Introduction to cardiology

a.Treatment of hypertension, dyslipidemia (high cholesterol, high triglycerides, etc.), hyperuricemia
These diseases cause arteriosclerosis. Mainly outpatients, lifestyle guidance and drug treatment are provided.

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b. Treatment of diabetes and chronic kidney disease
Cardiovascular disease is often complicated by diabetes and kidney disease, and we also provide medical care for these diseases. In addition, we recommend medical treatment in cooperation with diabetes specialists and nephrologists as necessary.

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c. Treatment of ischemic heart disease (acute myocardial infarction, angina pectoris)

A disease that causes stenosis or occlusion of the coronary arteries that run on the surface of the heart, causing symptoms such as chest pain and chest tightness. Diagnosis is performed by electrocardiogram, stress electrocardiogram, echocardiography, cardiac CT, cardiac catheterization, etc., and if necessary, catheter treatment (balloon treatment or stent treatment) and medication treatment are performed. In addition, in the case of emergency diseases such as acute myocardial infarction and unstable angina pectoris, we also perform emergency catheter examinations and treatment.

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d. Treatment of lower extremity arteriosclerosis obliterans
A disease that causes stenosis or blockage in the arteries of the lower extremities, and in addition to symptoms such as dullness, numbness, and fatigue in the lower extremities when walking, in severe cases, it leads to ulcers and necrosis of the toes. In addition to examination findings, diagnosis is performed by pulse wave examination, contrast-enhanced CT examination, catheter examination, etc., and catheter treatment (balloon treatment and stent treatment) and drug treatment are performed as necessary.

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e.Treatment of heart failure
Heart failure is a state in which the function of the heart has decreased for some reason and symptoms such as dyspnea, shortness of breath, and swelling have appeared. The cause of cardiac dysfunction (ischemic heart disease, valvular disease, cardiomyopathy, hypertensive heart disease, etc.) is investigated, and appropriate treatment is given according to the cause.

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f. Arrhythmia treatment　

Arrhythmia is the general term for conditions in which the pulse is faster, slower, or distorted than normal. There are multiple types of arrhythmia, so in addition to normal ECG, diagnosis is made with 24-hour ECG (Holter ECG) and long-term (one week) ECG. 24-hour electrocardiograms and one-week electrocardiograms can also be examined on an outpatient basis. After diagnosis, appropriate treatment is given for each arrhythmia. Pacemaker therapy is used for arrhythmias in which the pulse is extremely slow (bradyarrhythmia).

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g. Treatment of pulmonary artery thromboembolism and deep vein thrombosis　

A disease in which blood clots can form in the blood vessels of the lungs and veins throughout the body (especially in the lower extremities). Diagnosis is made by ultrasonography and contrast-enhanced CT. In addition to treatment with oral medicine and drip, in some cases, treatment with a catheter or placement of a filter in a vein may be performed.

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h. Treatment of sleep apnea syndrome　

A disease in which breathing stops during night sleep. The obstructive type occurs when the air passage from the mouth or nose to the vocal cords, which is the entrance to the lungs, becomes narrow, the central type occurs when the function of the brain that regulates respiration is reduced, and the mixed type involves both of these types. All of them are related to cardiovascular diseases such as hypertension, arrhythmia, and heart failure. Severe cases are accompanied by symptoms such as abnormal daytime sleepiness, fatigue, and fatigue upon awakening. For a detailed examination, you need to be hospitalized for one night and have a polysomnography examination, but it is possible to make a diagnosis to some extent with a simple polygraphy examination that can be performed on an outpatient basis. Depending on the degree of apnea, we introduce continuous positive pressure therapy (CPAP therapy) that is performed by wearing a mask over the nose and mouth during sleep.