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Cardiology is the department that examines and treats disorders in the heart and blood vessels.
A person with heart disease or cardiovascular disease is diagnosed and treated by the cardiology department. Diagnosis and treatment are possible with many tests and surgical methods.
Reyap Hospital Corlu Cardiology Department performs echocardiography, rhythm holter, blood pressure holter, coronary angiography, heart catheterization, coronary angioplasty and stenting, peripheral angiography, and angioplasty to diagnosis, and treatment.
Symptoms and diseases concerning the cardiology department
People with symptoms of heart disease should make an appointment with the cardiology department immediately. These symptoms are shortness of breath, dizziness, chest pains, arrhythmia, and high blood pressure. Heart diseases that the cardiology department can treat include:
Congenital heart disease
Coronary heart disease
Congestive heart disease
High blood cholesterol and triglycerides
Even if a person has no symptoms, has a family history of heart disease or high cholesterol, smokes, and has a chronic illness such as diabetes, he or she should make an appointment with the cardiology department.
Tests and procedures performed in the cardiology department
The cardiology appointment begins by reviewing the patient’s medical history and performing a physical examination. By performing certain tests, the disease is diagnosed and a treatment program is planned.
It is a test mainly applied to determine whether there is stenosis in the heart vessels. This test reveals the findings of stenosis in the heart vessels by increasing the heart rate by physiological conditions. It can be applied by cycling or walking on a band.
The patient is walking on a band of increasing inclination and speed during the procedure. Meanwhile, the patient’s complaints, heartbeats, and blood pressure are monitored and data are recorded with continuous ECG measurement. It is monitored for chest pain, shortness of breath, heartbeat, abnormal increase, or decrease in blood pressure. According to the changes in the ECG, the doctor tries to determine whether the patient has cardiovascular stenosis.
It is an ultrasonographic examination of the heart. The sound waves that are sent to the heart and reflected and returned from the heart are analyzed in this test, and information about the heart’s muscle tissue, heart valves, and large vessels coming out of the heart is obtained.
If the patient has a previous heart attack, the findings related to it are detected in echocardiography.
Growth, thickening, or thinning of the heart walls can be easily observed in any cavity of the heart. Echocardiography is the best diagnostic method for detecting cardiac rheumatic disorders, which are common in our country. If a heart murmur is heard during the examination, echocardiography is required to explain the cause.
This is the most valuable method in monitoring whether there is any impairment in the functions of artificial heart valves implanted in the patient. It is also frequently used in the detection of congenital heart diseases.
The sound waves given to the patient in echocardiography do not harm the patient or those around him.
Rhythm holter (ECG holter)
It is based on long-term tracking of heartbeats. Heart rhythm and conduction disorders are diagnosed by analyzing the data transmitted to a small device (the size of a mobile phone) via electrodes connected to the body. The aim is to detect rhythm and conduction disturbances that cannot be detected in normal electrocardiography, but that occur during the day and continue for a short time.
Holter registration must be made for diagnosis, especially in cases of fainting and dizziness of unknown cause.
Normal life should be lead while the Holter device is attached. Holter recording can be performed for the diagnosis of heart rhythm disturbances or causes of fainting, or it can be performed under medication to evaluate the results of the treatment.
If your doctor does not recommend otherwise, Holter recording is worn for 24 hours, but this period can be extended up to 48-72 hours. Besides, Holter recording can be made to evaluate the pacemaker functions in patients with pacemakers.
Blood pressure holter
It is a test used in the diagnosis of hypertension or the evaluation of blood pressure treatment. During this test, the sleeve of the sphygmomanometer remains attached to the arm for 24 hours. The holter device carried on the belt measures and records the blood pressure and pulse at specified intervals. These data are analyzed on the computer and an increase or decrease in blood pressure is detected.
All blood pressure and pulse values measured during the day are considered together and the blood pressure profile of the patient is created.
Blood pressure drops that occur at night are also detected with Blood Pressure Holter.
Coronary angiography is the process of imaging the vessels feeding the heart (coronary arteries).
It is performed to determine which part of the coronary arteries is narrowed or occluded due to arteriosclerosis. It detects vascular stenosis or blockages and directs the treatment as required.
Through the catheter placed through the inguinal or arm artery, it is advanced to the mouth of the heart vessels by using thinner and hollow plastic cannulas and wires, and while the dyed substance is given, the veins are filmed.
Since the vein is filmed from top to bottom, not only narrowing but also enlargements, obstructions, deformities, congenital or subsequent ballooning are detected.
If the patient has undergone bypass surgery, veins taken from the leg or chest are also imaged with the same method, if necessary. The results of the stents or balloon procedure implanted in the patient before are revealed by angiography. After the procedure, the catheter in the groin or arm is removed. The patient is usually discharged from the hospital on the same day.
Similar to angiography, the veins in the groin are entered into the heart cavities and the veins from the heart are reached. The blood sample is taken from each heart cavity entered and the pressures are measured. If necessary, a film is taken from these gaps by giving dye. Thus, it is determined whether the heart cavities and vessels are enlarged or whether there is a transition between the cavities in the heart.
Cardiac catheterization is performed in patients who are said to have a hole in the heart and who are diagnosed with this diagnosis in echocardiography, and necessary information is determined before the surgery. Defects in the functioning of the heart valves and walls can also be demonstrated with a heart catheterization.
After the heart catheterization procedure, the catheters placed in the groin area are removed. The patient is usually discharged from the hospital on the same day.
Coronary angioplasty and stent procedure
The coronary arteries (heart vessels), which are narrowed or blocked, cause problems such as chest pain, heart attack, or rhythm disturbance.
To eliminate these problems, it is necessary to widen the narrowed or occluded vessel.
Widening of the heart vessels can be done with balloon angioplasty or stenting. Preparation for performing the procedure is similar to coronary angiography. It is entered through the groin or arm area and reaches the mouth of the narrowed or occluded vessel. From here, a balloon is placed in the narrowed area over a thin wire that is sent into the vein. The balloon, which is brought to this area in a deflated state, is inflated exactly in place and the narrowed vein is widened.
During this enlargement (swelling), the person may experience chest pain. In some cases, this inflation and lowering may need to be repeated several times.
If the vessel is fully widened, the patient can be followed without a stent. However, since most of the patients cannot fully widen the balloon vein or the widened vein starts to narrow in a short time, it is necessary to attach a stent to the patient. The stent is mounted on the balloon in the form of a thin metal wire. The stent, which is tightly attached to the balloon, widens when the balloon is inflated and expands to the vessel wall, and remains widen there. Thus, the narrowing of the vessel due to its flexibility is prevented.
Since large amounts of blood thinners are used during the procedure, the catheter in the groin or arm is not removed immediately but is removed after waiting for a while. The patient is usually discharged the next day.
Peripheral angiography and angioplasty
The technique of performing these procedures, which is the visualization of the leg, neck, and arm veins and the widening of the veins, is similar to the process of imaging the heart vessels and healing their stenosis.
However, the vessels entered and widened here are not the heart vessels, but the larger vessels of the body such as the arm, leg, or neck vessels. Since the veins are wider, the materials used here are also in different sizes accordingly.
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