More on techniques
Holter ECG Monitoring
The method allows registering the work of the heart in outpatient (home) conditions within 24 hours. The advantages of this technique are that the doctor can track the presence / absence of rhythm disturbances at night, in the afternoon, and also detect the presence of life-threatening arrhythmias that require immediate correction, diagnose Prinzmetal angina, identify ischemic changes on the ECG. Correct therapy.
24-hour blood pressure monitoring
The method allows you to record the level of blood pressure (BP) for 24 hours (during sleep, physical, mental stress, at different times after taking the drugs). Based on this technique, hypotension or hypertension, the degree of nighttime decrease and morning increase in blood pressure, the reaction of blood pressure to physical activity and psycho-emotional stress, the degree and duration of hypertensive load on the target organs, the variability of blood pressure and heart rate during the day are detected, and individual selection is made drug therapy and monitoring is carried out. Also, this diagnostic method allows you to identify "white coat hypertension" - an increase in blood pressure in a patient only at the doctor’s appointment (for example, due to stress), which, in turn, helps in deciding on the need for prescribing medication.
Treadmill test - a test with physical activity. It includes ECG and blood pressure monitoring while walking on a special treadmill. The purpose of this technique is the diagnosis of coronary heart disease; dynamic observation of patients after myocardial revascularization; dynamic assessment of exercise tolerance; assessment of the relationship of rhythm and conduction disturbances with physical activity; assessment of the characteristics of the dynamics of blood pressure on the background of physical activity. Based on the results of the treadmill test, the specialist determines the further management tactics of patients with coronary artery disease. During the study, you can individually select the level of physical activity that will have a beneficial effect on the work of the cardiovascular system.
Exercise Stress Echocardiography
The test is carried out on a treadmill, during which an echocardiographic examination is performed, and an electrocardiogram and blood pressure are recorded. The main goal of this method is to diagnose coronary heart disease, identify areas of the hibernated myocardium, and evaluate intracardiac blood flow. Thanks to ultrasound examination of the heart, this method has high sensitivity and specificity.
This technique allows you to quickly and accurately evaluate the functional state and work of the heart. With the help of an ECG, the heart rate and regularity are determined (for example, the presence of extraordinary contractions), or the loss of individual contractions - arrhythmias. During electrocardiography, acute or chronic myocardial damage (myocardial infarction, myocardial ischemia), as well as metabolic disorders of potassium, calcium, magnesium and other electrolytes, and cardiac conduction disturbances (various blockages) are diagnosed. A diagnostic method for coronary heart disease is also used for stress tests. It gives an idea of the physical condition of the heart (left ventricular hypertrophy). It can provide information on extracardiac diseases such as pulmonary embolism. It allows you to remotely diagnose acute cardiac pathology (myocardial infarction, myocardial ischemia).
External respiration function
This study allows us to determine the functional state of the lungs, as well as to identify the presence of bronchopulmonary pathology.