Nuclear Cardiology

Nuclear

History of Nuclear Cardiology in AFIC/NIHD dates back to 1993/1994, when a planar Siemens portable gamma camera system was used to perform cardiac scintigraphy.  With the start of weekly import of radiopharmaceuticals, the department started regular scintigraphic studies in 1994 under the supervision of Captain (Later Col) Mohsin Saeed Shaikh .Current head of the Dept is Col Mehdi Raza, with Maj Zaigham Salim Dar as the Second Consultant.

The department has  evolved into an international level Nuclear Cardiology setup, located on the ground floor of the main building of AFIC/NIHD in three adjacent locations, with two, dual-head, dedicated cardiac SPECT gamma camera systems, DDD Coream, installed in 2020, IS2 Positron, installed in 2012 and Philips CardioMD, installed in 2006.

The department, over the last three decades, has had the privilege of providing training and understanding in Nuclear Cardiology to postgraduates and undergraduates in Cardiology and Medicine, who are attached for their rotational training and/or want to keep themselves abreast of the latest advances in the field.

Patient volume has steadily grown over the years, with the increase in patient numbers generally, recommendations of international subject guidelines and due to the growing confidence of cardiologists, cardiac surgeons and related consultants in the capabilities of the department.

The department performs more then 3,000 gated myocardial perfusion studies per year, for diagnosis, prognosis and risk stratification of coronary artery disease and assessment of myocardial viability and offers its services to both indoor and outdoor patients of the entitled and non-entitled categories. Entitled patients include Armed Forces personnel and their dependents and referred Federal Government employees and their families. Non-entitled categories include patients referred by in-house consultants and those referred by consultants practising in other hospitals. These include patients granted free concession (like earthquake affectees) or concessional fee rates (like those funded by Fauji Foundation, or being supported from Zakat and Bait-ul-Mal heads).

The department is capable of performing the following scintigraphic studies:

  1. technetium 99-m MIBI / Thallium-201 Gated Myocardial perfusion studies ( with physical / pharmacological / dual stress protocols).
  2. Myocardial viability assessment.
  3. MUGA scan / equilibrium blood pool scintigraphic Studies, which are rarely performed these days.

of these the first two categories are regularly performed.

The department performs 70-80 cardiac scintigraphic studies per week, by appointment, 5 days a week. Emergent requests are accommodated within 6-24 hours, subject to availability of radio pharmaceutical. Daily working hours are from 8 am to 4 pm, Monday through Friday. Facilities are not available over the weekend and on gazetted / public holidays.

 

Appointments:

051-9271002 extension 3030.

Note:

Physician’s advice and all relevant documents need to be presented for a scan appointment to decide about the technique / protocol for the test advised and to give instructions for optimum patient preparation for the test. It is advisable to reconfirm the scan appointment 24-48 hours before the actual date / time of the test, as the radiopharmaceutical used is procured on weekly basis and delays in delivery / non-availability may affect the scan schedule.