For Doctors

Basing on the state-of-the-art technology and a dedicated team of cardiovascular experts, the Institute of Cardiology diagnoses threats to the heart health and other cardiovascular diseases.

The Cardiac Catheterization Laboratory performs diagnostic procedures to determine the extent of the disease present in the vascular system. The methods include coronary angiography, intra vascular ultrasound, left and right heart catheterization. Each year we performed 4257 coronary angiographies and 339 right heart catheterizations.

Doctors at the Electrophysiology Laboratory use state-of-the-art techniques to diagnose arrhythmias.

Our echocardiography experts use ultrasound to visualize the heart and to see how it is functioning, how the heart valves are working and how blood is flowing through the heart. We perform M-mode echocardiography, biplane echocardiography, transesphagial echocardiography, tissue Doppler echocardiography and STRAIN echo. Dobutamine stress echocardiography is used to visualize the viability of the heart. Last year we did over 24000 echocardiographic examinations.

The team in the Nuclear Laboratory offers a wide spectrum of diagnostic tools helpful in investigating cardiovascular and other diseases. They include: Single Photon Emission Computed Tomography (SPECT), multiple gated acquisition scan (MUGA), perfusion lung scintigraphy and dynamic kidney scintigraphy.

The Scientific Laboratory performs a wide range of laboratory tests helpful in either everyday clinical practice or research work in the Institute of Cardiology.

The Institute of Cardiology offers a range of treatments which are most suitable for any heart condition or disease. Experts in cardiovascular care at our site will work with each patient to determine the best treatment option for the patient or patient?s relatives.

Percutaneous coronary interventions (PCI) performed in the Cardiac Catheterization Laboratory include balloon angioplasty and/or implantation of a stent. There were performed over 2200 PCIs last year in Institute of Cardiology. Moreover, in our Institution we have 24-h hemodynamic duties to treat acute myocardial infarction. Yearly, we use percutaneous techniques to treat over 1500 patients with acute myocardial infarction.

Our experienced experts know how to perform state-of-the-art procedures of closing ventricular septal defect (VSD), atrial septal defect (ASD), persistent foramen ovale (PFO) and patent ductus arteriosus (PDA). In 2006 we did 71 procedures of ASD closure, 31 PFO closure, 16 PDA closure and 1 closure of VSD.

Every year we perform over 60 percutaneous balloon mitral valvuloplasties to treat mitral valve stenosis.

Treatment recommended by the Rehabilitation Department may include rehabilitation techniques, lifestyle changes, psychological therapy, telemonitoring and water therapy. Studies have proved that medications also help improve the heart function and make it easier for patients to exercise or perform physical activities.

The Electrophysiology Department offers such implantable devices as heart pacemakers and implantable cardioverter-defibrillators (ICD), and well as cardiac resynchronization therapy (CRT). In previous year we had 571 pacemakers implanted, 186 ICDs and 25 CRTs. Other treatment methods also include radiofrequency ablation for treatment of atrial fibrillation and life-threatening arrhythmias. We performed 440 ablation procedures last year.

In conditions requiring heart surgery, an expert team of cardiac surgeons offers treatment of coronary artery disease, diseases of aorta, pulmonary embolism and valve diseases. We also perform state-of-the-art surgery of rare congenital heart diseases such as transposition of the great arteries, Fallots tetralogy and others.

In 2006 we performed almost 1500 heart surgeries included 687 coronary arteries bypass grafting, 782 valvular surgeries and 151 aortic aneurysms and 16 pulmonary embolism surgeries.

In uncommon cases, when atrial fibrillation cannot be treated with percutaneous radiofrequency ablation, we can treat this type of arrhythmia surgically having more than 10 years of experience in doing this procedure.

For some patients in critical conditions the best options may be the heart transplantation or the implantation of the left, right or both ventricular assist devices (VAD). VAD is known as a ventricular assist device because it helps the left ventricle ? the heart?s main pumping chamber ? pump blood through the body as a bridge to transplantation or recovery. Last year we performed 21 heart transplantation and 10 implantation of BiVAD.