Nearly 1,000 patients per year are admitted to the 10-bed Cardiac Intensive Care Unit (CICU) facilities at Stony Brook University Hospital, including those with acute myocardial infarction, complications of myocardial infarction, unstable ischemic syndromes, severe heart failure, cardiogenic shock and life-threatening arrhythmias. The CICU provides a unique environment for treating patients with acute ischemic heart disease; it is supported by extensive facilities for electrocardiographic and hemodynamic monitoring, a centralized telemetry system, and direct access to the adjacent catheterization laboratories. Patients admitted to the unit may be enrolled in multicenter trials of treatments for acute myocardial infarction and unstable ischemic syndromes, and in trials seeking optimal management strategies for patients with severe heart failure. Post-CICU care is supported by an adjacent 25-bed telemetry unit.
Clinical trainees in the CICU act as consultants to residents and attending physicians, and are responsible, in consultation with the full-time attending staff, for the care of all patients. In addition, under the supervision of attending physicians, they perform all invasive procedures, are involved in a large number of clinical research protocols, and participate in the daily work and attending rounds.