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APPARATIVE DIAGNOSTICS

Stress ECG | Long-term ECG | Long-term blood pressure measurement | Lung function test (spirometry) | ABI and pulse wave velocity | Arteriograph/pulse wave analysis | PDF instrumental diagnostics

ECG

The ECG is used to derive and display the natural electrical activity of the heart. This electrical activity is necessary for the heart to beat at all. Various heart diseases lead to disruptions in this “electrical system”, e.g. B. in cardiac arrhythmias, heart attacks or circulatory disorders in the heart muscle. In some cases, damage to the heart, for example due to increased blood pressure, can appear relatively early on the ECG. Other changes, however, only become apparent under physical stress. In these cases, the stress ECG is another valuable diagnostic measure.

Stress ECG

At a Stress ECG is the electrical activity of the heart under controlled physical stress on a bicycle ergometer derived. While you are exerting yourself on the bike, your ECG and blood pressure are monitored. In this way, not only heart disease can be detected, but also blood pressure behavior during exertion and your physical performance can be assessed. This is also very important for sports medical examinations, for example if you want to start a new sport.

Holter

Another method of ECG registration is the long-term ECG. She serves the Detection of cardiac arrhythmias under everyday conditions. The recording device is small and handy and can be carried with a belt, like a small handbag. Adhesive electrodes are attached to the chest and connected to the recording device via a cable. You can carry out your everyday activities with the device as normal while registering. The duration of the ECG recording is usually 18 to 24 hours. In addition to the other ECG procedures and echocardiography, the long-term ECG completes our diagnostics in the field of cardiology.

Long-term blood pressure measurement

The High blood pressure, in technical terms “arterial hypertension” called, is today, alongside diabetes mellitus, one of the most common and important of the so-called “common diseases”. Early diagnosis and intensive follow-up are crucial to avoiding complications caused by excessive blood pressure. A one-time blood pressure measurement in practice is usually not adequate for this purpose, especially since many patients tend to have higher blood pressure, especially during the consultation, than at home under everyday conditions.

A safe, indispensable one today The method for diagnosing arterial hypertension and for checking antihypertensive drug therapy is long-term blood pressure measurement. A small, portable blood pressure device that is worn on the body with a belt, similar to a handbag, measures your blood pressure at regular intervals and saves the values. With this device you can carry out your everyday activities as normal. The next day we will evaluate and assess the blood pressure values ​​achieved. Recording typically lasts 18 to 24 hours.

Pulmonary function test (spirometry)

Indispensable for the Diagnosis and therapy monitoring of diseases of the lungs and bronchi is pulmonary function diagnostics, which can also be carried out in our practice. To do this, you simply need to breathe in and out through a tube into an analysis device or perform certain breathing maneuvers according to the instructions. Using computer-assisted evaluation, breathing disorders can be reliably identified and monitored over time.

Ankle-brachial index (ABI) and pulse wave velocity

The ankle-brachial index (ABI = ancle brachial index) is a value determined by Doppler sonography and blood pressure measurement can be determined (quotient of blood pressure in the lower leg and blood pressure in the upper arm). It serves to Estimation of cardiovascular risk and assessment of the course of peripheral arterial disease (PAD, intermittent claudication). The ankle-brachial index has great significance for predicting heart attacks, strokes and mortality.

The pulse wave velocity (English: PWV | Pulse Wave Velocity) is a Measure of arterial vascular stiffness and, in conjunction with the ankle-brachial index, increases the informative value Prediction of cardiovascular disease.

Arteriograph / pulse wave analysis

VASCULAR FUNCTION AND ARTERIAL STIFFNESS                                                                                 .

This examination allows an additional, very good assessment of vascular function. The elasticity of the arteries or their stiffness is very closely related to our life expectancy and quality of life. With increasing age and the accumulation of risk factors such as high blood pressure, diabetes, nicotine consumption and lipid metabolism disorders, the vessels stiffen and their elasticity decreases. The increase in vascular stiffness has a significant influence on cardiovascular function and therefore has important prognostic significance and therapeutic consequences.

Today, vascular function can be measured very easily (non-invasively), and the pulse wave velocity in meters per second (m/sec) is an important measure of vascular elasticity: the lower the pulse wave velocity, the more elastic (younger) the vessels. From 10-12 m/sec the vascular stiffness increases.

In patients with high blood pressure, the therapy can be checked and, if necessary, optimized by measuring the central aortic blood pressure.

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