Cardiology is the medical area of specialization dealing with the detection, diagnosis and treatment of cardiac (heart) diseases. Our cardiologists are trained for general and/or interventional cardiology. Interventional cardiology is the area of cardiology where catheters are used for the diagnosis and treatment of a heart diseases.
At Acibadem International Medical Center we started with coronary CT angiography. This is a relatively new method to get a good picture of the coronary arteries around your heart and to see if there are any narrowings or calcifications. Your cardiologist from Acibadem decides with you whether you are eligible for this day treatment. You will be examined for about two and a half hours in the Radiology department after a preparation with medication. Because we work together multidisciplinary, direct consultation takes place between your cardiologist and radiologist.
You will be examined for about two and a half hours in the Radiology department after preparation with medication. We work together multidisciplinary, direct consultation takes place between your cardiologist and radiologist. A CT angiography or CT scan is performed to visualize any threatening calcifications and constrictions. With the scan, where low radiation is released, this is quickly detected. Three days before the examination, you will start taking medication to slow the heart rhythm, this is important for the research. Therefore, do not exert yourself before the research has started, such as cycling. If necessary, you will receive extra medication during the examination.
In order to visit our Cardiology department, you need a referral from your general practitioner or medical specialist. You can make an appointment by calling +31 (0)20 238 8800.
You can also request an appointment on our website through the appointment form or by sending an e-mail to email@example.com, and we will contact you within 24 hours. Since we don’t have a waiting list, you can visit us within 2 days for a consultation.
1. What is heart failure?
During heart failure, the heart pumps insufficient blood around and there is obstruction in the lungs and/or the body. This can lead to symptoms such as fatigue and shortness of breath due to fluid retention.
2. What are the causes of heart failure?
The causes of heart failure are: heart attacks, valve abnormalities, arrhythmias, inflammation of the heart muscle, congenital heart defects, autoimmune diseases and / or alcoholism.
3. How is the diagnosis made?
The diagnosed is made with chest X-ray, laboratory research, echo-doppler examination of the heart and MRI.
4. What treatments are available?
In addition to lifestyle eating advice (salt restriction), we have a combination of medicines available for treatment. Below an overview of treatments.
- For a sudden increase in symptoms, it may be necessary to receive medication by infusion in day treatment;
- Placing a pacemaker and / or internal defibrillator;
- Treatment of arrhythmias and valve abnormalities;
- A heart transplant (sometimes with an artificial heart) is for an individual.
5. What is a CT angiography of the coronaries?
With this scan the coronary arteries can be visualized by X-rays within 20 minutes. After this, the coronary arteries can be assessed for narrowing. This is done by means of a contrast liquid injection into the vein of the arm (the so-called CT angio).
6. Why is a calcium score first determined?
The calcium score provides important information, because a calcium score of 0 indicates that atherosclerosis (arteriosclerosis) is not present. The higher the score, the more calcium. Further medical policy can be tailored to this. With a very high calcium score no CT-angio is performe. Therefore, narrowing cannot be assessed properly.
7. Why is a CT angiography coronary performed?
The CT angiography shows the plaques (vascular stroke) on the inside of the vessels and also the degree of narrowing of the vessels. On the basis of these results, it can be determined whether something should be done with regard to the heart for medication, heart catheterization or anything at all. The CT coronary is the best predictor of the presence or absence of coronary artery disease, better than eg a MIBI scanIn addition, CT angiography is much safer and less damaging than cardiac catheterization. The technique is particularly good at excluding cranial disease.