General medicine is the specialty that deals with the prevention, diagnosis and treatment of diseases of the internal organs (heart, lungs, stomach, liver, colon, kidneys, bone skeleton, joints, blood), metabolic and system diseases. It is the specialty that concerns the patient as a whole, with all the apparatuses and systems interconnected, and establishes the diagnosis of disease specific to a certain internal organ.
Holter ECG monitoring involves recording the electrocardiogram for 24 hours or more, when the patient is in daily living conditions and not in cabinet or hospital conditions. The recording is achieved by of 6 electrodes mounted on the patient's body, electrodes that are connected to a small device, attached to the waist.
Holter ECG monitoring indications:
Holter ECG monitoring does not require special patient training, and the patient should not discontinue medication prior to this investigation.
24-hour HTA monitoring (ABPM) - represents the measurement of blood pressure at regular intervals for a predetermined period (24 h). The investigation provides information on the patient's blood pressure values in daily life conditions and on the circumstances in which it fluctuates.
TA monitoring is recommended for diagnosing and assessing the severity of hypertension. It is also indicated for:
When there is suspicion of HTA "white robe" (when there are high values of TA in the medical office in patients without other cardiovascular risk factors compared to its values at their home
It is a non-invasive investigation that involves recording the electrocardiogram and measuring the blood pressure while the patient is traveling on a treadmill, according to a predetermined protocol, which implies the gradual increase of the intensity of the effort, depending on the physical condition of the patient and the associated comorbidities.
The stress test stops when the theoretical maximum heart rate is reached, the patient experiences chest pain, difficulty breathing or dizziness, no longer increases the effort, even if no ECG changes have occurred, electrocardiogram changes or sustained arrhythmias appear, on the electrocardiogram arterial growth is exaggerated.
Indications of the stress test:
Contraindications of the effort sample:
Preparing the patient to perform the stress test
Patients are advised to be lightly dressed and wear comfortable footwear.
Drug treatment for high blood pressure or angina will not be discontinued before the test. At the doctor's recommendation, when the patient's situation allows, the beta-blocker treatment will be discontinued in the morning of the test or the digital treatment 5 days before the test.