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Cardiovascular Internal Medicine

Patient Care

 The Cardiovascular Internal Medicine at Kohseichuo Hospital is an expert team of medical engineers, doctors and nurses that work to diagnose, treat and manage those with heart conditions. The team offers rapid access clinics to diagnose patients presenting with the most common conditions and symptoms:
• Hypertension
• Chest pain, Palpitation, Dyspnea
• Arrhythmia; the disturbance of a normal heart rhythm
• Heart failure; the heart failing to pump enough blood around the body at the right pressure
Patients can expect to receive on-going care and support from clinicians to help manage their heart condition.
Emergency care is also given to patients following a heart attack or other heart-related conditions. Following admission inpatients receive comprehensive and specialist care in our hospital wards. Rehabilitation is a crucial part of living with a heart condition and specialist nurses work with patients to get them back on their feet.

About each cardiovascular disease

Hypertension

  We give instructions of lifestyle, search for and medically treat secondary hypertension with oral medicine.

Angina Pectoris

Angina Pectoris is a disease in which the blood flow of the coronary arteries feeding the muscles of the heart decreases. The decrease in blood flow happens by arteriosclerosis and spasm of the coronary arteries. Symptoms include chest oppression, chest pain, breathlessness, throat, back, arms and upper abdominal pain. Many occur at exertion such as walking, but there are things that happen early in the morning for resting periods. Diagnosis is often difficult only by an electrocardiogram and it is done by exercise stress test, myocardial scintigraphy, coronary artery CT examination, and coronary angiography examination. The contrast coronary artery CT examination can be inspected outpatient and inspection with accuracy close to the coronary angiography is possible. Methods of treatment include oral medicine, percutaneous coronary angioplasty (balloon treatment), coronary artery stent placement, and coronary artery bypass surgery.

Acute Myocardial Infarction

 Acute myocardial infarction is a disorder in which blood flow in the coronary artery is disrupted. Many are caused by arteriosclerosis or thrombotic occlusion of the coronary arteries. Symptoms persist of strong chest pain; which can be diagnosed by an electrocardiogram and blood test. The treatment performs percutaneous coronary angioplasty and stent placement in emergency

Arrhythmias

An arrhythmia is a disorder that affects the normal heart rate. With an arrhythmia, the heart tends to beat too slow (bradycardia), too fast (tachycardia), or irregularly. Arrhythmias can cause troublesome symptoms, such as dizziness or chest discomfort. Other, more dangerous arrhythmias can impact blood supply and require medical management. Left untreated, they can eventually lead to stroke, heart attack, heart failure, or sudden death.
 A variety of approaches can be taken in treating and managing arrhythmias. For example; drug therapies, pacemaker implantation, catheter ablation and implantable cardiac monitoring. Some arrhythmias only need to be monitored, while others require urgent treatment.

Cardiomyopathy

Cardiomyopathy may cause symptoms such as chest pain, shortness of breath, and edema; which is a disease in which the muscle of the heart enlarges or the contractile power decreases. Diagnosis by electrocardiogram, cardiac ultrasound examination, cardiac catheter examination, and do medication mainly.
It is diagnosed by electrocardiogram, cardiac ultrasound examination, cardiac catheter examination, and is mainly treated by medication.

Valvular Heart Disease

There are four valves in the heart, and by regularly opening and closing them, blood is sent out from the heart. Valvular disease causes these valves to work poorly, with regurgitation; which causes back-flow of blood, and stenosis; poor opening of the valves, which occurs to each valve. Diagnosis is performed by auscultation, cardiac ultrasound examination. It is treated with medication therapy, but for severe cases surgery such as valve replacement surgery and valvuloplasty will be necessary..

Heart Failure

Heart failure is a condition in which the function of the heart is greatly deteriorated due to the heart diseases mentioned above. Many increase body fluid volume causing edema (swollenness) and shortness of breath. Diagnosis is performed using electrocardiogram, X-ray, cardiac ultrasound examination and different treatments are performed according to the heart disease causing heart failure.

Arteriosclerosis obliterans

Arteriosclerosis of blood vessels to the lower limbs, the blood flow is reduced, the symptoms are cool feeling of the lower limbs, sharp pain at the time of the walks. Diagnosis is performed by comparing blood pressure of the limbs (API examination), CT examination, and angiography. Treatment methods are medication therapy, angioplasty, and lower limb vessel bypass surgery.

Examinations handled in cardiovascular internal medicine

・ Electrocardiogram
・ Cardiac ultrasound examination.
・ 24 hours Holter electrocardiogram
・ Ankle pressure index (API )
・ Myocardial perfusion scintigraphy
・ Exercise electrocardiogram
・ Coronary computed-tomography angiography (Coronary CT)
・Coronary arteriography(CAG)
・Cardiac electrophysiological examination (EPS)
・Implantable cardiac monitoring.

Treatment

・Medication
・Percutaneous coronary intervention (PCI)
・Percutaneous transluminal angioplasty (PTA)
・Pacemaker implantation
・Catheter ablation
・Rehabilitation

How to reach us

Appointment phone number 03-3716-8124
Reservation reception time : From 9 am to 4 pm on weekdays (Monday – Friday)
In principle, reservation (including reservation change) after the next day is possible.
If it is your first medical examination (initial visit) and do not have a letter of introduction, you will be required to pay an extra special or specified medical care coverage fee. (3,240 yen).

Outpatient reception hours : From Monday to Saturday 8:30 AM to 11:00 AM

* Patients with reservations will be accepted according to the appointment time, but patients who are scheduled for their first visit should complete the reception procedure 20 minutes before the appointment time.
Patients who do not have reservations will be accepted from 8:30 am on the same day in the order of numbered tickets. Please take a numbered ticket from the numbered ticket issuing machine in the center of the reception counter at the time of your arrival.

Closed day

· Sunday, public holiday
· New Year’s Holiday December 29 – January 3

Emergency

We accept emergency patients on a 24-hour system, but if you would like to visit the emergency department on holidays or outside hours of weekdays, please be sure to call by phone in advance.