1.What is the task of cardiology?
Cardiology is a medical discipline dealing with cardiovascular diseases. These diseases are regarded as leading causes of death worldwide; in Hungary as well. Progress of such condition is a slow process; it can be latent for years, decades before showing alarming symptoms. Characteristically, while process of the disease can be prevented in its early stage with appropriate medication and changes in lifestyle, later irreversible lesions can be observed which can be challenging even for an experienced cardiologist. Moreover, the so called civilization hazards (stress, smoking, obesity, etc.) significantly contribute to the progress of cardiovascular diseases. This is why regular cardiologic examination is so important for the population.2. How does an examination take place?
It is possible to register to the examinations and treatments preliminarily at the receptions desk of our clinic personally, by phone or e-mail. At first personal visit, the patient is registered at the receptions desk and then he or she is directed to the specialist by our colleagues.
During the specialist examination the cardiologist puts down the history (anamnesis) of the patient including the patient’s complaints, questioning about his or her harmful customs as risk factors and looking over earlier findings and final reports. The physician asks the patient about present medicaments and asks whether he or she takes the earlier recommended medicaments regularly. After forming a general picture of the patient, the specialist collects complaints important from cardiologic point of view. The anamnesis is followed by the physical examination. The specialist examines the patient with a phonendoscope, listens heart and respiratory sounds. The possible deviations can provide valuable information for an experienced examiner. The physical examination includes measuring blood pressure as well. At our clinic, cardiologic basic examination includes making a 12-leads ECG recording as well. For this, you have to line-up again at the appropriate place to ask for a date and to come back by the given time. On the basis of all the results, the cardiologist can receive detailed information about the state of the patient.
Payment is done at the receptions desk after the examination, the consultation or the treatment.3. What examination methods are applied?
The electrocardiogram (ECG) is one of the most common ways of examination. The method is based on measuring electrical signals originating from the contraction and relaxation of the heart muscle (myocardium). It can be made easily, it is not burdening for the patient, however, it provides important information for the examining physician. In modern medical science, the 12-leads standard ECG recording is accepted first of all, it has the advantages that it is able to examine the heart along the most important levels.
In the course of exercise ECG test, the 12-leads ECG recording is not done in resting, but during exercise. This exercise can be done with a stationary bicycle. Oxygen requirement of the heart can be much higher during physical work. If the coronary blood vessels start to narrow, they can fulfil oxygen requirement in resting position, but the increased oxygen requirement during physical activities cannot be met already. This is why the patient experiences pressuring chest pain, which is perhaps the most important symptom in cardiology. Oxygen deprivation of the myocardium felt by the patient as a pain shows special deviations in ECG recording. This is very important information, because pain appearing during physical exercise can arrive later, in the progress of the disease even in resting. This can be prevented with appropriate treatment.
Cardiac ultrasound (echocardiography) a scanning procedure to show the state and function of the heart. The greatest advantage of an ultrasound examination is that it can be done quickly, it does not involve the use of ionising radiation such as x-rays, and in the same time, it provides the physician with detailed information. With this method, the thickness and the movements of the myocardium, the function of heart valves and the largeness of the heart cavities can be examined.
Monitoring blood pressure for 24 hours is aiming at informing the physician of the daily fluctuation of the patient’s blood pressure. It is ambulatory blood pressure monitoring, because for this examination, it is not necessary for the patient to be admitted to a hospital. Blood pressure measuring cuff, fixed on the arm of the patient, is inflated by the device at 15-minute, and at night at 30-minute intervals. On the basis of the results, the specialist can establish the optimum treatment strategy for the patient to decrease his or her blood pressure.4. When should we call upon a cardiologist?
It is essential for you to call upon a cardiologist in case you suffer from the following symptoms: blood pressure problems, chest complaints of uncertain origin, dyspnoea, asphyxia, increased palpitation, arrhythmias, swollen legs, and weakness. Regular follow-up by a specialist is very important in certain diseases like coronary heart disease, problems with heart valves, cardiac insufficiency, and anginas. Cardiologic follow-up is indicated after myocardial infarction, heart operations or cardiac catheterization.
|(Magyar) Dr. Bencsik Gábor||17:30-19:30|
|(Magyar) Dr. Horváth László||18:00-20:00|
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- Specialist consultation
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