Diseases of the heart and blood vessels are the main cause of morbidity and mortality in modern society. Today, the age border of mortality and diseases is getting lower, and more and more patients are in their early twenties. Life of contemporary man is marked by stress, which is a risk factor for developing many diseases. Along with this, smoking should be added, lifestyle, obesity caused by improper diet, and that unavoidable hereditary component. All this leads to the occurrence of coronary heart disease, high blood pressure, heart attack, stroke and diabetes.

In order to prevent cardiovascular disease on time, we need to eliminate the risk factors, and the best way to do this is a preventive cardiological examination, which should be done before the disease is manifested.

Preventive cardiology examinations should be done once a year. This examination covers the possible cardiac disease (high blood pressure, angina pectoris, arrhythmia, etc..) and estimates the risk of occurrence. This is especially important for those with a family history of heart problems. All people who plan on engaging in some sort of recreation or sport should do a preventive examination.

As part of a preventive cardiology examination, the following are required: ECG, blood pressure measurement, and it is desirable to do an ultrasound of the heart, physical exertion test and stress echocardiography on the treadmill or a bicycle ergometer. Special preparations for the examination and ultrasound examination of the heart are not necessary, but it is necessary to prepare for a physical exertion test so that the results are accurate.

An unavoidable segment of the preventive examination are the laboratory analysis which should be done in the morning, before eating and before consuming coffee or tea. In this way, we can establish the possible existence of diabetes, anemia, increased blood lipids, damage of kidney function, disturbance in the thyroid gland and other diseases.

All cardiovascular diagnostic tests can be performed at Alfa Medic General Hospital.

Cardiological examinations

ECG examination includes:

• A complete examination by a specialist
• Interpretation of ECG
• Ambulatory blood pressure measurement
• Ambulatory measurement of body weight (determining BMI which is an important risk factor for heart disease)
• The overview also includes advice for therapy and nutrition

24-hour Holter ECG – registering heart rate during the course of 24 hours.

A Holter ECG will show a possible heart rhythm disorder in the form of extrasystoles (VES or SVES) or atrial fibrillation or other arrhythmias.

Recording of blood pressure during 24 hours.

Ambulatory blood pressure measurements will show possible spikes in blood pressure during the day or night, in order for the doctor to establish an accurate clinical picture of the patient’s heart health, and furthermore to adjust the appropriate antihypertensive therapy.


Physical exertion tests can be performed on an ergo-bicycle. During the physical exertion of the patient, an ECG registers and interprets if there any changes in the ECG that are in favor of ischemic heart disease. Also during the exertion, blood pressure is monitored. All of our machines are the latest and most contemporary models, and are adjusted for the patient to achieve maximum comfort.