1. Everybody has a Heart Cardiology in the Public sector Dr Katrin Stuve Helderberg Hospital

2. Strand Rusthof S W Macassar SLP Grabouw G B Tygerberg Hospital Groote Schuur Hospital OPD GP

3. Ambulatory Care “ GP” Doctors ( Medical Officers, Specialist Family Physicians ) Nurses Radiology Physiotherapy Dietitian Dentist Pharmacy ( chronic and acute medication ) Prevention…….. baby clinics, immunization, pap smears, family planning Chronic care TB Clinics Antiretroviral Medication / HIV care Diabetes, Hypertension, Asthma, Heart Disease, Psychiatry etc. Acute care.. “ Whatever you would go to your GP for” Community Health clinics Services

4. Stable patients Hypertension Heart failure Ischaemic Heart Disease Previous stroke Associated conditions ( gout, diabetes, renal failure etc.) BP checks, basic blood tests, Physiotherapy,ECGs, medication Heart Disease at CHC

5. District Hospital 180 beds 120% bed occupancy 32 Doctors 50 % qualified < 3 years ago 4 Full time specialists Medical students ( stell. and international)

6. Emergency Unit Dr Phillips and 2-3 junior Docs 3800 patients / month 130 /day

7. Obs and Gynae 250-300 deliveries /month

8. Internal Medicine 700 admissions/month 32 Beds

9. Outpatients Department General Clinics ( GP ) Specialist clinics Antiretroviral Clinic Medical Antenatal Surgical Orthopaedic Eye Urology Paediatric Mental Health

10. Strand Rusthof S W Macassar SLP Grabouw G B OPD GP Emergency Unit

11. Medical Outpatients Department Referral Clinic One stop shop Consultation Investigations ECG, echocardiogram Exercise stress test, blood tests, X-rays Medications

12. Emergency…..

13. Emergency Unit

15. High Care Unit

16. Heart attacks Unstable angina Heart failure Hypertensive emergencies Heart Rhythm abnormalities

17. Tygerberg Hospital Cardiology Department Angiograms, stents Cardiac Bypass Valve surgery Pacemakers Complex cardiac conditions University of Stellenbosch Research, Training of Cardiology Registrars

18. TBH

19. Groote Schuur Cardiology Department Electrophysiology ( Heart Rhythm) Heart Transplants University of Cape Town Hatter Institute (Research) Training of Cardiology Registrars

20. Spectrum of Heart Disease It’s not all Hypertension and Heart Attacks Cor Pulmonale Rheumatic Heart Disease Pericarditis Dilated Cardiomyopathy

23. Pericardial Effusion.. Water around the Heart

24. Rheumatic Heart Disease

26. Dilated Cardiomyopathy