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Day In-patient Department of Invasive Cardiology

In the Day In-patient Department of Invasive Cardiology, invasive cardiovascular examinations and treatments are performed:

  • Coronary angiography – diagnostics of atherosclerotic narrowing of heart coronary arteries;
  • Coronary angioplasty – diagnostics of atherosclerotic narrowing of hear coronary arteries, using a method of blood vessel widening and stent placement;
  • Endocardial electrophysiological diagnostics of heart rhythm disorders;
  • Heart rhythm correction (catheter ablation) in case of life-threatening and/or serious heart rhythm disorders;
  • Planned electrical impulse therapy (defibrillation);
  • Implantation, verification and reprogramming of pacemakers.

Most often such examination is required for patients with stable angina pectoris, coronary heart diseases, hereditary heart diseases, cardiomyopathy, heart rhythm diseases, as well as other diagnoses, if coronary angiography is required for specifying the diagnosis or performing an expert examination.

Working hours of the day in-patient department: on weekdays from 7.00 till 16.30. Patients are received from 7.00 till 9.30.

Patients are admitted to the day in-patient department with a family doctor’s or specialist’s referral, agreeing the date in advance by phone 67042911 or 67042458. It is preferable that the patient is referred to the examination by an attending doctor.

What does a patient has to know about the planned treatment?

Before the treatment:

  • To shave hair in the inguinal or armpit region in the evening of the preceding day
  • To take your previously used medicinal products with a small amount of water in the morning on the day of treatment
  • You cannot eat or drink six hours before the treatment

Treatment progress:

Coronography (coronary angiography)

Regional anaesthesia is performed by means of paracentesis of the femoral or axillary artery / vein. The paracentesis is usually unpleasant, but does not cause much pain. Special probes are entered through the place of the puncture up to heart blood vessels. Further on, the treatment does not cause any unpleasant feelings to the patient. Heart blood vessels are contrasted through probes by using a contrast agent which is specifically adjusted and is harmless. Hence, widening of the places of narrowing of blood vessels is carried out by means of X-ray equipment. After the treatment, the place of the puncture is compressed for 10 to 15 minutes, in order to ensure blood coagulation and closing of wounds.

Coronary angioplasty

The treatment is started with the paracentesis of the femoral or axillary artery / vein, similarly to coronarography. After that, a balloon catheter is injected into a narrowed heart blood vessel by means of a special probe. The balloon is placed directly in the place of narrowing. Then, the balloon is inflated several times during 30 seconds to 3 minutes. At this point, the patient may feel pain similar to angina pectoris seizure. The pain goes away once the inflation of the balloon is finished. If the result of the treatment does not satisfy the doctor or there are special indications, a special biometal structure – “stent” is installed in the place of narrowing. After the treatment, “sluices” are removed from patient’s femoral or axillary artery within 2 to 24 hours.


Head of the day in-patient department: Artis Kalniņš

Doctors (invasive cardiologists): Arveds Apinis, Guntis Lukstiņš, Irina Holste, Jurijs Verbovenko, Ivans Kozlovs


Last update: 2014.08.15 - 9:00