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Facilities, Faculty & Reseach
Facilities In 1991, the Dartmouth-Hitchcock Medical Center moved to new facilities on a beautiful, wooded campus in Lebanon, New Hampshire, just minutes from Hanover and Dartmouth College. The center provides a 44-bed cardiology inpatient unit with telemetry, an 18-bed combined cardiology/cardiac surgery intensive care unit (10 beds for coronary care), state-of-the-art echo facilities, including TEE and digital processing, tomographic nuclear cardiac scanning, exercise testing, computer-assisted ECG acquisition and interpretation, cardiac rehabilitation facilities, and outpatient facilities plus offices. Recent expansions include a new cardiac catheterization lab, special procedures suite and imaging center performing cardiac MR and ultrafast CT. A recent summary of procedures performed for the year included 2,800 diagnostic cardiac catheterizations, 980 coronary angioplasties/stents, 10,000 echocardiograms (combined M-mode, 2-D, and Doppler), 400 transesophageal echocardiograms, 250 dobutamine/stress echocardiograms, 2500 stress tests, 30,000 electrocardiograms, and 700 electrophysiology studies and procedures (including 150 permanent pacemaker procedures). Approximately 650 patients are admitted to the Coronary Care Unit each year, and approximately 12,000 are seen in Cardiology Outpatient Clinic. The annual number of cardiothoracic surgeries averages 600. At the Veterans Administration Hospital, a major teaching affiliate, a full range of consultative and noninvasive cardiac services is offered. This includes active programs in echocardiography and nuclear imaging. Faculty There are 25 members of the Section of Cardiology at DHMC who are dedicated, full-time salaried physician educators with expertise in all disciplines of cardiovascular medicine. There is a special collegial atmosphere in the division and medical center that fosters an ideal learning environment and high quality patient care. Fellows are key members of the cardiac services delivery team and, accordingly, a symbiotic relationship exists between staff physicians and trainees. Visit the staff page to learn more. Research A variety of research activities in the Section include participation in all phases of clinical research, pre-clinical studies centered on development of new cardiovascular devices and assessment of emergent therapies and basic research in molecular cellular biology. These activities are supported by funding from the National Institutes of Health (NIH), American Heart Association and a number of other sources. The Cardiology Clinical Research Unit focuses on evaluation of new protocols for management of acute myocardial ischemia, prevention of reperfusion injury and novel forms of therapy for advanced heart failure. A special emphasis is evaluation of angiogenic and myogenic therapies for patients with advanced coronary and peripheral vascular disease and congestive heart failure. The Angiogenesis Research Center and its scientists are located in the Borwell research building adjacent to the medical center. This internationally recognized research program offers fellows a unique opportunity to engage in cutting edge developments in cardiovascular genetics, vascular biology, gene therapy and emerging treatment modalities. The Dartmouth Advanced Imaging Center provides cardiology trainees with experience in the latest imaging technologies including magnetic resonance imaging and ultrafast CT for assessing cardiac function, myocardial viability, congenital malformations and evolving therapeutics. The Northern New England Cardiovascular Study Group (NNE) is a voluntary collaboration of cardiac surgeons, cardiologists and other medical professionals from the 7 centers in Northern New England that are the sole providers of coronary revascularization. Under the direction of Drs. Gerald O'Connor and David Malenka, this organization has achieved a national and international reputation for evaluating process improvement and quality of care in cardiac therapies. Fellows can participate in studies using the robust NNE database and its expert resources. Finally, the Center for the Evaluative Clinical Sciences (CECS) at Dartmouth Medical School offers the opportunity for MPH or doctoral level studies in epidemiology and health services research. Learn more about research in Cardiology at DHMC by following links to individual research areas (above) or visit the Cardiology Research Overview Page.
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