Rythm Holter Monitor
Blood Pressure Holter Monitor
Temporary Cardiac Pacemaker Application
Percutaneous coronary procedures (PTKA / Stent vs)
Electrophysiological Study and Ablation
Permanent Cardiac Pacemaker Application
Heart Rhythm and Conduction Disorders
Heart valve diseases
Peripheral Vascular Diseases
Congenital heart diseases
The recording of electrical activity in the heart to examine the operation
of the heart muscle and the neural transmission system. Voltages boosted by a current amplifier (amplifier)
are usually stored on heat sensitive paper. Potential changes of the heart by electric activity of the heart
are spread to the whole body with the help of the tissues around the heart and especially the blood.
The electrical changes caused by the conducting ends (electrodes) placed in various parts of the body
are amplified and recorded. ECG is helpful in diagnosing cardiac diseases when the physician evaluates
it with signs and symptoms that are found in the examination, and when other diognosis and films are taken into account.
Efficacy testing, investigation of the presence of cardiovascular disease, determination of efficacy of treatment in known cardiovascular disease,
determination of irregularity in heartbeats with effort, determination of the arrhythmia, investigation of the ability of the patient to make effort
in various heart diseases and ultimately examination of the effects on blood pressure It's a test. During the effort test, the patient walks on a treadmill.
The walking speed and inclination are adjusted by the doctor to increase the heart rate. The treadmill test is an examination made by measuring the blood pressure
while the person is walking at a certain speed in the walking band and the ECG is taken in series. It enables the detection of abnormal findings that can not be detected
at ECG at rest at the end of effort.
Echocardiography is the study of heart structure and performance through sound waves (ultrasound).
During the procedure, the patient is asked to sleep in a comedian. A device that sends a water-based gel,
which has an insulating property, and which sends a sound wave called a probe, is held by the doctor in various positions
in the chest area to provide heartbeat imaging. Very detailed measurements and analyzes are made on these images.
The diagnosis of all structural heart diseases (heart enlargement, heart disease, heart valve diseases,
hypertensive heart diseases, heart failure, cardiac insufficiency, intracardiac masses, cohorts, heart tumors,
congenital heart abnormalities, of the diseases of the echocardiography process.
Investigating whether there is a blockage or constriction in heart-feeding vessels (coronary vessels)
is used to determine the need for non-drug treatment in patients who have had a heart attack (myocardial infarction) and to rate the severity of the disease in heart valve diseases.
It is a device that connects to a belt, such as a mobile phone. 3-4 pieces of cables are attached to the chest by means of electrodes (adhesive material 3-4 cm in diameter made of soft plastic).
While the person maintains his normal daily life, the device loses the heart's electrocution for the duration of the scheduled time.
At the end of the time the device is removed and the records are analyzed on the computer.
Thanks to this device, all the rhythm disorders that are not seen during the examination but are caused by the heart,
such as shortness of time, shortness of breath during the day, chest pain, feeling of faintness can be detected.
It is the daily measurement of blood pressure of patients by frequently measuring blood pressure and pulse.
With 24 to 72 hours of measurement, early diagnosis can be achieved in patients without prior hypertension.
The blood pressure is measured daily with the blood pressure of the patients and the blood pressure and pulse rate during the day, during sleep, during rest, are recorded.
Thus, patients with long-term hypertension will be diagnosed at which time the blood pressure values ??increase during the day.
Early diagnosis is given to patients who have not had hypertension before, and it helps to guide treatment.
If the heart's warning center is unable to generate a warning at a sufficient rate, or if the heart rate is too slow to be delivered to the lower centers,
the pacemakers placed in the body are required to provide the heart rate so that the patient can maintain normal life.
The procedure is usually performed by local anesthesia, placing the thin wires called electrodes through the large vasculature of the heart or the heart into the heart,
and attaching it to a generator outside the body. This process can be done at bedside or under x-ray machine. The process usually takes 20-30 minutes.
When the temporary battery requirement is removed, the wire inserted into the heart is removed.
These high-tech small devices are used for many purposes ranging from preventing heart rate slowing to treating heart failure, to heart pumping to preventing sudden deaths.
There are basically three types of pacemakers: single-cable and 2-wire batteries that prevent heart rate deceleration, 3-wire batteries used for heart failure therapy,
and defibrillators that save lives by delivering an electroshock if the heart can not function as a high-tied heart pump.
The pacemaker is applied to people with heart rhythm disorders who can not sustain their lives normally.
Electrophysiological procedure is an interventional diagnostic and therapeutic method performed by placing thin wires called electrode
electrodes catheters passing through thin cans placed in the groin veins in the electrophysiology laboratory.
Electrical signals received directly through the heart are evaluated by means of advanced computers and normally deviations are investigated.
At this point it can be understood that the heartbeat center alerting system works well and the function of the system transmitting the alerts is safe.
Frequently, in patients with palpitations in the form of rapid throbbing,
the rapid shots that are the cause of the patient's complaints are investigated by specially generated stimuli from these cables placed in the heart.
Catheter ablation is treatment of rhythm disturbance by applying radio waves.
It is a method used to determine the disease of arteries feeding heart.
Coronary angiography also detects how narrowed or blocked the arteries of the heart-feeding arteries.
It determines the stenosis or obstruction of the heart vessels and allows the treatment to be directed as required.
In the coronary angiography, the groin or arm arteries are used as an interventional site.
The artery at the site of the intervention is first placed with the sheath, using this catheter,
different vessels are displayed with the opaque substance (painted substance) given to the beginning of the heart vessels.
Coronary angiography is performed in specially deployed angio rooms.
After the operation is finished, the sheath is removed from the arterial artery at the site of the procedure and pressure is applied to the site to stop the bleeding.
After the tight bandage is done, the patient is taken to bed. Coronary angiography is completed 20 to 30 minutes after the patient is taken to the angioedema.
In some cases (such as patients with bypass, patients who have undergone different cardiac surgeries, or patients with obstruction of the groin or arm veins, etc.)
this time may be prolonged. For coronary angiography, admission to the hospital is necessary.
After the procedure is completed, the patient is allowed to rest for 6 hours and then is allowed to stand up.
If the general condition is favorable and your doctor approves, you will be discharged.
In some cases, the stitching system can be used after the sheath is pulled. These patients can be discharged earlier.
PTCA and / or stenting are methods used to treat narrowing or complete obstruction of heart-feeding vessels detected after coronary angiography.
The PTCA and / or stent is performed in the angio laboratory, such as coronary angiography, using local anesthesia instead of entry, before the patient is asleep.
Procedure duration is variable. At the end of the procedure, the appropriate service is taken according to the recommendation of the patients doctor.
Coronary balloon angioplasty is performed using specially designed materials.
First, the catheter is inserted through the inserted sheath instead of the ventilator, and is passed through the vein narrowing region with a very thin guide wire guided
through the catheter. The balloon is moved over the guide wire to reach the patient.
Then, this balloon is inflated with liquid from the outside until the narrowness is opened.
The process is terminated when it is determined that opening in the subsequent control is sufficient.
It is rare to ensure proper opening. In addition, 95% of the stents are applied to the patient to reduce the risk of recurrence.
In the beginning, only stents made of naked, special, stainless steel material have been used, but nowadays, new and different stents
are also used in terms of drug release depending on technological progress.
Cardiac catheterization is a procedure that is performed using the inguinal and cervical arteries similar to coronary angiography
but often requires simultaneous venous access.
Cardiac catheterization is a diagnostic method in which diseases related to innate or post-emergence heartbeat are exploited in the diagnosis of anomalies,
whether innate or post-emergent, and whether different treatments are needed.
TEE is an endoscopic examination. A thin tube (probe) is inserted into esophagus through mouth to access heart and with this method, very clear and detailed images can be obtained.