San Rossore Medical Centre offers a Cardiology service for the diagnosis and treatment of the major forms of cardiovascular disease, for both in-patients and out-patients.

The cardiology outpatient clinic also supports clinical and surgical activities by performing consultations and diagnostics based on instrumental examination for inpatients and patients in the pre-Medical Centreisation phase.

Cardiology examinations aimed at clinical assessment of the patient, based on medical history and analysis of symptoms, comorbidities and cardiovascular risk profile can be performed at the Medical Centre, so as to identify and treat possible cardiovascular diseases.

The cardiology assessment uses first-tier diagnostic instruments such as basal electrocardiogram, and, depending on the clinicalprofile, second and third tier diagnostic tests.

The Medical Centre is equipped with state-of-the-art technical equipment, allowing the provision of high-level diagnostic services.

The following procedures can be performed at the Medical Centre:

  • Basal ECG: examination that analyses the electrical activity of the heart, designed to identify possible arrhythmia or trace alterations requiring further diagnostic analysis.
  • Colour Doppler echocardiography (or echocardiogram): ultrasound examination of the heart designed to analyse the morphology and function of the heart and its valves , the first section of the aorta and the pericardium.
  • Ergometer test (bicycle ergometer stress test): test designed to identify possible symptoms and/or alterations in the electrocardiogram trace during exercise which may indicate coronary artery disease. The examination also makes it possible to assess blood pressure patterns, any onset of arrhythmia during exertion and tolerance to physical exercise.
  • Dynamic ECG Holter (or ECG Holter): 24-hour ECG monitoring indicated in patients with a history of palpations or syncope, arrhythmia, atrial fibrillation, extrasystolia, etc.
  • Holter blood pressure: 24-hour blood pressure monitoring aimed at patients with known or suspected high blood pressure to assess blood pressure patterns during the day and during the night, and the efficacy of treatment.
  • Stress echocardiogram (using cycle ergometer or bedside ergometer) or pharmacological stress echocardiogram (dipyridamole or dobutamine). The reasons why this test may be requested include:
    • Assessment of the presence of coronary heart disease
    • Assessment of myocardial vitality in subjects with previous myocardial infarction
    • Assessment of contractile reserve in subjects with left ventricular dysfunction
    • Assessment of valve function and pulmonary systolic pressure during exercise with Doppler estimation of transvalvular gradients and pulmonary pressures, particularly useful in certain pathologies such as mitral valve disease and pulmonary hypertension

At the Medical Centre it is also possible to perform advanced cardiac imaging, aimed at selected patients at the request of the specialist:

  • Cardiac magnetic resonance imaging with and without contrast medium: advanced imaging examination that allows for the in-depth analysis of all cardiac structures and the characterisation of cardiac muscle tissue.
  • Coronary CT angiography: non-invasive examination that analyses the coronary arteries to identify any stenosing atherosclerotic plaque or anomalies in the coronary course

With the support and collaboration of the Tuscan Cardiovascular and Vein Centre we can also perform vascular diagnostic activities (Colour Doppler ultrasound of the supra-aortic vessels, Arterial and venous Colour Doppler ultrasound of the limbs, Colour Doppler ultrasound of the abdominal aorta).

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