Cardiology - DOC by pengtt

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									Cardiology
The department was found in November 2006, accepts and treats patients with all forms of cardiological and vascular
diseases, providing medication therapy or interventional treatments for: ischemic heart diseases including its most
serious form acute myocardial infarction, heart valve diseases, pericarditsis, rhythmic heart disorders, arterial hypertony,
acute and chronic heart failure, pathology of peripheral arteries especially
(stenosis) narrowing of the carotid and renal arteries, and arterial and
venous malformations.

The department provides modern invasive cardiology which is a high-
technology based specialty, which includes a wide range of procedures that
are the gold standard in diagnostics and ensure effective and non-traumatic
treatments of the majority of cardiovascular diseases.

From the beginning of September 2007, our hospital admits and treats
emergency heart attack patients. Our hospital already has already been
included on the National Health Ministry list which emergency response
teams send patients with acute myocardial infarctions. Tokuda Hospital
Sofia is the first private hospital in the country to be included in the emergency list and offers primary angioplasties.
This is the most contemporary and effective treatment method for heart attack patients and the department uses
specialized Japanese catheters to aspirate thromboses.


Out-patient Care
The Cardiology Diagnostic-Consultation Center consists of four consultation offices, a cardiac function sector, and
electrocardiostimulation sector. The organization of the consultation sector facilitates a multi-disciplinary approach and
quick consultation with doctors of all required medical specialties. The cardiological consultation offices in Tokuda
Hospital Sofia offer out-patient diagnostics and monitoring of all forms of cardio-vascular diseases using the most
contemporary and high-tech methodologies.

The cardiology function center performs highly specialized examinations including:



         Working (exercise) ECG test- on the veloergometer or treadmill

         Holter ECG monitoring

         24 hour monitoring of arterial blood pressure

         Venous Doppler examinations of the lower extremities
         Echo-cardiography including transesphogeal



The consultation offices are equipped with the latest generation of echographic equipment (General Electric Vivid 7)
with unique diagnostic functions.




In-patient Care
The invasive cardiology department has a dedicated section of the hospital including 41 hospital beds, central air conditioned
rooms, ten private rooms, and three luxurious apartment styled rooms with all the comforts of home including a kitchen and
ample room for a companion to join the patient during the recovery process.




                                                      Equipment
                                                      The department has at its disposal two angiograph laboratories,
                                                      equipped with the latest generation of bi-plane angiographic
                                                      apparatuses. The contemporary equipment allows the team to
                                                      conduct all types of highly specialized invasive vascular examinations
                                                      and procedures including:
         Cardiac Catheterization
         Angiography of coronary, cerebral, peripheral, renal and visceral arteries
         Selective pulmonoangiography
         Intravascular ultrasound

         Percutaneous coronary interventions

         Percutaneous valvuloplasty of the mitral and aortic valves
         Cavography
         Pacemaker implantation

         Two-chambered cardiostimulation resynchronization therapy
         Implantable Cardioverter Defibrillator (ICD) implantation


The department also performs other relativity new and highly specialized vascular procedures, which are unique to the
region and require highly specialized equipment including: endoaortic prosthesis, carotid stenting, angioplasty of the
peripheral, visceral, and renal arteries, rotoblation, A-V fistulas closing with a coil, endomyocardial biopsies, embolization
(in the case of treating vascular tumors), vena cave inferior filter implantation due to pulmonary thromboembolism, BTE
and others.


Medical Analysis and Interventions

Functional Sector:
The sector conducts highly specialized examinations including Working (exercise) ECG test on the veloergometer or
treadmill, holter ECG monitoring, 24 hour monitoring of arterial blood pressure
Doppler sonogram of cerebral, peripheral and renal arteries, venous Doppler examinations of the lower extremities,
echo-cardiography including transesphogeal. The offices are equipped with the latest generation of echographic
equipment (General Electric Vivid 7) with unique diagnostic functions.

Angiographic Sector:
The angiographic sector of the cardiology department has two angiograph
laboratories, equipped with the latest generation of bi-plane angiographic
apparatuses. The sector performs over 200 diagnostic and invasive
procedures monthly including: balloon dilation, stent implantation and
intravascular prosthesis according to the latest globally recognized modern
methods and techniques.

We perform a wide range of highly specialized invasive cardiologic
and vascular examinations and therapeutic procedures:


         Cardiac catheterization

         Angiography of coronary, cerebral, peripheral, renal and visceral arteries

         Selective pulmonoangiography
         Intravascular ultrasound (IVUS)

         Percutaneous coronary interventions

         Cavography
         Pacemaker implantation

         Two-chambered cardiostimulation resynchronization therapy
         Implantable Cardioverter Defibrillator (ICD) implantation
In our daily practice, we routinely perform the leading new and highly specialized vascular procedures, which are unique
to the region and require highly specialized equipment including:



        Endoaortic prosthesis

        Carotid stenting
        Lazer arterectomy

        Angioplasty of the peripheral, visceral, and renal arteries
        A-V fistulas closures

        Endomyocardial biopsies

        Embolization to treating vascular tumors

        Vena cava inferior filter implantation due to pulmonary thromboembolism PTE and others.




Team
                                 Dr. Ivo Petrov, PhD- department chief

                                 Dr. Petrov graduated from the Sofia Medical University in 1992, and received his
                                 specialization in internal medicine in 1999, and added a specialization in cardiology in
                                 2003, and has an additional specialization in invasive cardiology. Dr. Petrov also
                                 graduated from a health care management program at the Sofia University. He has
                                 completed post-graduate medical courses in Echocardiogram Stress testing in Wiesbaden,
                                 Germany, and in 1999-2000 he was awarded a stipend to specialize in invasive cardiology
                                 and radiology in The Institute of Cardiology and Cardiac-Vascular surgery sponsored by
                                 the Favaloro Foundation in Buenos Aires, Argentina. During the period 1992-2006, Dr.
                                 Petrov worked in the general hospital “Sveta Ekaterina”, where he worked his way up
                                 staring as a volunteer partner to resident to head resident in the hospital cardiology
                                 clinic. In November 2006, he was appointed to lead the cardiology department of Tokuda
                                 Hospital Sofia.

                               Dr. Petrov has numerous medical publications and has participated in and participates in
numerous medical seminars and congresses on the national and international level. He is a member of the European
Cardiology Society, and has the rank of FESC “Fellow of the European Society of Cardiology”, and also is a member of
the Spanish Association of Cardiology, the Latin American Association of Interventional Cardiologists, the Bulgarian
Society of Angiography and Vascular surgery, The National Society of Bulgarian Cardiologists and others. Dr. Petrov is
fluent in Spanish, English and French.

                            Dr. Mariyana Konteva
                            Dr. Konteva graduated from the Sofia Medical University in 1993, her first specialization was
                            in internal medicine earned in 1999, and her second is in cardiology which she received in
                            2003. In 2004, she received an additional specialization in interventional cardiology. She also
                            received a specialization in invasive cardiology in Charlotte, North Carolina USA. After her
                            graduation, she began working in the internal diseases department of the general hospital
                            Sveta Ekaterina, and in 1994 she joined the clinical cardiology department, and in 2001 she
                            joined the invasive laboratory of the cardiology clinic of the hospital. She has been a member
                            of the cardiology department of Tokuda Hospital Sofia since we began serving the public.

                            Dr. Konteva has completed specialized courses in Bulgaria for Endothelial Dysfunction,
                            Ultrasound techniques in Clinical Cardiology, Cardiac Deficits, and a training course in
                            Directional-coronary Arterectomy held in Brussels, and a course in modern methods of
                            invasive cardiology held in Washington, DC USA. She has participated in numerous national
and international scientific seminars and conferences. She is a member of the European Association of Invasive and
Interventional Cardiology, the National Society of Invasive and Interventional Cardiologists, and the National Society of
                            Cardiologists and others.

                            Dr. Borislav Borisov

                            Dr. Borisov graduated from the Stara Zagora Medical University in 1985, and he has received
                            two specialties: one in internal diseases in 1990, and cardiology in 1993. He worked for five
years in the Military Medical Institute Stara Zagora in the internal medical department, after which he worked for 13
years in the cardiology department of the general hospital Stara Zagora. He has participated in many medical scientific
forums nationally and abroad. Dr. Borisov has completed courses in echography, invasive cardiology, and
electrophysiology. He has been a member of our team since our opening.


Dr. Boris Zehirov

                         Dr. Zehirov graduated from the Sofia Medical University in 1992, and received his specialization
                         in internal diseases in 1999, and earned his specialization in cardiology in 2007. After
                         graduation 1993-1995 he worked in the Center for Emergency Medical Care. From 1995 to
                         September 2008, he worked in the Second Sofia Municipal Hospital in the intensive cardiology
                         department and in the catheterization laboratory. He joined our team in October 2008. Dr.
                         Zehirov completed a post graduate medical training course in invasive cardiology in the
                         Niguarda Hospital in Milan, Italy under the mentorship of Professor S. Klugman.




Dr. Ivan Martinov

                          Dr. Martinov graduated from the Sofia Medical University in 1995, and has two specializations:
                          one in internal diseases and another in cardiology. He worked for eight years in the cardiology
                          clinic of the general hospital Pirogov, and for two years in the National Cardiology Hospital. He
                          participated in the Euro PCR 2005, and a course in invasive cardiology. He has been with us at
                          Tokuda Hospital Sofia since July 2005.




Dr. Hristo Dimitrov

                          Dr. Dimitrov graduated from the Sofia Medical University in 2004 and worked for two years in
                          the invasive cardiology clinic in the university hospital Sveta Ekaterina. He has been a member
                          of Tokuda Hospital Sofia since our opening.




                          Dr. Kostadin Kotirkov

                         Dr. Kotirkov graduated from the Sofia Medical Medical University in 2006, and worked for one
                         year in the general hospital Sveta Sofia in the internal diseases department. He has been a
                         member of Tokuda Hospital Sofia since July 2008.
Contacts:
Call centre: 02/403 4000
Local Registration: 02/ 403 4912

								
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