Facilities
The total number of beds: 110
of them in intensive care medicine: 14 + 4 beds CPU (Chest Pain Unit)

Cardiology: non-invasive diagnosis

• ECG, long term ECG, a stress test (ergometry)Cardiology
• Heart ultrasound (echocardiography), including duplex/color Doppler, 3D/4D-echo, stress echocardiography, transesophageal echocardiography, contrast echocardiography
• Cardiovascular MRI and CT, together with the Institute for diagnostic radiology and interventional

Cardiology : Invasive diagnosis and therapy

• 2 Cath lab left heart and the laboratory of catheterization of the right heart with about 3,000 – 4000 diagnostic and therapeutic interventions
• Coronary angiography [femoral, radial modified Sones Techniques], PTCA, rotablation stent implantation, intravascular ultrasound, intravascular measurement of pressure, the medications stent (DES), a medication-balloon (DEB), CTO-recanalization
• 24-hour readiness of cardiac catheterization in acute myocardial heart / coronary syndrome
• clinical (outpatient) diagnosis of the heart using a catheter
• the microcatheter
• intraaortal balloon pump (IABN)
• Electrophysiology diagnosis / therapy (ablation)
• Heart electrostimulator and event-recorder-implantation (about 200 interventions per year)
• defibrillator (ICD) and resynchronization system (CRT) – implantation (around 50 interventions per year) and installation / monitoring

Pulmology:

• Functional diagnostics of the lung (spirometry and plethysmography whole body, including nonspecific provocative test)
  
• Spiroergometry
• (flexible) bronchoscopy

Angiology:

• Doppler/duplex/color Doppler examination for arterial and venous vascular system including the carotid artery, vessels in the legs, renal artery and the diagnosis of thrombosis
• Transcranial Doppler (PW)
• cooperation with radiologia (invasive / interventional of the event, Mr-angiography) and vascular surgery within vascular center

Outpatient:

Pacemaker – and defibrillator-control:

• postoperative monitoring / configuration
• Measurement of the threshold of irritation (18 months control)
• ICD – control

Prestazione / day clinic:

• Left-sided heart catheterization (by agreement)
• Pacemaker implantation and replacement of the unit (after prior cardiac studies)
• Electrocardioversion

For marcumar patients:

• Independent determination of blood coagulation (Coaguchek)

Therapeutic resuscitation and intensive therapy
Therapeutic resuscitation and intensive therapy allows us, using the most modern technical capabilities to treat the most seriously ill patients suffering from various internal diseases. In this category are patients with acute myocardial infarction, severe cardiac arrhythmias, acute pulmonary embolism, acute poisoning, patients in shock resulting from blood poisoning (sepsis) or hemorrhage (e.g., gastrointestinal tract), or patients with acute diseases of the lungs (such as pneumonia, severe cases of asthma, “shock” lung), and these are just a few examples.
The doctors are all specialized therapeutic departments are involved in the treatment of patients in accordance with a variety of paintings disease. Due to the wide use of technology, we are able to save patients life and to give them a chance to recover. Sometimes it becomes necessary to use mechanical means to overcome periods when the patient has a temporary loss of the vital functions of the body. It is an account of high value hardware medicine in the Department of reanimation and intensive therapy of particular importance to specially trained medical and paramedical staff has an individual care for the patients entrusted to them.
Our Department of resuscitation and intensive therapy has at its disposal 14 seats, which can be continuous measurement of all important parameters of blood circulation of patients (ECG determination of heart rate, measurement of noninvasive blood pressure, blood oxygen saturation). These parameters can be queried directly, and through a Central structure condition monitoring of patients. Additionally, you may need to install a urinary catheter (to measure the amount of urine output), venous Central catheter (for measuring pressure, for the introduction of fluids or medication), blood (for determination of blood gas composition or invasive blood pressure measurement) or the installation of a catheter to monitor the patient’s circulatory system. Some patients arrive in the resuscitation and intensive therapy only for (preventive) supervision, so we were able to immediately recognize sudden deterioration of the patient and carry out effective treatment. In General, in our Department of intensive care unit annually receive treatment for about 2.800 patients.
As a Supplement to our intensive care unit and intensive care is equipped with places for intensive care patients (Intermediate-Care) (4 beds for observation of patients ‘ condition, equipped with monitors) primarily for patients with suspected incipient myocardial infarction (coronary care unit). Also, the office works closely with the interdisciplinary Department for the treatment of patients with stroke (ISE) under the General supervision of the Medical clinic No. 3 Clinic of neurology.

Cath Lab Heart
Both the Cath lab left heart and one lab catheterization of right heart (HKM) are the center of invasive cardiology diagnosis. Here is the so-called big heart catheterization. In this procedure, we are talking about getting images of blood vessels that feed the heart, coronary arteries, using x-rays using radiopaque substances. In addition, in the study, you measure pressure in the heart and Central vessels, as well as to obtain an image of the heart cavities. This research is used mainly for the diagnosis of coronary insufficiency, as it is one of the most common diseases. In addition, the survey is useful, for example, and to clarify the reasons for the weakening of the pumping function of the heart or to assess specific defects of the heart valves.
The study itself lasts usually about 15 minutes, after which the patient should remain in bed for several more hours, as in the study performed puncture of the artery (mainly in groin). For some patients there is the possibility of conducting research in the outpatient setting, however, after the procedure, patients are first observed at the day hospital.
Cardiac catheterization is, of course, may be more complex. In this case study is the longer. This occurs, for example, if the study is related to the image acquisition shunted vessels and other vessels or with concurrent catheterization of the right heart (catheterization small).
When it detects narrowing of the coronary arteries in many cases it is possible to perform stretching discovered significant narrowing (balloon angioplasty, percutaneous transluminal coronary angioplasty) within one procedure. Thus, therapeutic intervention immediately following a diagnostic study. In these cases, after the intervention, to monitor the patient in the therapeutic Department of resuscitation and intensive therapy. Often balloon angioplasty is performed in conjunction with implantation of an additional support structure to maintain the blood vessels (stent)
In our clinic annually nearly 4,000 procedures such as diagnostic cardiac catheterization and therapeutic intervention, PTCA (percutaneous transluminal coronary angioplasty) and stent implantation of various types. Along with this, laboratory of cardiac catheterization are also used for installation of pacemakers and defibrillators (implantable cardioverter defibrillators), as well as for diagnostics of heart rhythm (so-called electrophysiological studies).