Heart & blood vessels

Examinations

Whether one needs a cardiovascular examination, is the decision of the doctors. They will check the general stats of your health and results of previous tests and analyses and determine the necessity of the supplementary examinations. Then the exact time for their performance is agreed upon.

At Confido Private Medical Clinic, we can perform ECG, cardiac stress test, test for arrhythmia, arteriography, Doppler ultrasonography, and many other examinations. Other necessary examinations are performed in cooperation with major hospitals and clinics.

First, the doctor will check the examination results and will assess your health condition, and then contact you and explain the results. In many cases, it is necessary to return to the doctor’s office to discuss the results of the examination and the possible lifestyle changes that need to implemented, and to put together a treatment plan.

Important

  • A consultation with the doctor is needed before having an examination.
  • We perform most of the examinations and tests in the clinic and some in cooperation with other clinics and hospitals.
  • We will inform you of the date when the results arrive. We will also agree upon the method of notification and whether there is a need for further consultations.
  • You will have to pay for the examination in advance.

Cardiac stress test

Stress test is a diagnostic measure to assess cardiovascular system, to understand the problems associated with cardiac arrhythmia, chest pains etc, and also to evaluate the treatment outcomes in patients with cardiovascular problems.

Stress test can evaluate healthy individual’s performance capabilities, identify beginner’s capabilities, and suggest optimal training heart rate and exercise options based on the heart rate.

During stress test ECG is registered, blood pressure is measured, patient’s general condition and possible complaints are observed. The test is carried out on a stationary bike.

The test costs 60 euros, the test with the consultation of cardiologist costs 130 euros. This examination is free for you in case you have your general practitioner’s referral letter. The examination will be covered by your general practitioner through the Estonian Health Insurance Fund.

Price of the test 60-130 €
Duration of the test 30 minutes

Good to know

  • We recommend loose and light athletic clothes. We have changing rooms and showers at the clinic.
  • If you are wearing glasses, take those with you, so you can monitor the scale.
  • If possible, please bring with you results from earlier ECGs and stress tests (we have access to the results that have been uploaded to e-health environment).


How is the test carried out?

  • During the test ECG electrodes are placed on your chest and a cuff is placed on your arm for measuring your heart rate.
  • During the test you need to ride the bike. Every 1-2 minutes the stress level is increased.
  • Each individual is assigned personalised stress levels. The length of the test depends on your stress tolerance.
  • You will get immediate results after the test.

How is the test performed?

  • You need to lie on your back during the ECG test.
  • Electrodes will be attached to your hands, legs and chest.
  • During the test, you must not move, speak or cough.
  • In case of acute illness, changes in ECG can occur relatively quickly. That is why it may be necessary to perform the test many times after short intervals.

ECG or electrocardiogram

Electrocardiography or ECG is a fast and painless test that by connecting electrodes onto the body shows information about the frequency of heart beats and of various rhythmic disturbances. The test enables to assess blood supply disorders of the cardiac muscle (myocardial ischemia), the situation of the heart after a cardiac infarction has been experienced, and the possible overload and enlargement of heart's chambers.

Price of the test: 15 €
Duration of the test: 5 minutes

Twenty-four-hour Holter-monitoring of arrhythmia

During a 24-hour period, Holter-monitoring records heart activity with a electrocardiogram. In contrast to short-duration ECG that is recorded while lying down, this monitoring takes place during the regular activities of the day and night. The monitoring is for recording possible heart arrhythmic activities, identifying blockages and assessing the success of the treatment.

We recommend the examination if

  • There are perceptible rhythmic disturbances
  • The character and frequency of the rhythmic disturbances recorded with a short-duration ECG need to be ascertained
  • There are rhythmic disturbances after a cardiac infarction
  • The success of anti-arrhytmic treatment needs to be evaluated
  • There are episodes of weaknesses or recurrent losses of consciousness for unknown reason

This examination is free for you in case you have your general practitioner’s referral letter. The examination will be covered by your general practitioner through the Estonian Health Insurance Fund.

Price of the examination 60 €
Duration of the examination 24 hours

How is the test performed?

  • ECG electrodes are attached on to the chest.
  • A data recorder is attached to the body.
  • Then the examinee can go home and proceed with their daily activities.
  • They will be given a diary where all activities, complaints and the time of their occurrence need to be written.
  • During the test, it is recommended to refrain from intense physical activity such as sporting. The apparatus must not get wet which is why one must refrain from washing the body.
  • It is not allowed to remove the apparatus on your own. It is removed in our clinic the day after, approximately at the same time it was put on.

How is the examination performed?

  • A cuff is placed on the upper arm as with a normal blood pressure monitor.
  • A data recorder is attached to the body.
  • Then the examinee can go home and proceed with their daily activities.
  • You will be given a diary where you need to write your daily activities and how you are feeling.
  • During the measuring, you have to sit calmly, keep your upper arm away from the body and avoid movements. While driving, you need to stop the vehicle. The measuring takes about a minute.
  • At night, the cuff needs to remain on the arm, but you can place the data recorder beside you.
  • The apparatus records both upper and lower blood pressure. The measuring will make you feel pressure on your arm and hear slight whizzing.

Twenty-four-hour Holter-monitoring of blood pressure

Holter-monitoring records heart activity with a electrocardiogram during a 24-hour period. The examination gives an overview of blood pressure values measured repeatedly during the twenty-four-hour period.

  • During the monitoring, it is recommended to refrain from physical activity because even a small amount of exercising will influence the data collected.
  • The apparatus must not get wet which is why one must refrain from washing their body.
  • It is not allowed to remove the apparatus on your own. It is removed in our clinic the day after, approximately at the same time it was put on.
  • Make sure the apparatus does not fall on the ground during sleeping.
Price of the examination: 60 €
Duration of the examination: 24 hours

Hotman's®-test

Hotman's® test is used to diagnose hypertension with state-of-the-art technology, and determine the most suitable and efficient treatment with a individual-oriented approach.

The Hotman apparatus is a device that is connected with a computer. With mathematical algorithms, it performs an analysis and an assessment of the patient's hemodynamic indicators, converting the data into a form that is easily understandable by the doctor, thereby enabling the doctor to analyse and compose a treatment plan for the patient. Hotman's®-test is performed by prof Margus Viigimaa.

Price of the examination: 70 €
Duration of the examination: 15-20 minutes

For whom is the monitoring for?

  • People with blood pressure illness whose medication is showing side effects.
  • People with hypertension who want to be sure that their treatment plan is optimal.
  • Patients whose previous treatment plan has not given the results needed.
  • Patients whose treatment has caused them feel ill.


How is the examination performed?

  • In order to assess the efficiency of the treatment, the treatment plan prescribed by the doctor has to have been followed 2-3 weeks.
  • The procedure is painless and it is performed while lying down.
  • Sensors will be placed on the neck and body that will measure the performance of the organs.
  • After the examination, the doctor will analyse the results and summarize and explain the them to the patient.

The examination is for people who

  • have a high risk of developing a cardiovascular disease;
  • have a hereditary disposition for arterial diseases;
  • have previously suffered from a cardiovascular disease;
  • have complaints that may be linked to a cardiovascular disease


How is the examination performed?

  • During the examination, you have to lie down for five minutes in a relaxed state
  • Cuffs will be placed around your ankles and upper arms and your cardiovascular stats are measured.
  • After the measuring, you are shown the results and given advice for further action.
  • The results are given to the patient in writing.

ABI test

The diagnostics of the arteriosclerotic changes of the arteries or determining the AB index consists of measuring the blood pressure at both ankles and upper arms and comparing the results. The results are compared and it is assessed whether a thrombus or arteriosclerosis has caused the blood flow of the legs to decrease. The results enable assessing the existence and severity of arterial diseases and blood flow disorders.

Whether there is a need for the test is the decision of the doctor. The test is performed by the vascular surgeon dr Tiit Kivistik. The doctor can perform the test during the consultation in which case the price of the test is 25 euros.

Often a comprehensive examination of the blood vessels is performed, which is not covered by the fee for the Ankle Brachial Index designation. Read more about examination of periphery blood vessels »

Meaning of ABI values

  • > 0.90 normal;
  • > 0.75 slight abnormality of perfiery arteries;
  • > 0.50 medium abnormality of perifery arteries;
  • < 0.50 severe abnormality of periphery arteries.
Price of the examination: 25 €

Doppler ultrasonography of arteries or veins

Doppler ultrasonography uses safe high frequency ultrasound to visualise the blood flow in blood vessels and identify anomalies.

Doppler ultrasonography enables to diagnose thrombuses and blockages in both arteries and veins. In case of diseases of periphery arteries, it can identify the disease in its early stage of development.

Whether there is a need for the examination is the decision of the doctor. The test is performed by the vascular surgeon Dr Tiit Kivistik. An ultrasound examination may be performed by your doctor during your consultation. The cost of the ultrasound will be added to the consultation fee.

There is often an ultrasound examination done during a thorough examination of the blood vessels, and additional fees for the ultrasound imaging will accrue. Read more about examination of periphery blood vessels »

Price of the examination: 50 € per one region

How is the examination performed?

  • The test involves using a sensor to send sound waves in the direction of the examined blood vessel.
  • The sound waves reflect back to the sensor and the screen will show a picture of the blood vessel.
  • The doctor decides whether to examine the blood vessels of arms, legs or upper body.
  • The examination is simple and painless.


The examination is for people who

  • Suspect arterial impairments in their hands and legs
  • Have suffered from cardiovascular diseases
  • Have a genetic disposition for getting a cardiovascular disease
  • Have high blood pressure and cholesterol levels
  • Are overweight
  • Have a unhealthy lifestyle (little exercising, consume alcohol and tobacco)