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kardiologia

Cardiology

 

Cardiology is the specialty for prevention, diagnostics, and treatment of the disease of the heart and circulatory system. The diseases of the heart and circulatory system pose a severe public health problem worldwide, especially coronary sclerosis and high blood pressure (hypertonia) disease. It is enough to mention the fact that in Hungary two third of the hypertonic patients (around 1 million people) have blood pressure over 140/90 mmHg, because of either they do not know about their disease or their current treatment is inefficient. In the developed and developing countries, the above-mentioned diseases are the most common cause of death among adults. During the past decades, heart and circulatory diseases have become the cause of death in over half of the cases in Hungary. In these type of diseases, risk factors, such as coronary disease in a family member, smoking, high blood cholesterol level or high blood pressure, are significant. Diabetes is also a risk factor for circulatory diseases. The risk of heart diseases increases with age both in male and female patients. The risk is higher in males until female patients reach the menopause. At that time, the risk among women become equal as among men. In the background of the coronary and high blood pressure diseases, there are lifestyle risk factors. In Hungary, the number of smokers in the middle-aged adult population is approximately 1.5 million men and 1 million women. Over 50% of smokers smoke more than 20 cigarettes a day. In middle-aged population, more than 200,000 people are alcoholic. Almost half of the people do not care about what and how they eat. More than a third of the population is obese. In contrast to this, only less than a quarter of the population exercise regularly.

 

  • Arteriosclerosis
The cause of the arteriosclerosis is the increased long-term cholesterol intake. The unused cholesterol in the blood accumulates in the wall of the arteries making them thick and rigid. Arteriosclerosis is characterised by the presence of thickened plaques in the walls of the medium-sized and large arteries (atheromas) which can cause reduced blood flow or total occlusion of the vessel. This progress may start even at younger ages, but symptoms occur usually at middle or older age. This disease affects everyone in some form, especially in the developed countries, where it is among the leading causes of death. In its background can be genetical factors, but also stress, unhealthy diet, sedentary lifestyle, obesity, diabetes, high blood pressure, smoking and drug consumption can accelerate its progress.

 

  • Coronary sclerosis
In coronary sclerosis, the oxygen- and nutrient-supplying arteries of the heart become stenotised (narrowed) due to arteriosclerosis, and thereby the heart's oxygen supply is reduced. The situation becomes severe especially during strain or effort when the load on the heart muscle increases. Its most prominent symptom is a circulatory anomaly, called angina, which is caused by the oxygen deficiency of the heart muscle, as due to the poor perfusion, the oxygen supply to the heart muscle is reduced. During the anginal state, the patient feels pressure on the chest, and tightness and pain may be felt in the central part of the chest wall, which may also spread to the arms, to the neck, to the face, to the back or even to the abdomen.

 

  • High Blood Pressure Disease (Hypertension)
High blood pressure (hypertension) is a condition when the pressure on the arterial wall exceeds the normal value. The circulatory system is a closed system, and if the blood vessels do not dilate sufficiently, and let the blood to reach the parts of the body, the heart must pump stronger to move the volume of blood through the narrowed vessels, so consequently the blood pressure increases. Increased blood pressure puts a load onto the heart, damages the vessel wall and threatens with severe consequences as myocardial infarction, stroke, heart failure, peripheral vessel disease (stenosis) or renal failure.

 

When should I contact a cardiologist?

  • Unexplained breathlessness, difficulty breathing
  • Transient loss of consciousness
  • Unexplained tiredness, fatigue, loss of appetite
  • Swelling of the ankles
  • Diagnosed heart disease (valvular problem, coronary disease, pacemaker)
  • If your first-degree relative had a heart disease at a younger age
  • Pressure and tightness of the chest, behind the sternum, which may spread to the left shoulder and arm
  • Palpitation, high pulse rate
  • Unhealthy lifestyle, significant overweight
  • If you are asymptomatic, for screening and for preventive reasons

 

What happens during the cardiologist's visit?

During the cardiologist's visit, your history, past diseases, medicines taken and lifestyle are recorded, and a physical examination is performed. Auscultation, percussion, and blood pressure measurement are followed by additional examinations required for the establishment of the diagnosis, such as resting and stress ECG and HOLTER, blood pressure monitor, echocardiography, arteriography or additional laboratory tests. Finally, based on these findings, our cardiologist specialist performs a report, gives you advice, prescribes a medical treatment and refers you to further tests if required.

 

What type of examinations are performed for the detection and treatment of the heart and circulatory system diseases?

  • Complex heart and circulatory system examination
  • Hypertension outpatient care: investigation of the high blood pressure disease, setting up a medical treatment and lifestyle advice.
  • Chest pain outpatient care: investigation of the cause of chest pain, setting up a medical treatment and infarction prevention
  • Arrhythmia outpatient care: from the feeling of arrhythmia to severe arrhythmias
  • Vessel outpatient care: investigation of stenotic vessels, including the lower limb, the brain vessels, the abdominal arteries, dilatation infusion treatment for improving the walking distance.
  • Stroke prevention, investigation, and treatment
  • Dizziness complaints investigation and treatment
  • Cardiologic status evaluation prior to begin a competitive sport, for screening for hereditary abnormalities

 

What type of cardiologic diagnostic examinations are performed?

  • RESTING AND STRESS ECG TEST
The rhythmic heart contractions are triggered by electrical impulses. The consecutive electric discharge and recharge cycles can be visualised by ECG. It is a simple and painless examination without any adverse effects, which reveals a lot about the state of the heart. During the conventional, resting ECG, the technician fixes electrodes onto your chest and limbs while you are lying on the examination table. The ECG device then registrates the electrical activity of the heart for one or two minutes. If the specialist suspects a disease which symptoms can be detected only by physical provocation, then he or she refers you to a stress ECG examination. After fixing the electrodes you will be asked to do intensive exercise on an exercise bike, thereby increasing the blood requirement of the heart muscle. If an existing stenosis is present in the coronary vessels supplying the heart muscles, then the heart does not get enough blood and the electrical signs change. Based on the ECG curve, the specialist can confirm the coronary stenosis and he or she can determine whether further examinations are required nor not.

 

  • 24 HOURS ECG TESTING (HOLTER EXAMINATION)
Heart function may vary even hourly. The 24 hours ECG (Holter) testing is performed by a mobile device to collect information on the heart's activity during daily routine activities through a longer period. During this continuous control, the device can capture such abnormalities which occur only in certain situations or certain parts of the day. The Holter ECG testing is used for the exact diagnosis of arrhythmias, for the control of the set medical treatment or for follow-up during post-infarction period.

 

  • 24 HOURS BLOOD PRESSURE MONITOR (ABPM)
The blood pressure value is continuously changing during the day: it is affected by the part of the day, stress, meals and exercise. Therefore, in the case of certain problems, it is worth to follow it during whole day with a mobile device. It is important, that the given period be an average one in all aspects, it should not be a rest day and you should not change your medical treatment. At the start of the examination, a blood pressure measuring cuff is fixed on your arm and is connected to a mobile phone sized device. Afterwards you are doing your daily routine, but you keep an event log and record every event which may be related to the blood pressure, such as malaise, dizziness, stressful situation, forceful exercise etc. The settings of the blood pressure monitoring device are individual, typically it measures the blood pressure in every 15 minutes during the day and in every 30 minutes during the night. The device records the 24 hours day and night data, calculates a mean value, and allows the doctor to download them to the PC, and evaluate them along with the event log information.

 

  • ECHOCARDIOGRAPHY
Echocardiography is an ultrasound imaging procedure during which cine files are generating about the heart, so the chambers, their walls, the valves and the pericardium can be evaluated. It is a painless examination, free of any adverse effects. It can be used e.g for the detection of post-infarction wall motion abnormalities, scar formation, valvular diseases, abnormal blood flow between the heart chambers, pericardial effusion or an atrial or ventricular thrombus. You do not have to be prepared for the examination. You are lying half-naked on the examination table, and the specialist applies a bit of ultrasound gel onto the chest and then starts to scan with the transducer. The generated cine files can be frozen on the monitor, measurements can be performed on them or they can also be printed and the data can be saved.

 

  • ARTERIOGRAPHY
The arteriography device, similarly to the conventional blood pressure measurement device, detects and analyses upper arm pressure waves, the so-called pulse waves. However, it offers more than the conventional device, as it can collect information also on the status of the whole circulatory system. Due to the automatic analysis, the heart and circulatory system diseases can be detected in such a phase, when no severe health problems are still present. With this method, valuable information can be gained about the function of the vessel wall cells and about the elasticity of the main artery, the aorta.

 

WHAT ARE THE OTHER ADDITIONAL EXAMINATIONS RELATED TO CARDIOLOGY?

  • CERVICAL (CAROTID) ULTRASOUND
The carotid ultrasound examination is used for the evaluation of the arteries directed to the brain. It is a painless method for the detection of the state, patency, possible occlusion or stenosis of the vessels.

 

  • DOPPLER ECHO EXAMINATION OF THE LOWER LIMB
Doppler echo examination is one of the best methods for the assessment of the status of the vessels. It provides information not only about the degree of the damage but also about the vessels' perfusion and blood flow. It is painless and can be performed without any special preparation. It is useful not only for the determination of the degree of the stenosis but also for the observation of the venous valves and for the establishment of the diagnosis of deep vein thrombosis.

 

WHAT KIND OF ULTRASOUND DEVICE IS USED FOR THE CARDIOLOGY EXAMINATIONS?

At MeDoc Health Center we have the state of the art, Philips Affiniti 70 ultrasound device optimised for cardiological use, which is one of the top models of its category.

 

OUR SPECIALIST

kecskes adam

Dr. Kecskés Ádám

kormendy reka

Dr. Körmendy Réka

nagy andrea profil1

Dr. Nagy Andrea

seidner judit profil1

Dr. Seidner Judit

Dr. Szentpáli Zsófia Judit

Dr. Szentpáli Zsófia Judit

vegh judit profil1

Dr. Végh Judit

villanyi jozsef profil1

Dr. Villányi József

 

How to prepare for the examination?

Please bring your prior medical reports with you and prepare a list of your medicines taken. Please do not skip any of your medication on the day of the examination! If you come only for a cardiology visit, you can eat before the examination. If you come to any other (scheduled) ultrasound examination as well, then please arrive with an empty stomach and with a full bladder.
  • Cardiology

    OUR PRICES

    2018
    2019. jan. 01.
  • Resting ECG(12 leads)
    6 500 HUF
    6 500 HUF
  • Cardiology specialist examination(12 leads ECG, blood pressure measurement and physical examination)
    18 500 HUF
    19 500 HUF
  • Cardiology follow-up examination
    14 500 HUF
    15 500 HUF
  • Cardiology specialist consultation on medical reports
    12 000 HUF
    12 900 HUF
  • Cardiology specialist examination + echocardiography
    25 900 HUF
    26 900 HUF
  • Cardiology specialist examination + cervical echo
    25 900 HUF
    26 900 HUF
  • Cardiology specialist examination + echocardiography and cervical echo
    31 900 HUF
    32 900 HUF
  • Cardiology specialist examination + ECG exercise testing
    28 900 HUF
    29 900 HUF
  • Cardiology specialist examination + echocardiography and ECG exercise testing
    34 900 HUF
    35 900 HUF
  • Cardiology specialist examination with 24-hour Holter monitoring
    15 900 HUF
    16 900 HUF
  • Cardiology specialist examination with ABPM 24-hour blood pressure monitoring
    15 900 HUF
    16 900 HUF
  • Cardiology specialist examination + Doppler ultrasound of the lower limb
    25 900 HUF
    26 900 HUF
  • Cardiology specialist examination + echocardiography
    25 900 HUF
    21 900 HUF
  • Cardiology specialist examination + ECG exercise testing
    25 900 HUF
    24 900 HUF
  • Cardiology examination + arteriography
    25 900 HUF
    26 900 HUF
  • Prescription writing
    4 000 HUF
    4 000 HUF
  • Additional prices*:
  • Echocardiography
    15 000 HUF
    15 000 HUF
  • Terheléses EKG-vizsgálat utólag elvégezve
    17 000 HUF
    17 000 HUF
*Additional examinations or services (eg. quick tests, laboratory examinations, ultrasound examination etc.) are only included in the base price if it is indicated in the price list. The attending specialist can deem justifiable and recommend additional examinations for further expenses.
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MeDoc Kárpát

+36 1 783 6004


1133 BUDAPEST, KÁRPÁT U. 7/B, 1. 4th floor

Parking:

On the street, fee paying zone
On working days between 8:30 AM to 06:00 PM: 440 HUF / hour

Mobile parking:

06 ## 763 0134 + ABC123
Please send your license plate number to the above phone number. The # means the prefixes (20/30/70) of your telecommunication service provider. On leaving please send the word "STOP" to the same number.

MeDoc Cézár

+36 1 783 6004


1132 Budapest, Visegrádi u. 74.

Parking:

On the street, fee paying zone
On working days between 8:30 AM to 06:00 PM: 440 HUF / hour

Mobile parking:

06 ## 763 0134 + ABC123
Please send your license plate number to the above phone number. The # means the prefixes (20/30/70) of your telecommunication service provider. On leaving please send the word "STOP" to the same number.