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Emergency Cardiology

In the Department of Emergency cardiology, patients with severe and acute cardiac pathology are having follow-up examination and treatment. This pathology often arises for patients with a critical violation of blood flow in the lower limbs.

All doctors of the Department have extensive experience of working with patients with severe critical condition (myocardial infarction and unstable angina, arrhythmias, pulmonary embolism, heart failure progression of different genesis, etc.); experience of working in Intensive care and emergency treatment and possess all the necessary medical procedures and techniques.

Quite widespread method of diagnosis as well as questioning and examination of a patient by an experienced specialist, is data assessment of routine electrocardiography. In this case, it is important for a cardiologist to assess both: the ECG performed at the time of admission of a patient, or at the time of his specific complaints, and the previously performed ECG. Compared together, it is possible to evaluate the development of the disease or detect false positive changes.


In the case of diseases of the arteries of the lower limbs and diabetes, often, coronary artery disease can occur unnoted for a patient, which significantly reduces their physical activity during the day due to pain in the lower limbs. Additionally, pain in the legs can provoke coronary spasm.

Coronary angiogram is a testing of the coronary arteries with radiopaque agent, which is considered the "gold" standard for diagnosis of coronary artery disease. It helps to recognize or to disprove coronary disease and determine treatment policy. Coronary angiogram can be combined with angiography of the lower limbs, if it is necessary.

Myocardial scintigraphy is a testing of the cardiac muscle by the means of radioactive isotopes. It permits recognition of badly vascularized heart`s areas and to determine treatment policy of coronary arteries invasion. This method is used in the Department of Emergency cardiology for estimation of coronary blood flow.

The Department has 10 years of experience of treating patients after urgent endovascular procedures (balloon angioplasty and coronary stenting), of myocardial infraction and of unstable angina. It has reduced mortality after myocardial infraction by 6.5%, with an average patients’ age of 74 years old. Methods used in the Department correspond to response of treatment in Europe and the USA.

Pavel S. Padalko, an experienced cardiologist and reanimatologist, is the Head of the Department.

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