Cardiology
Our Cardiology Departments are the departments where cardiological clinic and laboratory activities are conducted and diagnosis and treatment methods are applied. Within the adult cardiology section, the departments are comprised of coroner intense care units, cardiology policlinics and a cardiologie laboratory where non-interventional examinations (EKG, effort test, echocardiography, Holter, ambulatory blood pressure control] are carried out.
Echocardiography
Echocardiography is a completely safe and non-interventional examination assessing heart anatomically and functionally. After echocardiography, information is acquired in terms of the state of pumping function of heart, nature of cardiac valves and their functional sate and structural abnormalities of heart. It is important in detecting the presence and severity of leakages and tightening in cardiac valves in diagnosis of congenital heart disorders and myocardium diseases. In emergency cases, the examinations with the mentioned devices are possible for the patients by the side of their beds in the Cardiology Departments of ISUH.
Holter
It is the record of heart beats by a device carried for 24-48 hours and then the conversion of these to EKG traces by a computer program. Therefore, abnormal rhythms, extra beats as well as changes indicative of ischemia in EKG can be detected. Besides it could be used in order to trace the impact of the treatment.
Ambulatory Blood Pressure Follow-up
It requires the portable sphygmomanometer which records tension measures once every 15 or 30 minutes to remain upon the patient for a period of 24 hours. It is plugged for patients diagnosed with hypotensive and hypertensive and seldom for assessing the response to the treatment.
Effort Tests Treadmill
In Cardiology Departments of Istinye University Hospital Gaziosmanpaşa, tread mill tests are practiced as effort tests. Tread mill, publicly known as running mill, is based on walking of a patient in accordance with certain protocols while he/she is plugged to a 12-derivative EKG device, and running as the mill speed is regularly increased. In case of a positive result, the diagnosis of cardiovascular disease is ensured along with a further examination such as cardiac catheterization.
What You Need to Know about Treadmill (Effort Test)
Treadmill test is an examination carried out by measurement of your blood pressure and generation of your EKG reports immediately while you walk in a certain pace on the mill. It enables the detection of the abnormal evidence that cannot be detected in your EKG after the given effort.
When you come to your appointment of Treadmill Test
Do not eat anything 3 hours before the test. Bring your previous EKG values. The male patients have to shave their chests. If you use one of the medicines below, stop taking them at least 48 hours before. (Dideral, prent, tensinor, visken, lopresor, trasicor, beloc, betadol, nortan, artex, concor, diltizem, dilatrent, carvexal, isoptin, digoxin) Please do not stop the medicine you take because of high blood pressure.
Hypertension
It happens when your blood pressure measured by the sphygmomanometer on your arm is equal to or more than 140/90 mmHg. Blood pressure is the power that the blood in your veins, due to the energy that your heart generated, against the vein periphery. The situation that is called hypertension is that these values measured by the physician are above 140/90 mmHg at least in two separate days. Approximately one fifth of every adult is hypertensive. The frequency of hypertension increases along with the age. There is hypertension in 60% of those over 60 years, 66% of those over 70 years. The frequency even increases in those who are overweight. Hypertension is essential a hereditary disease. Therefore it is more frequent in families having a hypertensive member. There is no complaint in the initial phase of hypertension. That is why hypertension is called "silent murderer." However, if your blood pressure level is too high you will have the complaints of headaches, over-sweating, exhaustion, confusion, visual impairment and restlessness. If not treated, hypertension disrupts brain, heart and kidney veins in a slow pace and leads to functional disorders in these organs, are above 140/90 mmHg at least in two separate days.
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Heart Diseases Symptoms and Complaints
Chest Pain
Pain chest in relation to coroner heart disease emerges due to increasing workload of heart after usual effort, stress or after meals. It continues for minutes then slowdowns or goes away by resting or by taking hypoglottis or oral sprays that are called hypoglottis nitrate. It is a pain that emerges upon chest bone or left chest and that could expand towards left arm, chin or back.
Difficulty in Breathing
It generally starts with the physical activities and is in a progressive character, in the next phases it may cause to increase the number of pillow or failure to sleep straight.
Edema
It is the accumulation of water and salt in the body do the congestive heart failure.
Widdling at Night
It is to urinate two or more times at night due to the disposal of the over accumulated water and salt in the daytime by urine.
Fainting
Fainting in relation with a heart disorder usually lasts shortly (a few minutes) and it is sudden and leads to complete loss of consciousness. There are no responses to verbal or aching stimuli. It is generally repetitive and progressive.
Tachycardia
It is the abnormal feeling of heart beats in the chest area or sometimes in the stomach. Especially tachycardias accompanied by faster, irregular sweating or fainting are indicative of a heart disorder.
Cyanosis
It is the bluish discoloration in generally hand and foot fingers and lips caused by the insufficient transportation of oxygen to the tissues. Congenital heart disorders, severe heart failures, cardiac valve disorders as well as severe lung disease may cause cyanosis.
Fatigability
Despite its many causes, it can be an early indication of a heart failure. It is especially important in old people and in those who have diagnosed coroner heart disorder or cardiac valve disorders.