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Cardiology Outpatient Clinics

   General Cardiology Outpatient Clinic

   Cardiology Specialty Outpatient Clinics

   Heart Failure Clinic

   Arrhythmia Clinic (pacemakers and defibrillators)

   Dyslipidaemia Clinic

   Hypertension Clinic

   Pulmonary Hypertension Clinic

Interventional Cardiology

   Right and Left Heart Catheterisation

   Percutaneous Coronary Interventions

   Percutaneous Occlusion of Septal Defects

   Pacemakers, Defibrillators and Cardiac Resynchronisation Systems

Non-Invasive Cardiovascular Diagnosis

   Transthoracic and Transoesophageal Echocardiography

   Treadmill Stress Test

   High Resolution Electrocardiography

   Tilt Test

   Ambulatory Heart Rate and Blood Pressure Monitoring

   Myocardial Perfusion Imaging with Technetium-99 or Thallium-201

Inpatient Departments

   University Cardiology Inpatient Clinic

   Coronary Care Unit

 

 

 

Cardiology Outpatient Clinics


General Cardiology Outpatient Clinic

Appointments for the General Cardiology Outpatient Clinic at: +30 25513 52461 

 

The general cardiology outpatient clinic serves patients with any type of suspected or known cardiovascular disease. Physicians and nurses provide information and therapeutic guidance, and refer patients for further diagnostic tests if necessary.

The clinic is open every Tuesday from 9:00 a.m. to 12:00 noon and is located on the ground floor of the University Hospital of Alexandroupolis (Exam room 24.40).

Supervising physician: Dr. Adina Thomaidi, Consultant Cardiologist.

 

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Cardiology Specialty Outpatient Clinics

Appointments for the Specialty Outpatient Clinics at: +30 25513 52461 

 

Heart Failure Clinic

Serves patients with a known history of heart failure requiring regular cardiac monitoring. The purpose of the clinic is to improve the prognosis and quality of life of patients with heart failure through appropriate education and treatment. During visits, the physician assesses the patient’s functional status, controls clinical and laboratory parameters and adjusts the treatment appropriately.

The clinic is open every Friday from 9:00 a.m. to 12:00 noon and is located on the ground floor of the University Hospital of Alexandroupolis (Exam room 24.40).

Supervising physician: Dr. Dimitrios Tziakas, Assistant Professor of Cardiology, Democritus University of Thrace.

Arrhythmia Clinic (patients with pacemakers and defibrillators)

The clinic follows and adjusts the operation of pacemakers and defibrillators. The physician estimates operating parameters of the device, the generator status and the endogenous activity of the heart. The first test is carried out one month after implantation of the device and then every 6 months. When approaching the expected time to replace the generator, controls are performed on a monthly basis.

The clinic is open every Wednesday from 9:00 a.m. to 12:00 noon and is located on the ground floor of the University Hospital of Alexandroupolis (Exam room 24.40).

Supervising physician: Dr. Adina Thomaidi, Consultant Cardiologist.

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Dyslipidaemia Clinic

The clinic controls the lipid profile of patients with coronary heart disease and patients at high risk for coronary heart disease (that is, patients with familial or acquired dyslpidaemia, diabetes mellitus, hypertension, etc.). The control includes the determination of cholesterol and triglycerides, and the lipoprotein and apolipoprotein fractions of cholesterol. When familiar dyslipidaemia is suspected, genetic analysis is performed (identification of specific gene polymorphisms associated with familial dyslipidaemia). The physicians provide nutritional education, instructions for lifestyle modification and medical therapy.

The clinic is open every Monday from 9:00 a.m. to 12:00 noon and is located on the ground floor of the University Hospital of Alexandroupolis (Exam room 24.40).

Supervising physician: Dr. George Chalikias, Lecturer in Cardiology, Democritus University of Thrace

 

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Hypertension Clinic

The Hypertension Clinic is dedicated to the diagnosis and treatment of arterial hypertension as well as the early prevention and management of target organ damage. Management is based on the estimation of the overall cardiovascular risk of patients with hypertension and aims at the primary and secondary prevention of major cardiovascular events. Also, the Hypertension Clinic searches for secondary causes of hypertension when there are findings that do not support the presence of essential hypertension. Finally, the physicians provide consultation and encourage lifestyle modifications.

The clinic is open every Monday from 9:00 a.m. to 12:00 noon and is located on the ground floor of the University Hospital of Alexandroupolis (Exam room 24.40).

Supervising physician: Dr. Dimitrios Tziakas, Assistant Professor of Cardiology, Democritus University of Thrace

 

Pulmonary Hypertension Clinic

The clinic operates in cooperation with the University Department of Respiratory Medicine (Director: Prof. D. Bouros) and aims at the diagnosis, differential diagnosis and treatment of pulmonary hypertension according to the guidelines and recommendations of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). The diagnosis includes cardiac ultrasound examination and right heart catheterisation with vasoreactivity testing, as well as all other tests when appropriate (eg, spiral CT of the pulmonary vessels, and left heart catheterisation). Patients are referred from other clinics and hospitals, and from their family physicians or specialists, throughout the region of Eastern Macedonia and Thrace. Once the diagnosis of pulmonary arterial hypertension is made, appropriate medical treatment is initiated. Patients are followed regularly (every 3-6 months) by clinical examination, cardiac ultrasound or repeated right heart catheterisation when appropriate.

The clinic is open every Thursday 10:00 a.m. to 1:00 p.m. on the second floor of the University Hospital of Alexandroupolis, next to the Cathetrerisation Laboratory.

Supervising physician: Dr. Stavros Konstantinides, Professor of Cardiology, Democritus University of Thrace

 

Appointments for all Cardiac Outpatient Clinics at: +30 25513 52461

 

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Interventional Cardiology

 

Interventional procedures are carried out in the catheterisation laboratory. During the procedure, heart rate and blood pressure are monitored and a venous access line is placed into one arm. Initially, the area where the catheter will be inserted (usually the groin, in some cases the elbow or wrist) is disinfected. The introducer sheath is inserted into the artery following local anaesthesia and the catheter is advanced into the ostium of the left and right coronary artery. When in place, contrast agent is injected and coronary flow is recorded by fluoroscopy. The patient is discharged within 24 hours after the procedure.

Supervising physicians: Drs Dimitrios Tziakas and Dimitrios Stakos, Assistant Professors of Cardiology, Democritus University of Thrace

Head Nurse: 

 

 

Right and Left heart Catheterisation

Right heart catheterisation, ventriculography, coronary angiography and aortography are performed in the catheterisation laboratory under local anaesthesia in order to diagnose and assess the haemodynamic effects of diseases involving the myocardium, the heart valves, the pulmonary and systemic circulation.

 

 

Percutaneous Coronary Interventions (Revascularisation)  

Balloon angioplasty and intracoronary placement of stents is carried out in patients with haemodynamically significant stenoses of the coronary arteries. The intervention is performed under local anaesthesia and fluoroscopic guidance in the catheterisation laboratory.

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Percutaneous Occlusion of Atrial Septal Defect (ASD) and Patent Foramen Ovale (PFO)

The procedure is indicated for patients with recurrent episodes of (presumed) paradoxical embolism and haemodynamically significant atrial septal deficits. The intervention is performed under brief general anaesthesia, using fluoroscopic and ultrasound guidance.

 

 

Implantation of Pacemakers, Defibrillators and Cardiac Resynchronisation Systems

Pacemakers are small devices implanted under local anaesthesia into the chest wall. One or two cables are inserted through the subclavian vein into right ventricle and / or right atrium, providing electrical pulses that replace the native conduction system when the latter is malfunctioning. Pacemakers are implanted in patients with symptomatic slowing of the heart rate.

The Cardiac Resynchronisation Therapy Systems (CRT) are devices that can be implanted like pacemakers. They induce simultaneous activation of both ventricles ensuring synchronised ventricular function. They improve prognosis and relieve symptoms in patients with advanced heart failure.

Implanted defibrillators are compact devices that monitor the heart rhythm and automatically terminate life-threatening ventricular arrhythmias. The defibrillator leads are implanted through the venous route and the generator is placed in the chest wall. It consists of 1 or 2 electrodes. The permanent implantation of a defibrillator is recommended in patients with previous episodes of prolonged (sustained) ventricular tachycardia or ventricular fibrillation not due to a reversible causes. Implantation is also indicated for patients at high risk of occurrence of ventricular arrhythmias such as patients with severe left ventricular dysfunction and patients with hypertrophic cardiomyopathy. 

Appointments for Cardiac Interventions

Monday to Friday 12:00 noon -2:00 p.m., Phone: +30 25513 53241

 

 

Non-invasive Cardiovascular Diagnosis

 

Transoesophageal and Transthoracic Echocardiography  

Transthoracic echocardiography (TTE) is a noninvasive diagnostic modality for assessing the morphology and function of the heart. The test lasts 10-15 minutes. The Echo laboratory applies all modern ultrasound imaging techniques (tissue Doppler, speckle tracking imaging, contrast ultrasound) to enable accurate quantification of systolic and diastolic parameters of the left ventricle, detection of ventricular dysynchrony and diagnosis of congenital or acquired anatomical anomalies of the cardiac chambers.

Transoesophageal echocardiography(TEE) is a minimally invasive technique that allows visualisation of cardiac structures when transthoracic echocardiography is unable to provide the necessary information. TEE provides high quality images even in structures that are not visualised during TTE examination such as the left atrial appendage and thoracic aorta. The examination is performed using a small flexible tube which is inserted into the oesophagus of the patient. A local anaesthetic is applied into the oral cavity before the procedure. The patient lies on his/her left side, is awake (sometimes mildly sedated) and capable of cooperating with the doctor. The test lasts 10-15 minutes.

Supervising physicians: Dr. Georgios Chalikias, Lecturers in Cardiology, Democritus University of Thrace

Contact Phone number: +30 25510 30387

 

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Treadmill Stress Test 

It helps the physician understand whether unexplained chest pain or other vague symptoms are due to cardiac causes. It is also performed in patients who have undergone revascularisation procedures to check their functional status. It is simple and non invasive. Smoke, alcohol, coffee and food consumption are prohibited 12 hours before the procedure. The patient should wear shoes suitable for walking. In some cases, the patient may be advised to omit drugs that might affect the test result (eg, calcium antagonists, beta-blockers, nitrates). Please consult us or your family physician when planning the procedure. The patient walks on a treadmill while heart rhythm and the ECG is monitored. Initially, the exercise protocol is easy, and difficulty increases every three minutes. The duration of the test depends on the patient’s training status and the appearance of symptoms.

Supervising physicians: Drs Dimitrios Tziakas and Dimitrios Stakos, Assistant Professors of Cardiology, Democritus University of Thrace

Contact Phone number: +30 25513 51292

 

High Resolution Electrocardiography

This is a special type of ECG analysis which has the ability to recognize abnormal activity of the myocardium. It is useful in patients after acute myocardial infarction since the discovery of late potentials is associated with an increased risk for sudden cardiac death or sustained ventricular tachycardias. It is also useful in patients with dilated or hypertrophic cardiomyopathy, because the identification of late potentials is associated with increased risk for life-threatening arrhythmias. Furthermore, a positive test in patients with syncope sets a strong indication for further invasive testing.

Supervising Physician: Dr. Adina Thomaidi, Consultant Cardiologist

Contact Phone number: +30 25513 53240

Tilt Test 

Tilt test is performed in patients with unexplained episodes of syncope. The patient is placed in a bed with a mechanical inclination ranging from 60o to 80o for 15 minutes while blood pressure and heart rate are recorded. If the patient's blood pressure is not altered, a dose of isoproterenol can be administered to increase heart rate. The examination takes 30 to 60 minutes.

Supervising Physician: Dr. Adina Thomaidi, Consultant Cardiologist

Contact Phone number: +30 25513 53240

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Ambulatory Heart Rate and Blood Pressure monitoring

Recording of heart rate or blood pressure for 24-48 hours is performed using a small device connected non-invasively to the patient's body. The patient leaves the hospital and returns to his/her normal daily activities for 24-48 hours. Thereafter, he/she returns the device which is reviewed by the specialist.

Supervising Physician: Dr. Georgios Chalikias, Lecturer in Cardiology, Democritus University of Thrace

Contact Phone number: +30 25513 53241

 

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Myocardial Perfusion Imaging with Technetium-99 or Thallium-201

The tests are carried out in cooperation with Dr. Athanasios Zisimopoulos, Assistant Professor of Nuclear Medicine, Democritus University of Thrace.

This is a non-invasive imaging technique that monitors the perfusion of the myocardium. Smoke, alcohol, coffee and food consumption are prohibited 12 hours before the procedure. First, the patient undergoes physical (on a treadmill, as described above) or pharmaceutical stress testing. Then, at the end of the exercise test, a small quantity of a radioactive substance is administered intravenously (substances commonly used are Technitium-99 and Thallium-201). The injected radioactive thallium circulates in the blood and goes to the coronary arteries where it is taken up by myocardial cells. The patient is then examined under a so-called γ-camera which detects and records the distribution of the radiation emitted from his/her body. Thus, the test assesses the location and severity of myocardial ischaemia / coronary artery disease, the presence of viable myocardium versus scars, and the efficacy of antianginal therapy.

Supervising Physician: Dr. Adina Thomaidi, Consultant Cardiologist

 

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Inpatient Department


University Cardiology Inpatient Clinic (Ward)

It consists of 32 beds which are reserved for patients with cardiovascular disease not requiring intensive monitoring of their vital functions. It also receives the patients who are stable enough to leave the Coronary Care Unit.

Supervising Physician: Dr. Athanassios Chotidis, Consultant Cardiologist.

Head Nurse: Anna Bampagiannaki, RN

Contact Phone number: +30 25513 51295

 

Coronary Care Unit (CCU) 

It consists of 9 beds. The CCU is dedicated to the management of patients that require intensive monitoring of their vital functions. Patients with acute myocardial infarction or unstable angina (acute coronary syndromes), patients with decompensated heart failure as well as those with life-threatening arrhythmias are treated in the CCU. Patients that undergo percutaneous coronary intervention are also monitored in the CCU during the first 24 hours after the procedure. The CCU supports the vital functions of patients with respiratory failure (invasive and non-invasive positive pressure ventilation), circulatory collapse (medical or mechanical circulatory support) and arrhythmias or conduction disorders (implantation of temporary pacing systems).

 

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Supervising Physician: Dr. Georgios Chalikias, Lecturer in Cardiology, Democritus University of Thrace

Head Nurse: 

Contact Phone number: +30 25513 53212-3

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Access and Contact Details

Click on the map to see our location.
Department Secretariat
Phone: +30 25510 76231
Fax: +30 25510 76245
email: cardio@med.duth.gr

Κατασκευή Ιστοσελίδας Πανεπιστημιακή Καρδιολογική Κλινική 2010 | Επικοινωνία | Αρχική