We provide evaluation and treatment for ischemic heart disease, including emergency care for acute myocardial infarction and planned assessment for stable angina.
Treatment decisions are based on the presence and extent of myocardial ischemia, not on the degree of coronary narrowing alone.
What it is
Ischemic heart disease occurs when atherosclerosis narrows or blocks the coronary arteries.
Reduced blood flow to the heart muscle may cause chest pain (angina) or myocardial infarction (heart attack).
Chest pain and shortness of breath on exertion are common symptoms and may suggest coronary artery disease.
Our evaluation
If ischemic heart disease is suspected based on symptoms, ECG findings, or prior testing,
evaluation is performed using coronary CT and/or coronary angiography (CAG), depending on the clinical situation.
For stable effort angina, coronary CT is used to assess coronary anatomy in detail and guide treatment planning.
-
Intermediate lesions (about 50–75% narrowing):
Ischemia is assessed using a pressure guidewire and physiologic indices such as FFR to determine whether PCI is indicated. -
When kidney function is reduced:
Nuclear cardiology (RI testing) may be used to evaluate myocardial perfusion and identify impaired blood supply.
This approach is important because the angiographic appearance of narrowing alone does not always predict clinical benefit from intervention.
Our treatment
Treatment is tailored to each patient and may include optimized medical therapy and, when appropriate,
catheter-based coronary intervention such as stent placement (PCI).
-
Acute myocardial infarction:
We provide 24/7 emergency response. When needed, coronary angiography is performed immediately,
followed by PCI without delay if a culprit lesion is identified. -
Stable angina:
Treatment is planned on the basis of detailed imaging and physiologic assessment.
Coronary procedures are performed by experienced cardiologists, supported by specialist nurses and clinical engineers involved in catheter-based examinations and treatment.
Hospital stay
Coronary angiography is performed with a focus on minimizing invasiveness, typically using the radial artery (wrist access) whenever feasible.
In many cases, the standard schedule is a short hospital stay, often one night and two days, with admission on the day of the test and discharge the following day.
Emergency cases are managed according to clinical urgency.
Appointment
Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.
For appointment requests and language support, please see the
Cardiology page.