Conventional inpatient cardiology clinical assistance is located in unit 2 of the Hospital de Sant Joan Despí Moisès Broggi. A medical team of four specialists works there with residents from other specialties, in addition to the nursing team and assistants. The annual volume of admissions is about 1.700, mainly for myocardial infarction, angina, heart failure and heart rhythm disorders. Likewise, around 1.650 interconsultations are carried out annually for patients with cardiac pathologies who are admitted to the center in charge of other medical and surgical services.

There is a cardiologist in the emergency department of the Hospital de Sant Joan Despí Moisès Broggi every working day from 8am to 18pm, as well as on Saturday mornings from 30am to 8pm. At Hospital General de l'Hospitalet, from Monday to Friday there is a consultant cardiologist who can attend to patients in the emergency department. Since November 15, there is a 2020-hour cardiology on-call during weekends and public holidays throughout the year.

The Cardiology Service is in charge of implanting more than 250 devices a year (DDD, VDD and VVI pacemakers, subcutaneous Holter ECG), around 30% in the ambulatory major surgery regime.

Rapid Diagnostic Unit (UDR). The Hospital de Sant Joan Despí Moisès Broggi and the Hospital General de l'Hospitalet have a high-resolution cardiac pathology consultation, which allows echocardiograms to be performed in the same office and cardiological tests on the same day (exercise test, Holter ECG). All the first visits referred to Cardiology in hospitals are made in the UDR. Around 2.450 visits are carried out annually (first and subsequent visits).

Cardio-oncology Unit. Since 2015, the Hospital de Sant Joan Despí Moisès Broggi has had a multidisciplinary unit made up of oncologists and cardiologists that allows, jointly, to carry out a comprehensive approach to cancer patients. In this way, an initial cardiological assessment can be made and the type of chemotherapy treatment most suitable for the patient can be decided. It also allows action against possible adverse cardiac effects during rounds of chemotherapy (such as heart failure) and facilitates long-term monitoring of possible cardiac toxicity of chemotherapeutic agents. More than 150 oncological patients are assessed and 300 oncological echocardiograms are carried out each year.

Cardiology external consultations at the Hospital de Sant Joan Despí Moisès Broggi. There are 3 consultations per week to attend, on an outpatient basis, complex patients who have just been discharged from the cardiology unit.

Multidisciplinary Vascular Risk Area. The Cardiology Service participates in a specific consultation for arterial hypertension and cardiovascular disease.

Pacemaker consultation. Face-to-face control visits and through remote monitoring of patients wearing devices (pacemakers, subcutaneous Holter ECG). The type of stimulation is optimized and the status of the generator is checked. Around 1.550 visits are made annually.

Specific consultation of the Heart Failure Unit (UIC)-Cardiomyopathies. In the external consultations of the Sant Joan Despí Moisès Broggi Hospital, patients with severe heart failure or cardiomyopathies who require attention by a cardiologist expert in this pathology are monitored. There are around 300 visits a year.

Integrated Cardiology Care-Primary Care. The Cardiology Service has proposed a new organizational model based on integrated cardiology care in primary care centers in the reference territory of Sant Joan Despí Moisès Broggi Hospital. The aim is to offer an improvement in the quality of care for patients with heart disease. A referring cardiologist was assigned to each of the 19 primary care centers in the territory and since 2014 a cardiologist has been traveling weekly to their primary care center to carry out face-to-face visits, virtual visits and case consultations clinics or continuing education. Around 11.300 face-to-face visits are carried out (3.300 first visits and 8.000 subsequent visits). The Cardiology Service has SEC-Primary accreditation from the Spanish Society of Cardiology. From 2021, 40% of subsequent visits will be online.

Week of the Heart Since 2014, coinciding with World Heart Day (September 29), the service organizes Heart Week throughout the territory of influence of the Hospital de Sant Joan Despí Moisès Broggi and the General Hospital of l'Hospitalet It proposes different health promotion activities distributed among the 19 primary care centers and hospitals. Activities aimed at the community are carried out to promote heart-healthy lifestyle habits such as the Mediterranean diet (talks, practical workshops, healthy snack, children's drawing competition) and to promote the practice of regular physical exercise (popular walking, Nordic walking, cycling popular) and there are also informative talks on prevalent heart diseases (calculation of vascular age, "Take your pulse" campaign, sex after a heart attack, Cardioshow, etc.). These activities are organized jointly by the professionals of the primary care teams, the cardiologists and nurses of the hospitals, and the people in charge of sport and health from the different local councils. During 2018, more than 115 activities took place in which more than 1.900 people participated.

Cardiac Rehabilitation Unit. In 2016, the Cardiac Rehabilitation program began at Hospital General de l'Hospitalet, in groups of 8 people who follow the program for 6 weeks. It is a multidisciplinary program in which a nurse, a dietitian, a psychologist, a physiotherapist, a rehabilitation doctor and a cardiologist participate. About 100 patients a year benefit from it.

Cardiac Imaging Unit.

• At the Hospital de Sant Joan Despí Moisès Broggi and the Hospital General de l'Hospitalet
  • Transthoracic echocardiogram. Around 9.300 echocardiograms are performed per year (including those in the Rapid Diagnostic Unit)
  • Echocardioscopy. Portable ultrasound to be done at the head of the patient's bed, especially in the emergency department, the hospitalization floor and the day hospital.
• At the Sant Joan Despí Moisès Broggi Hospital:
  • Transesophageal echocardiogram: 220 cases per year
  • Pharmacological stress echocardiogram with dobutamine or dipyridamole: 200 cases a year
  • Echocardiogram with contrast: 250 cases a year
  • CardioRMN: 350 scans per year, functional, flow study, myocardial viability and myocardial perfusion study with adenosine
  • Cardiac TAC: 225 studies per year of non-invasive coronary angiography

Cardiac test cabinet.

• •  At the Hospital de Sant Joan Despí Moisès Broggi and the Hospital General de l'Hospitalet:
    • Stress tests: around 1.300 ergometry tests per year (including those of the Rapid Diagnostic Unit)
    • Holter ECG: about 3.000 24-hour electrocardiographic monitoring
  • At the Sant Joan Despí Moisès Broggi Hospital:
    • Ambulatory blood pressure monitoring (ABPM): 24-hour blood pressure monitoring in 324 patients/year
    • Tilt Test: around 65 tilt tests per year for syncope study
    • Long-term electrocardiographic monitoring (30 days): every year 50 30-day monitorings with smart shirts that detect arrhythmias and heart blocks
    • 6-minute test: every year around 400 6-minute walking tests to assess the functional capacity of patients with heart disease
    • Electrical cardioversions: around 190 electrical cardioversions per year, together with the center's Anesthesia Service.

day hospital Heart Failure Unit. It is located at the Hospital de Sant Joan Despí Moisès Broggi and the Hospital General de l'Hospitalet. It is a multidisciplinary unit recognized and accredited as a Community Heart Failure Unit by the Spanish Society of Cardiology. Annually there are about 1.800 medical visits, 1.000 nursing visits and 950 intravenous treatments (iron therapy, diuretic treatment, infusion of Levosimendan or Dobutamine).

• Nuclear medicine. Each year around 700 Spect (single photon emission computed tomography) of myocardial perfusion are referred to CETIR.
• hemodynamics About 650 coronary angiograms, 270 percutaneous coronary interventions, 30 AMI codes and 6 percutaneous aortic valve implantations are referred to the Bellvitge University Hospital.
• Cardiac surgery. About 120 patients are referred to the Bellvitge University Hospital for cardiac surgery (coronary revascularization, valve replacement or repair).
• Electrophysiological studies and ablations. Around 50 electrophysiological studies and ablations are performed at the Bellvitge University Hospital, and around 30 devices are implanted, such as implantable automatic defibrillators and Cardiac Resynchronization Therapy.

• Mortality Commission
• Pharmacy Commission
• Clinical Practice Improvement Commission
• Committee on Vascular Risk Area Treatments