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Annual Report 2013.Indd GOVERNING BODY chairman MR. VIDYADHAR MALLIK HON. MINISTER FOR HEALTH AND POPULATION members MR. NARAHARI ACHARYA HON. MEMBER OF CONSTITUENT ASEMBLY DR. PRAVEEN MISHRA SECRETARY MINISTRY OF HEALTH AND POPULATION MR. ANANDA RAJ DHAKAL JOINT SECRETARY MINISTRY OF FINANCE DR. SITARAM CHAUDHARY DEAN NATIONAL ACADEMY OF MEDICAL SCIENCES BIR HOSPITAL MRS. ANURADHA KOIRALA WOMEN REPRESENTATIVE MR. SANJEEB RAJBHANDARI SOCIAL WORKER DR. ABANI BHUSAN UPADHYAYA SR. CONSULTANT CARDIOLOGIST DR. YADAV KUMAR DEO BHATT SR. CONSULTANT CARDIOLOGIST DR. RAAMESH RAJ KOIRALA CONSULTANT CARDIAC SURGEON member secretary DR. MAN BAHADUR K.C. EXECUTIVE DIRECTOR EDITORIAL Shahid Gangalal National Heart Centre, since its establishment, has strived to provide quality cardiac care to the Nepalese public of diverse socio-economic strata which includes the poorest receiving free medical and surgical services and the affording class, making their contribution for the running of the institute. Beginning from a tiny out patients setup, we have now achieved an establishment providing advanced care in Cardiology, Preventive Cardiology, Pediatric Cardiology, Cardiac Surgery and Cardiac Anesthesia. Every year, an Annual Data of all the works accomplished within the institute is compiled into a report, which refl ects the hard work of all within the hierarchy of the working group. The team work, selfl essness and devotion of the working group to the patients are what has been the major driving force for the productivity and the achievements seen within the institute. We as editors have had the wonderful opportunity of compiling such a diverse data, technical works and original articles. We thank all the contributors and the authors for their effort as well as achievements. Finally we wish Shahid Gangalal National Heart Centre, to remain a true National Heart Centre and a centre of excellence in the fi eld of Cardiac Science. Dr. Sajan G Baidya Dr. Bijoy G Rajbanshi Dr. Dipanker Prajapati Dr. Amrit Bogati Ms. Samjhana Shakya Mr. Mahendra Lamsal Mr. Santosh Dhakal ANNUAL REPORT 2013 TABLE OF CONTENT qm=;+= lzif{sk]h g+= 1 sfo{sf/L lgb]{zssf] jflif{s k|ltj]bg 1-3 2 cf=j=)^(÷&) sf] jflif{s sfo{qmdsf] k|ult tyf cfoJoo ljj/0f 4-6 3 Cardiovascular Surgery 7-8 4 Department of Anesthesiology 9-11 5 Non-Invasive Cardiology and OPD Services 12-15 6 Pediatric Cardiology Service 16-19 7 Acute Coronary Syndrome 20-22 8 Medical Intensive Care Unit (MICU) 23-24 9 Interventional Cardiology Services 25-27 10 Cardiac Electrophysiology and Device Implantation 28-29 11 Emergency Services 30-31 12 Medical Ward 32-33 13 Department of Cardiac Rehabilitation & Health Promotiion 34-36 14 Nursing Department 37-39 15 Pathology Services 40-41 16 Radiology Services 42-44 17 Pharmaceutical Care 45-46 18 Physiotherapy Services 47-49 19 Annual Mortality : 2013 50-52 20 My Days at SGNHC 53-54 21 Ps lj/fdLsf] gh/df zxLb u+ufnfn /fli6«o x[bo s]Gb| 55-58 22 A Roadmap for Positive Revolution in the Management 59-61 23 s]Gb|df kl/:s[t x'“b}{ u/]sf] gl;{ª ;]jf 62-63 24 l;=P;=P;=8L Ps dxTjk"0f{ ljefu 64 25 God’s Clinic 65 26 Avian Flu 66-67 27 Zj]t j:qdf ltdL 68 28 Waste Management System 69-71 29 Photo Gallary 72-79 30 Staff Lists 80-90 Annual Report 2013 sfo{sf/L lgb]{zssf] k|ltj]bg 8f= dg axfb'/ s]=;L= sfo{sf/L lgb]{zs g]kfnleq} ;a} k|sf/sf d'6'/f]ux?sf] lgbfg, kfpFbf xfdL cToGt} uf}/jflGjt ePsf 5f}+ . pkrf/ tyf /f]syfd ug]{ p2]Zon] :yflkt ut cfly{s jif{ @)^(.&) df s]Gb|åf/f ;+kflbt o; zxLb u+ufnfn /fli6«o x[bo s]Gb|n] cfˆgf] k|d'v sfo{ljj/0f lgDgfg';f/ /x]sf] 5M cÝf/f}+ aflif{sf]T;j dgfpg uO/x]sf] 5 . ljut jif{x?df h:t} of] jif{klg s]Gb|n] cfˆgf] sfd alx/+u ;]jf !,!!,@^) hgf st{Ao ;Gtf]ifhgs ?kdf ;DkGg u/]sf] ;'gfpg cGt/+u ;]jf$$!$ hgf Non Invasive Cardiology tkm{ Electrocardiography (ECG) 63330 Transthoracic Echocardiography (TTE) 46394 Transesophageal Echocardiography (TEE) 781 Treadmill Test (TMT) 9118 Holter Monitoring 2757 Ambulatory Blood Pressure Monitoring 1176 Stress Echocardiography 106 Carotid Doppler 205 Fetal Echocardiography 146 ShahidShahid Gangalal National Heart Centre, Bansbari, Kathmandu Page 1 Annual Report 2013 Invasive Cardiology tkm{ Coronary Angiogram (CAG) 2294 Peripheral Angiogram (PAG) 53 Coronary Angioplasty 790 Percutaneous Transluminal Mitral Commisurotomy (PTMC) 403 Electrophysiological Study and Radiofrequency Catheter Ablation (EPS 171 & RFA) Right and left Heart Cathererization 71 Pacemakers and Devices 238 Device Closure (ASD / PDA) 44 Cardiac Surgery tkm{ Coronary Artery Bypass Graft (CABG) 165 Valve Replacement 517 Correction of Congenital Heart Defect 580 Vascular Surgical Procedures 65 CCP 23 Others 39 d'6'/f]uLx?sf] pkrf/ s]Gb|sf] d'Vo sfo{ eP lgMz'Ns pkrf/sf] nflu ah]6sf] Joj:yf tfklg d'6'/f]usf] /f]syfd / o;;DaGwL u/]sf] 5 . To;}u/L d'6sf' ] eNe ljlu|Psf hgr]tgf clej[l4 ug]{ sfo{df klg s]Gb| u/La tyf c;xfo la/fdLsf] nflu b'O{;o lg/Gt/ nfluk/]sf] 5 . o; cfly{s jif{df j6f lgMz'Ns eNesf] Joj:yf u/]sf] 5 . klg s]Gb|n] d]lrb]lv dxfsfnL;Ddsf ;fF3'l/Psf] eNe v'nfpg] PTMC k|ljlwsf] ljleGg efudf ljz]if1x?sf] 6f]nLn] ( j6f nflu g]kfn ;/sf/åf/f ?=! s/f]8 &) nfv k|ltsf/fTds sfo{qmdx? ;+rfng u/]sf] 5 . ljlgof]hg ul/Psf] lyof] . o;sf] cltl/Qm h;sf] k|efj hg:t/df lgs} /fd|f] kfOPsf] pNn]lvt ;/sf/L ;]jfleq gk/]sf jf To;n] xfd|f] cg'ej 5 . ck"u ePsf uDeL/ k|s[ltsf] d'6'/f]u nfu]sf lj/fdLx?nfO{ :jf:Yo dGqfnodfkm{t ljkGg gful/s sfo{qmd cGtu{t ?= krf; xhf/ uDeL/ k|s[ltsf d'6'/f]usf] pkrf/df g]kfn b]lv Ps nfv;Dd cg'bfg lbg] Joj:yf ul/Psf] ;/sf/n] cToGt} dxTj lb+b}cfPsf] s'/f 5 . nf]kf]Gd'v hghfltsf nflu lgMz'Ns pkrf/ oxfFx?nfO{ ljlbt} 5 . ut cfly{s jif{df klg sf] Joj:yf ul/Psf] 5 . o; cltl/Qm hoGtL g]kfn ;/sf/n] !% jif{d'lgsf afnaRrfx? d]df]l/on 6«i6, /fd lgjf; kjg s'df/ tyf &% jif{dflysf h]i7 gful/sx?nfO{ cu|jfn sf]if, kfNkf tfg;]g lgjf;L eujtL ShahidShahid Gangalal National Heart Centre, Bansbari, Kathmandu Page 2 Annual Report 2013 b]jL ;}+h' cIfo sf]if, g]kfn x[bo/f]u lgjf/0f ;DkGg e};s]sf] 5 . k|lti7fg nufotsf ljleGg ;xof]uL ;+3–;+:yf cfly{s cg'zf;g / cfly{s sf/f]af/df tyf JojlQmx?n] klg u/La tyf c;xfo kf/blz{tf xfd|f] g}lts an xf] . xfdLn] ;Dk"0f{ lj/fdLsf] pkrf/df oyf;Sbf] cfly{s tyf v/Lb k|lqmof O{–6]08/dfkm{t k|efjsf/L¿kn] ef}lts ;xof]u ul//x]sf 5g\ . ug{ ;kmn ePsf 5f}+ . ljut cfly{s jif{x?df s]Gb|nfO{ ;d;fdlos k|ljlw;Fu lg/Gt/ h:t} cf=j= @)^*.^( ;Dddf n]vf k/LIf0fdf hf]l8/fVgsf] nflu sfl8{of]nf]hL, sfl8{ofs s]Gb|sf] a]?h' z'Go g} 5 . ;h{/L tyf gl;{Ë ljifodf pRr lzIff tyf cGtdf, s]Gb|sf] ljsf;, lj:tf/ / :yfoLTjsf] Super Specializati on sf] nflu ut cfly{s nflu lg/Gt/ nflu/xg'ePsf s]Gb|df sfo{/t jif{df klg :jb]z tyf ljb]zdf tfnLdsf] ;Dk"0f{ sd{rf/Lx?, ;+rfns ;ldltsf ;b:ox?, Joj:yf ul/Psf] 5 . lrlsT;f lj1fg tyf g]kfn ;/sf/sf ;/f]sf/jfnf lgsfox?, /fli6«o k|lti7fg (NAMS) ;Fu ;xsfo{ u/L rGbfbftfx?, /Qmbftfx?, u}/;/sf/L ;+:yfsf d'6'/f]usf] If]qdf pRr lzIffsf] cWofkg k|ltlgwLx?, kqsf/x?, lj/fdL tyf pgLx?sf lg/Gt/ hf/L 5 . cfkmGtx? Pj+ ;Dk"0f{ z'e]R5's hgdfg;df s]Gb|sf] ef}lts k"jf{wf/ tof/ ug]{ sfo{df klg xflb{s wGoafb JoQm ug{ rfxG5' . xfdL lg/Gt/ nflu /x]sf 5f}+ . s]Gb|sf] s"n z}of ;+Vof @)) k'¥ofpg] sfo{ clGtd r/0fdf 8f= dg axfb'/ s]=;L= k'u]sf] 5 . o;} cfly{s jif{df yk Ps yfg sfo{sf/L lgb]{zs cTofw'lgs SofyNofa d]lzg h8fg ug]{ sfo{ ldltM@)&).!).!% ShahidShahid Gangalal National Heart Centre, Bansbari, Kathmandu Page 3 Annual Report 2013 cf=j=@)^(÷)&) sf] jflif{s sfo{s|dsf] k|utL tyf cfo Joo laa/0f ladn s'df/ pk|]tL dgf]h s'df/ lai^ o; s]Gb|n] cf=j=2069÷70 df d'Vo 8 3= PGhLof]u|fkmL÷Knfi^L k/LIf)f ;]jfM j^f sfo{s|d ;+rfng ug]{ nIo /flvPsf] / ;f] sfo{s|d ;+rfngsf nflu g]kfn cf=j=2069÷70 df hDdf 3500 ;/sf/sf] tkm{af^ kRrL; s/f]* kGrfgAa] hgf d'^'sf la/fdLx?sf] SofyNofa nfv, :jf:Yo s/sf]ifsf] tkm{af^ b'O{ s/f]* ;]jfdfkm{t PGhLof]u|fkmL÷Knfi^L PsxQ/ nfv ;f&L xhf/ / cfGtl/s nufotsf laleGg /f]ux?sf] >f]taf^ afpGg s/f]* %oQ/ nfv j]xf]g]{ k/LIf)f tyf lgbfg ug]{ nIo u/L s'n /sd Psf;L s/f]* aofnL; nfv /fvLPsf]df jflif{s nIosf] ;f&L xhf/ ah]^ Joj:yf ul/Psf]df o; cfwf/df o; cf=a=2069÷70 df cfly{s aif{df d'Vo 8 j^f sfo{s|d ;DkGg e} rf}xQ/ s/f]* PstL; nfv c&\;¶L hDdf 4282 hgf la/fdLx?sf] xhf/ vr{ ;d]t e} pQm /sdaf^ pNn]lvt SofyNofa dfkm{t laleGg pkrf/ sfo{s|dx? ;+rfng ePsf %g\ .
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