA is now referred to as percutaneous coronary intervention, or PCI, as this term includes the use of balloons, stents, and atherectomy devices. (MedicineNet.com)
The Advanced Cardiac Program requires community support of $15 million. The project is part of a larger Hearts and Minds campaign which includes:
No, the space is already available in the health centre. The shelled space for this was completed in RVH’s recent expansion which opened in 2012. The next step is to supply the equipment and furnishings for the cardiac catheterization labs.
Advanced Cardiac Care at RVH will ensure cardiac patients receive:
Southlake Regional Health Centre in Newmarket has been providing excellent cardiac care – they are currently providing essential mentoring to RVH to establish our program. Unfortunately, many communities are outside the safe 90 minutes gold standard of care – meaning by the time they call 911, the ambulance arrives and they are transported to Newmarket, usually with a stop at their local hospital first, it is well beyond the 90 minute window . Simcoe Muskoka is the only region in Ontario without these cardiac services. In fact, 40 per cent of Southlake cardiac patients are from Simcoe Muskoka. We are working in co-operation with Southlake to build our future program.
In 2013-14, 8,700 patients from Simcoe Muskoka went to their local hospital with cardiac-related chest pain and over 1,100 of them had the most serious type of heart attack where the coronary artery is completely blocked by a blood clot.
Of those 1,100 severe heart attack patients, only 76 (mostly from Barrie and south) were able to be transported directly to the cardiac centre in Newmarket for immediate intervention.
Heart patients from this region have significantly higher cardiac mortality rates due, in part, to the distance from an advanced cardiac centre. Our large, rural geography, along with often treacherous road conditions, means most residents cannot get to an advanced cardiac centre within 90 minutes and must rely on a “drip and ship” standard of care. “Drip and ship” refers to a type of cardiac care in which patients are given clot-busting medication in their home hospitals and then transported to a cardiac centre. This treatment doesn’t work for 30 per cent of the patients. Most North Simcoe Muskoka heart attack patients get this less-than-optimal “drip and ship” standard of care.