Cardiology
Modern diagnosis, treatment, and follow-up of diseases of the heart and cardiovascular system.
Department Overview
The Department of Cardiology provides modern diagnosis, treatment, and follow-up of diseases of the heart and cardiovascular system. The department functions as a center for comprehensive cardiology assessment, with an integrated approach that combines non-invasive cardiology, echocardiography, advanced diagnostics, prevention, and long-term patient monitoring.
The team works in close collaboration with the departments of Interventional Cardiology, Electrophysiology, and Cardiac Surgery to ensure that every patient receives timely, precise, and individualized care.
Diseases and Conditions
The department diagnoses and treats:
Arterial hypertension and resistant hypertension
Coronary artery disease and angina pectoris
Cardiomyopathies
Heart failure
Valvular heart disease
Atrial fibrillation and other arrhythmias
Acute and previous myocardial infarction
Myocarditis and pericarditis
Congenital heart defects in adults
Diseases of the aorta and major blood vessels
Hyperlipidemia and other cardiovascular risk factors
Conditions after stent placement, bypass surgery, or valve intervention
Unexplained chest pain, palpitations, shortness of breath, syncope, and fatigue
Diagnostics
The department uses modern non-invasive and advanced cardiology examinations:
Basic assessment of heart function, rhythm, and possible signs of ischemia, arrhythmias, or previous myocardial infarction. ECG is a quick, painless, and simple examination that can detect serious cardiac disorders in time.
Ultrasound examination of the heart used to assess the heart chambers, valves, heart muscle function, and presence of structural changes.
Detailed ultrasound evaluation of the heart through the esophagus, especially useful in valvular disease, suspected thrombus, endocarditis, PFO, aneurysms, and aortic dissection. It is also used before and after complex cardiology and cardiac surgery procedures.
Continuous monitoring of heart rhythm for 24 to 48 hours, used to detect arrhythmias, palpitations, and abnormalities not seen on a standard ECG.
Continuous blood pressure measurement over 24 hours to detect “white coat” hypertension, masked or nocturnal hypertension, and evaluate the effect of treatment.
Assessment of the blood supply to the heart muscle during physical activity, with monitoring of ECG, heart rate, and blood pressure. It is used to detect coronary disease, exercise-induced arrhythmias, and follow-up after interventions.
A specialized method for assessing heart function under controlled stress in patients who are unable to undergo a conventional exercise test. It allows detection of ischemia, assessment of myocardial viability, and evaluation of risk before surgery.
An advanced non-invasive method that enables detailed assessment of the heart muscle, chambers, valves, and blood flow. It is used in cardiomyopathies, myocarditis, ischemic disease, and congenital heart defects.
A non-invasive method for evaluation of the coronary arteries and detection of atherosclerotic plaques and narrowing. It is particularly useful in patients with low to intermediate risk when invasive coronary angiography can be avoided.
Evaluation of the arteries supplying the brain in patients at risk of stroke or with neurological symptoms.
Assessment of the arteries in the arms and legs in patients with pain, cold extremities, and impaired circulation.
Treatments
The department provides:
Medical treatment of cardiovascular diseases
Management of blood pressure, lipid levels, and heart failure
Treatment and monitoring of arrhythmias
Assessment and preparation for interventional or cardiac surgery procedures
Follow-up after stenting, bypass surgery, valve implantation, or pacemaker implantation
Preventive cardiology programs and cardiovascular risk assessment
Individualized recommendations for physical activity, nutrition, and lifestyle
Technology and Equipment
The department is equipped with modern cardiology technology:
ECG and 24-hour ECG Holter monitoring system
24-hour blood pressure Holter monitor
Modern echocardiography systems with Doppler and 3D capabilities
Equipment for transesophageal echocardiography
Treadmill for exercise stress testing
Equipment for dobutamine stress echocardiography
Cardiac magnetic resonance imaging (MRI)
Multislice computed tomography for CT angiography
Continuous monitoring and cardiology day hospital
Specialists
Dr. Enver Idoski
Specialist in Internal Medicine
Subspecialist in Cardiology
Dr. Vilma Ampova-Sokolov
Specialist in Internal Medicine
Subspecialist in Cardiology
Assoc. Prof. Dr. Tanja Angjusheva
Specialist in Internal Medicine
Subspecialist in Cardiology
Heart Failure Subspecialist
Dr. Ilija Neshkovski
Specialist in Internal Medicine
Subspecialist in Cardiology
Assoc. Prof. Dr. Oliver Bushletikj
Specialist in Internal Medicine
Subspecialist in Cardiology
Prof. Dr. Milka Klincheva
Specialist in Internal Medicine
Subspecialist in Cardiology
Dr. Borjanka Georgieva
Specialist in Internal Medicine
Subspecialist in Cardiology
Dr. Jasmina Zafirovska
Specialist in Internal Medicine
Dr. Antonio Antovski
Specialist in Internal Medicine
Subspecialist in Cardiology
Dr. Snezhana Bongard
Specialist in Internal Medicine
Subspecialist in Cardiology
Dr. Shpend Idrizi
Specialist in Internal Medicine
Subspecialist in Cardiology
Patient Journey
Initial Consultation
Cardiology examination, medical history, and assessment of symptoms.
Diagnostics
ECG, echocardiography, Holter monitoring, stress testing, or advanced diagnostics according to the patient’s needs.
Treatment Plan
Individualized therapy, additional investigations, or referral to Interventional Cardiology, Electrophysiology, or Cardiac Surgery.
Follow-Up
Regular check-ups and assessment of the effectiveness of therapy.
Long-Term Care
Prevention, control of risk factors, and monitoring of cardiovascular health.