Stress echo, Piraeus
1

Cardiologist for Stress echo in Piraeus

About the specialist

Dr Pisimisis Euaggelos is a distinguished Cardiologist with excellent training and extensive experience, operating a private practice in the center of Piraeus. He is an interventional cardiologist and Coordinating Director of the Cardiology Clinic at Tzaneio Hospital of Piraeus. After graduating from the Ionideios Model School of Piraeus, he studied at the Medical School of the University of Athens. He specialized in Cardiology at the Cardiology Clinic of Tzaneio Hospital and received further training with a scholarship from the Hellenic Cardiological Society at the University of Oxford in the United Kingdom. He holds a Doctorate in Medicine from the University of Athens, is a Fellow of the European Society of Cardiology (FESC), and serves as President of the Panhellenic Medical Society of Cardiology Directors (P.I.E.D.KAR.). He advanced through all levels of hierarchy in the Cardiology Clinic of Tzaneio Hospital and, in 2009, was appointed Coordinating Director following a Health Ministry Council review. He has been recognized for his clinical, organizational, educational, and social contributions both within the medical field and in the community of Piraeus residents. In 2007, he organized and operated the Hemodynamics Laboratory at the General Hospital of Chios, and in 2014, established a similar laboratory at the Cardiology Clinic of the Asklipieio Voula Hospital. Between 2011 and 2014, he served as Vice President of the Scientific Council, and from 2019 to 2021, as Director of Medical Services at Tzaneio Hospital of Piraeus. He participates in several Scientific Committees of the Ministry of Health. He was an elected member of the Board of Directors of the Piraeus Medical Association (I.S.P.) (2005-2022) and of the Board of Directors of the Athens-Piraeus Hospital Doctors Association (E.I.N.A.P.) (2019-2022). He remains an elected member of the I.S.P. at the Panhellenic Medical Association. He is a member of the Alumni Association of Ionideios Model School of Piraeus, the Arcadians Association of Piraeus, and the Association of Scientists of Piraeus.

  • Stress Echo (Dynamic Heart Ultrasonography)

Iroon Politehniou 59 Ave., Piraeus, ΑΤΤΙΚΗ

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1

Cardiologist with experience in Stress echo near Piraeus

  • Stress echo From €60 up to €200
    Το κόστος της υπηρεσίας του Stress Echo καθορίζεται σε συνεννόηση με τον γιατρό. Από 60 έως 200 ευρώ ανά εξέταση ανάλογα, εάν γίνεται κατόπιν συνταγογράφησης με τον ΕΟΠΥΥ ή ιδιωτικά. Η εξέταση γίνεται σε ιδιωτική κλινική.
Description
Σε ότι αφορά στο φαρμακευτικό stress echo, ο ασθενής ξαπλώνει σε πλάγια θέση, συνδέεται με το ηλεκτροκαρδιογράφημα και το πιεσόμετρο και τοποθετείται ένας μικρός φλεβοκαθετήρας στο χέρι. Στη συνέχεια, ξεκινάει η χορήγηση του φαρμάκου (δοβουταμίνη) και σταδιακά οι παλμοί αυξάνονται. Ο ιατρός μελετάει την καρδιά με τον υπέρηχο, ενώ ταυτόχρονα γίνονται μετρήσεις της αρτηριακής πίεσης και ηλεκτροκαρδιογράφημα. Επιπλέον, από τον φλεβοκαθετήρα που έχει τοποθετηθεί μπορεί να προστεθεί σκιαγραφικό μέσο, που βοηθά στην καλύτερη απεικόνιση της καρδιάς από το υπερηχογράφημα. Όταν οι παλμοί φτάσουν στο προβλεπόμενο όριο, λαμβάνονται οι τελικές εικόνες με τον υπέρηχο και η χορήγηση του φαρμάκου σταματάει, ενώ οι παλμοί επιστρέφουν στα φυσιολογικά επίπεδα άμεσα. Αυτό συμβαίνει είτε φυσιολογικά, είτε με την χορήγηση φαρμάκου. O ασθενής πρέπει να είναι νηστικός και να μην έχει καπνίσει για δύο ώρες πριν την εξέταση. Θα πρέπει επίσης να έχει συνεννοηθεί με τον ιατρό του για ενδεχόμενη προσωρινή διακοπή συγκεκριμένων φαρμάκων (συγκεκριμένα φάρμακα που μειώνουν τους καρδιακούς παλμούς). Η διενέργεια του stress echo απαιτεί τη χρήση ενός σκιαγραφικού μέσου το οποίο ο ασθενής προσκομίζει την ημέρα της εξέτασης. Η εξέταση γίνεται 1)Σε συμπτωματικούς ασθενείς μετρίου ή σοβαρού βαθμού κινδύνου εμφάνισης στεφανιαίας νόσου 2)Σε ασθενείς με γνωστή Στεφανιαία Νόσο 3)Σε ασθενείς με κινητικά προβλήματα ή μειωμένη ικανότητα προς άσκηση που δε μπορούν να υποβληθούν ή να ολοκληρώσουν την κλασσική δοκιμασία κόπωσης, στο πλαίσιο προεγχειρητικού ελέγχου πριν από μεγάλα εξωκαρδιακά χειρουργεία. 4)Σε ασθενείς που έχουν υποβληθεί σε τοποθέτηση stent ή πραγματοποίηση Bypass και θέλουμε να παρακολουθήσουμε την πορεία της νόσου. 5)Σε ασθενείς ενδιαμέσου ή υψηλού κινδύνου για στεφανιαία νόσο με ηλεκτροκαρδιογραφικές διαταραχές ή αρρυθμία 6)Σε συμπτωματικούς ασθενείς που υποβλήθηκαν σε αξονική στεφανιογραφία με αμφίβολα αποτελέσματα της εξέτασης. 7) Για εκτίμηση λειτουργικότητας βαλβίδων.

Gervasiou Grevenon 288-290, Nikaia, ΑΤΤΙΚΗ

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2

Cardiologists for Stress echo near Piraeus

About the specialist

Koumoulidis Anastasios MD, MSc, PhDc is a Cardiologist with private practices in Nikaia and Kallithea. He is a PhD candidate at the National and Kapodistrian University of Athens, specializing in Cardiology from the General Hospital of Athens "Evangelismos." He holds a postgraduate diploma in Interventional Cardiology from the University of Paris and has worked for two years in the same field at the University Hospital "LARIBOISIERE" in Paris. There, he performed a large number of coronary interventions, covering the full spectrum of coronary cases (primary angioplasties, bifurcation and left main lesions, CTOs, ECMO) using all modern techniques and materials (rotablator, OCT, IVUS). Additionally, he is certified for transcatheter implantation of bioprosthetic aortic valves (TAVI). Concurrently, he holds the European diploma in echocardiography. Finally, he consistently participates in major Greek and international cardiology conferences, maintaining excellent expertise in his specialization.

  • Stress Echo (Dynamic Heart Ultrasonography)

Laodikeias 111, Nikaia, ΑΤΤΙΚΗ

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About the specialist

Andreas Tsoumeleas is an Interventional Cardiologist and the scientific director of the Health Diagnosis multi-specialty clinic. He is also the head of the Cardiology Department at the Athens Therapy Center, an Interventional Cardiologist at the Athens Bioclinic, and an external collaborator with the "HYGEIA" and "IASO GENERAL" Hospitals. He holds a degree in Medicine from the Medical School of the National and Kapodistrian University of Athens (NKUA), graduating with honors ("very good"). He completed his specialization in Cardiology, which included two years of Internal Medicine at the 2nd University Internal Medicine Clinic of the G.N.A. "Hippokration" and four years of Cardiology at the 2nd Cardiology Clinic of the General Hospital of Athens "Korgialeneio - Benakeio Hellenic Red Cross." He obtained his Cardiology specialty title in 2019. Subsequently, he specialized and participated for two years in the full scope of Interventional Cardiology (coronary angiographies, angioplasties, bifurcation lesions, heavily calcified lesions, rotational atherectomy, chronic total occlusions) at the Hemodynamics Laboratory of the "Red Cross" Hospital. He is a member of the Hellenic Cardiological Society (HCS) and the European Society of Cardiology (ESC). Finally, he is a member and ALS instructor at the Hellenic Cardiopulmonary Resuscitation Society (HCRS) and the European Resuscitation Council (ERC).

  • Stress Echo (Dynamic Heart Ultrasonography)

7ης Μαρτίου 1944 6 & Καισαρείας 2 7ης Μαρτίου 1944 6 & Καισαρείας 2, 4, Nikaia, ΑΤΤΙΚΗ

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