Cardiological examinations in Munich

Cardiovascular diseases are still one of the most common causes of death - often favoured by risk factors such as high blood pressure, diabetes, obesity or lack of exercise. Targeted cardiological screening can help to identify the individual risk at an early stage and take effective countermeasures. In our Practice in Munich we offer comprehensive examinations and personalised advice to improve your heart health in the long term. The aim is to prevent serious illnesses such as heart attacks or strokes before the first symptoms occur.

The electrocardiogram (ECG) is a recording of the cardiac waveform that can provide the doctor with a wealth of valuable diagnostic information about the heart. This examination is carried out at rest or, if necessary, as an exercise ECG during physical activity on the cycle ergometer.

Changes due to narrowing of the coronary arteries (coronary heart disease) and also some cardiac arrhythmias often only occur under increased stress on the heart. It is therefore necessary to carry out an ECG recording under physical stress. This examination takes place on a bicycle ergometer according to specified protocols. Blood pressure behaviour under stress and physical performance can also be recorded in this way.

Long-term ECG recordings are carried out to recognise and assess cardiac arrhythmias. This involves recording heart activity for 24 hours or more using a small portable ECG the size of a smartphone. This examination provides the doctor with valuable information for diagnosis or therapy monitoring.

You may also have noticed that your blood pressure at the doctor's when you are excited is often slightly higher than the values measured at home. This is often a so-called "white coat high pressure". As blood pressure varies over the course of the day and depending on stressful situations, it is often necessary to record blood pressure over a longer period of time for diagnosis and therapy monitoring. The tried and tested method for this is long-term blood pressure measurement using a small portable blood pressure monitor. As with the long-term ECG, the device can easily be worn on or inconspicuously under clothing. This means that you are hardly restricted in your everyday life during the measurement.

Arteriosclerosis can be recognised and treated at an early stage with ultrasound examinations of the blood vessels. This means that serious consequences such as strokes or heart attacks can be avoided in many cases. Even if a stroke or heart attack has already occurred, possible causes should be clarified and treated as quickly as possible in order to prevent recurrences.

In close co-operation with selected specialist practices, we offer magnetic resonance imaging and computer tomography of the heart. Thanks to ever-improving equipment and examination protocols, changes in the heart muscle and coronary arteries can increasingly be detected without invasive procedures, such as cardiac catheterisation, using magnetic resonance imaging or computer tomography. Should such diagnostics be useful and necessary for you, we work closely with selected specialist practices.

The examination of the body using ultrasound (sonography) is a long-established and still very up-to-date method of examining the organ systems of the human body. Thanks to increasingly powerful equipment, this gentle method enables the doctor to examine the heart in detail and recognise pathological changes. Among other things, the cardiologist can recognise the function of and changes in the heart muscle, the heart valves and the blood vessels.

Enables a more precise diagnosis of circulatory disorders of the heart compared to the exercise ECG. Pathological changes in the heart can often only be recognised in the early stages under stress. In stress echocardiography, heart function is therefore assessed using ultrasound under physical stress on a cycle ergometer. This procedure offers a higher detection accuracy (sensitivity) than, for example, the stress ECG and is favoured in our practice. We are therefore able to rule out circulatory disorders of the heart with a high degree of sensitivity without exposure to radiation. The success of interventions following stent implantation or bypass surgery can also be monitored in this way.

Severe narrowing of the coronary arteries or relevant changes to the heart valves can severely impair heart function. In this case, an invasive procedure (catheter or surgery) is often necessary to treat the disease. As a practice with a conservative focus, we do not carry out cardiac catheterisations ourselves, but work together with renowned Munich clinics in order to be able to offer you the best treatment procedure for you.

You can make the most important contribution to your health yourself through a balanced diet and regular physical activity. We will be happy to advise you on a balanced diet, sensible physical activity and, if necessary, optimising your body weight.

Patients receiving treatment with Marcumar (phenprocoumon) must regularly check their INR value. This can be done by the doctor in charge or independently at home using small measuring devices. We offer the necessary training for this in our practice.

Dr Reindl is a certified doctor of the German Society for Diving and Hyperbaric Medicine (GTÜM) offers the diving fitness examination in practice.