JUNE 30, 2004}
VOLUME 1 NO. 13
 

The West takes cardiac care to Heart

Alberta Institute muscles in on the research scene


Fact box
Institution: Alberta Heart Institute Director: To be announced University affiliation: University of Alberta
Funding: $125 million from the Alberta government and $25 million from community support
Website: www.alberta heartinstitute.ca

Home is where the Heart is -- if you live in Alberta. With the advent of the Alberta Heart Institute in Edmonton, Ottawa will no longer hold pride of place as Canada's only complete cardiac centre. The $150 million Edmonton institute will offer the full spectrum of cardiac patient care services, research and education.

Construction on the institute began last October. The 21,367-square-metre, five-storey building is being added onto the top portion of the University of Alberta (U of A) Hospital and Stollery Children's Hospital emergency departments. The entire bottom floor designed to house the Alberta Cardiovascular and Stroke Research Centre should be ready for occupancy in early 2005. The rest of the complex will be completed by 2006.

The institute marks another achievement that's in keeping with U of A's long tradition as an innovator in Canadian cardiac care. In 1956, the U of A had the first open-heart surgery in Canada and in 1976 the first heart catheter biopsy was performed here. Just four years ago, the first radio-frequency catheter in Canada was used to open a blocked heart valve in an infant.

CVD and lipids
The Canadian Institute of Health Research (CIHR) Molecular Biology of Membranes Protein Group comprises six scientists under the direction of Dr Bernard Lemire. It investigates membrane transporters and their role in cardiovascular disease. Dr Dennis Vance's CIHR Group on Molecular and Cell Biology of Lipids studies lipids and their role in inherited disorders, blood clotting and atherosclerosis.

Ischemia
Two groups of researchers, under the direction of Dr Gary Lopaschuk, are studying ways of preventing and reducing the effects of myocardial ischemia. The CIHR Program Group on Cardioprotection During and Following Ischemia has 10 scientists working on identifying pathologic events that contribute to myocardial-ischemic injury. These busy bees are also developing new strategies to protect the heart from ischemic injury. The 16-member Cardio-vascular Research Group focuses on cardioprotection during and following ischemia as well as regulation of vascular tone and electrophysiology of the ischemic heart.

Cardioprotection
The Congenital Heart Research Group works on protecting the heart during surgery through increasing ischemic tolerance and advancing post-operative myocardial function. The Cardiac Rehabilitation Group studies the acute and chronic effects of exercise training on skeletal muscle and cardiovascular function, and fitness in older individuals -- both healthy and with underlying cardiovascular disease.

Transplants
The U of A Hospital has the largest clinical heart, lung and combined heart-lung transplant program in Canada and marked its 500th heart and heart-lung transplant in 2001. The hospital's Cardiovascular Surgery Research Group is currently evaluating newer immunosuppressive agents used in both induction and maintenance therapy. The team also evaluates ventricular assist devices and xenograft transplantation.

Clinical trials
Two teams at the Heart Institute are involved in single- and multi-centre trials in cardiovascular disease. Eight researchers led by Dr Ross Tsuyuki at the Epidemiology Coordinating and Research Centre contribute to clinical trials and health outcomes research. The Virtual Coordinating Centre for Global Collaborative Cardiovascular Research (VIGOUR) is a global collaboration of coordinating centres and investigators who are experienced in constructing large cardiovascular clinical trials. The Canadian VIGOUR Centre under the direction of Dr Paul Armstrong is currently working on the Which Early ST-elevation myocardial infarction Therapy (WEST) study which is looking into the benefits of paramedics administering the clot-buster tenecteplase before transporting their patients to the emergency room.

 

 

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