In army cardiac services were started in cardiothoracic Centre, MH Rawalpindi in 1953. First angiography was performed in 1969 and first open heart surgery was done in 1970. This centre was upgraded as Armed Forces Institute of Cardiology (AFIC) in 1978. Just 3 years after, to extend the services to fellow citizens, government servants and poor patients this institute was upgraded to National Institute of Heart Diseases (NIHD) under President Directive No. 216 of 1981.

This 250-bedded hospital is a major tertiary cardiac care center in Pakistan, dedicated to the cardiac patients from over the country including Armed Forces, Federal Government employees and civil population. AFIC/NIHD is an extremely busy centre equipped with 19 bedded Coronary Care units, 19 bedded surgical ITC, Departments of Cardiac Electrophysiology, Echocardiography, Exercise Tolerance Test and Nuclear Cardiology. There are three fully equipped Catheterization laboratories capable of complex coronary and cardiac interventions. It has six cardiac surgical theaters capable of all kinds of adult and pediatric cardiac surgery. We perform approximately 1600 cardiac surgical procedures yearly, 80% of them are open heart surgery.