Our special consultation hours
Modern cardiac medicine includes in particular the consultation of patients in special situations. Our team offers a whole range of special consultation hours specifically for this purpose. Proven expertise at university level, years of experience in the treatment of complex clinical pictures and a patient-oriented clinical attitude form the basis of these specific consultations.
3D special echoes
The HerzKlinik Hirslanden offers cardiologists the opportunity to be present during the performance and post-processing of 3D special echoes (1:1 teaching). Depending on the situation, these take place in the outpatient clinic (pre-interventional examinations) or in the hybrid operating room (periinterventional, perioperative) of the Hirslanden Clinic.
Therapy-resistant hypertension (TRH)
High blood pressure or arterial hypertension is one of the most common diseases of the cardiovascular system. The detection and treatment of high blood pressure is important for the elimination of typical symptoms such as headaches or pressure on the chest. However, high blood pressure is also an important risk factor for the development of potentially catastrophic diseases such as heart attack, cardiac insufficiency, cerebral infarction and shop window disease. Especially difficult to treat (therapy-resistant) forms of arterial hypertension pose a real challenge.
Our offer for therapy-resistant hypertension (high blood pressure)
Comprehensive clarification of the causes
Counselling for the optimization of lifestyle
Drug treatment
Interventional treatment by catheter ablation of the renal nerves
Complex heart valve problems
In contrast to patients with simple valve problems, the optimal treatment for people with so-called complex heart valve problems is not obvious. Rather, these patients have a number of complicating factors such as age, previous heart surgery, the presence of several severe valve defects or heart disease in parallel and a combination of other diseases (such as kidney failure).
If the heart valve problem now becomes severe, the different treatment options (interventional, surgical or both) need to be carefully weighed against each other.
Our offer for complex heart valve problems
Comprehensive clarification including stress tests and invasive / non-invasive imaging
Standardized analysis of these results in an interdisciplinary team of cardiac surgeons, invasive and non-invasive cardiologists and cardiac anesthesiologists
based on this tailor-made optimal solution
Treatment by a well-rehearsed interdisciplinary team with great experience
Dyslipidaemias (fat metabolism disorder)
Elevated cholesterol levels are an important risk factor for cardiovascular disease. We offer consiliary consultation in cases of dyslipidaemias that are difficult to control, drug intolerances and basic preventive medical questions.
Diving Medicine
We are available for diving fitness examinations, clarification of diving accidents or diving specific medical travel advice.
Heart Imaging
Cardiac imaging includes various modalities, which are offered by our team of cardiac specialists in cooperation with our colleagues at the Hirslanden Radiology Clinic:
Electrocardiogram (ECG)
The electrocardiogram (ECG) can be used to examine the heart rate, heart rhythm and the activity of the atria and ventricles. For diagnosis, electrodes are attached to the arms, legs and chest around the heart. The result is displayed in curves and used to monitor therapy or to diagnose an acute heart attack or cardiac arrhythmia.
Resting ECG, exercise ECG and long-term ECG
With the resting ECG, the heart activity is recorded while lying down. With the exercise ECG, the measurement is taken while the patient places a predefined load on his heart with the bicycle ergometer. With the long-term ECG, the heart activity is recorded over one to three days using a mobile ECG recorder that the patient carries with him/her.
Heart ultrasound examination (echocardiography)
The heart ultrasound examination (echocardiography) allows a general, non-invasive and patient-friendly examination of the heart from the outside. With ultrasound, the anatomy of the individual heart chambers, the pumping functions and the function of the individual heart valves can be easily and reliably identified.
Transesophageal Echocardiography (TEE)
For a more precise assessment of the heart valves and congenital heart defects, ultrasound examination via the esophagus (from the inside) is used. The ultrasound method performed on an outpatient basis results in a significantly better image quality. In the so-called "swallow echo", the patient swallows a tube with an ultrasound probe. Anaesthesia of the throat and a calming medication allow a patient-friendly examination.
3D special echos (3D echocardiography)
For a three-dimensional display and analysis of the heart, the entire heart is captured and displayed using 3D special echoes. The 3D technology is used as a navigation aid, especially in minimally invasive, interventional treatments, such as catheter-based heart valve therapy.
Heart scintigraphy (myocardial scintigraphy)
The special method of cardiac scintigraphy is used for the visual analysis of blood flow and vitality of the heart muscle, for example in coronary heart disease. The patient's heart, which is stressed by ergometry, and the injection of radioactive marker substances allow for staggered images for an analysis of the heart muscle cells.
Cardiac computer tomography (cardio-CT)
Cardiac computer tomography is used for the non-invasive diagnosis of cardiovascular diseases, such as coronary heart disease. Computer tomography of the heart produces cross-sectional images of the heart in which the calcification of the coronary arteries (coronary arteries) can be detected. The result allows a prognostic statement to be made about the patient's individual risk of heart attack.
Cardiac magnetic resonance imaging (cardio-MRI)
The non-invasive diagnostic method of cardiac magnetic resonance imaging makes it possible to obtain a comprehensive picture of the anatomy and functioning of the heart, for example in the case of heart muscle diseases, without exposure to radiation. The result also makes it possible to make a prognostic statement regarding the risk of cardiac arrhythmia or a heart attack of the patient.
Coronary angiography
Coronary angiography is used to obtain an accurate view of the coronary vessels and large arteries, for example in coronary heart disease. The invasive diagnostic procedure is performed under the patient's anaesthesia. The X-ray contrast medium injected into the coronary vessels through a cardiac catheter (forearm or inguinal artery) is made visible by means of X-rays and is used for the diagnosis and treatment of the coronary vessels.