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Diagnosis and Treatment
Tests and Interventional Procedures Applied in Our Cardiology Department
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We Perform Heart Angiography (Computed Tomographic Coronary Angiography) in Seconds.
Interventional Procedures in Cardiology Department
Coronary Angiography is a method used in the diagnosis of diseases that develop in the arteries that feed the heart. Imaging of the coronary vessels, in other words, is the x-ray of the vessels that feed the heart. It determines the stenosis or blockages in the heart vessels and ensures that the treatment is directed as required.
It is performed by entering from the wrist vein (radial artery). Arm angiography is superior to inguinal angio in terms of patient comfort. After arm angiography, the patient can stand up immediately.
Angiography in the Groin
It is considered appropriate for the patient to stay in bed for at least 6 hours after the angiography from the inguinal vein (femoral artery). During angiography, it is necessary to enter the groin in order to perform operations such as balloon – stent.
CT Angio (Computed Tomographic Coronary Angiography)
BT Angio; It is performed by combining Computed Tomography and angiography, which is an intravenous imaging method. It is used in the diagnosis of stenosis, occlusion, aneurysms, deep vein thrombosis, pulmonary embolism and other vascular diseases. It is carried out in 10 seconds in our hospital without any preparation.
In case the heartbeat slows down excessively because the stimulus center in the heart cannot generate enough stimulation or the resulting stimulus cannot be transmitted to the lower centers, a pacemaker is applied to provide the heart rate. The procedure is usually performed under local anesthesia by placing thin wires called electrodes through the large veins from the neck, chest or groin to the heart and connecting it to a generator outside the body. This procedure can be performed at the bedside or under the x-ray machine. The process usually takes 20-30 minutes.
Electro Physiological Study
In patients; It is performed to investigate palpitations, which are often in the form of rapid beats. Fast heartbeats are created with the stimulation given by the cables placed in the heart and the reasons for the occurrence of these beats are examined.
Heart rhythm disturbance can sometimes be life-threatening. Catheter ablation is the treatment of arrhythmia using radio waves. This method is used in rhythm disorders that cannot be controlled with drugs or when patients do not want to take medication for life.
One of the 4 valves in the heart is the mitral valve and narrowing of this valve can be seen for various reasons. Mitral stenosis makes it difficult for blood to pass from one of the chambers in the heart to the other. Drug treatment may be sufficient for mild mitral valve stenosis. Mitral balloon valvuloplasty or open heart surgery can be applied in moderate and advanced stenosis. Mitral valvuloplasty is a procedure performed by entering from the groin with a catheter to increase the width of the mitral valve.
Percutaneous Transluminal Coronary Angioplasty (PTCA) – Stent
PTCA and / or stent are methods used in the treatment of narrowing or complete occlusion in the vessels feeding the heart. It is performed in angio laboratory using local anesthesia. Processing time is variable. At the end of the procedure, the patient can be taken to the inpatient department according to the physician’s recommendation.
It is performed for the diagnosis of congenital or subsequent diseases, anomalies, heart holes related to the structure of the heart or to determine the treatment method. Cardiac catheterization is a method performed using groin and arm arteries similar to coronary angiography procedure, but often requires simultaneous vein intervention.
Examinations in the Cardiology Department
It is the recording of electrical activity in the heart to examine the functioning of the heart muscle and the neural conduction system.
EFOR (Treadmill) Test
Effort test is a method designed to investigate the presence of cardiovascular disease, to determine the effectiveness of the treatment applied, to determine whether an irregularity (arrhythmia) occurs in heartbeats with effort, to investigate the effort capacity of the patient in various heart diseases and to examine the effects of effort on blood pressure (hypertension). is a test.
Transthoracic Echocardiography: Superficial ECHO
Echocardiography is the examination of heart structure and performance by means of sound waves (ultrasound). No preparation is required.
Stress echocardiography is used to investigate whether there is an obstruction or constriction in the vessels feeding the heart (coronary vessels), to determine the need for non-drug treatment in patients with heart attack, and to rate the severity of valvular heart diseases.
TEE Test is an endoscopic examination. It is a method used when the patient’s chest structure does not provide sufficient quality echocardiographic images due to lung disease, deformation, etc. or when it is necessary to see the intra-cardiac formations more closely. The posterior neighborhood of the heart is accessed with a thin tube that is lowered into the esophagus through the mouth and a detailed image is taken. It takes 30 minutes with pre-procedure preparation.
It is the process of recording heart rhythms for 24 hours with a belt-worn device such as a mobile phone. 3-4 cables are attached to the chest through electrodes (adhesive material made of soft plastic 3-4 cm in diameter). While the person continues his normal daily life, the device loses heart electrons during the planned time.
Blood Pressure Holter
It is the measurement and recording of blood pressure (blood pressure) and heart rate (pulse) at frequent intervals. Measurements are made for 24-72 hours with a blood pressure measuring device attached to the arm. It is recorded during activities during the day, during sleep and during rest.