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Cardiology

0700 91 191
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Information

Cardiology is the science of the heart – and at the Pentagram Medical Center, we care for it with professionalism, modern equipment, and personal attention.

In our cardiology office, all diseases of the cardiovascular system are diagnosed and treated, including arterial hypertension (high blood pressure), cardiac arrhythmias, ischemic heart disease (angina pectoris, chest pain), myocardial infarction, congenital and acquired heart defects, inflammatory heart diseases (myocarditis, pericarditis, endocarditis).

The heart deserves attention – even when everything seems fine. That’s why we dedicate particular efforts to prevention and preventative cardiology – for early risk detection and maintaining health before complications arise.

We are equipped with an echocardiograph and Holter systems for 24-hour monitoring of heart activity and blood pressure – technologies that enable us to be precise and timely in assessing your condition.

Choose Pentagram – to ensure your heart is in good hands.

Treatment of diseases

  • Arterial hypertension
  • Cardiac arrhythmias
  • Ischemic heart disease
  • Myocardial infarction
  • Congenital and acquired heart defects
  • Inflammatory heart diseases

Questions

In many cases, physical activity is not only possible but also recommended because it improves circulation, weight control, and overall endurance. However, it is important that the intensity be tailored to the type of heart condition, the degree of impairment, and your current condition. Some sports may need to be restricted, while others should be chosen carefully. In Medical Center "Pentagram" the cardiologist will conduct the necessary tests and develop an individualized exercise program so that you can exercise safely and benefit your health.

A consultation with a cardiologist is recommended when experiencing symptoms such as chest pain or tightness, heart palpitations, skipped heartbeats, shortness of breath during physical activity, dizziness, or fainting. Additionally, if you have high blood pressure, elevated cholesterol, or a family history of cardiovascular diseases, preventive check-ups are highly recommended—especially after the age of 40.

Heart diseases are among the leading causes of mortality worldwide and often develop slowly, with unnoticeable symptoms. Recognizing them in time is crucial for prevention and treatment.

The most common symptoms of heart diseases include:

  • chest pain or tightness (angina pectoris)

  • shortness of breath, especially during physical exertion or while lying down

  • a sensation of skipped or rapid heartbeat (palpitations)

  • easy fatigue and lack of energy

  • dizziness or fainting

  • swelling of the legs and ankles (edema), especially at the end of the day

It is important to note that in women, elderly individuals, and people with diabetes, the signs may be atypical – such as fatigue, nausea, or discomfort in the back or neck, without chest pain.

If one or more of these symptoms are present, it is advisable to consult a cardiologist and undergo basic examinations.

Early detection of heart problems significantly increases the chances of successful treatment and a fulfilling life. Do not delay checking your heart health.

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Icom Image Team

Cardiology

Д-р Димитър Цачев, МЦ Пентаграм, София

Dr. Dimitar Tsachev

Cardiologist
Д-р Димитрина Дряновска-Илиева, МЦ Пентаграм, София

Dr. Dimitrina Dryanovska-Ilieva

Cardiologist
Д-р Валентина Илиева Гайкич, МЦ Пентаграм, София

Dr. Valentina Ilieva Gaikich

Cardiologist

Price List

Cardiology
  1. Initial examination with blood pressure measurement and ECG testing – 40.00 €
  2. Follow-up examination /within 15 days of the initial examination/ with blood pressure measurement and ECG testing – 25.00 €
  3. Preoperative cardiology consultation /for eye surgeries/ – 35.00 €
  4. ECG – 15.00 €
  5. Echocardiography – 50.00 €
  6. ECG Holter monitoring – 40.00 €
  7. Examination package ECG/Echocardiography – 60.00 €
  8. Examination package ECG/Holter monitoring – 60.00 €
  1. General check-up with blood pressure measurement – 35.00 €

CARDIOLOGY

Medical examination and ECG with accurate and precise BP monitoring

Book an appointment

Diseases

Hypertension

Hypertension is a chronic medical condition, known as the "silent killer," where consistently high blood pressure on the arterial walls progressively damages the heart, brain, and kidneys. Since it often occurs without noticeable symptoms until a serious incident (such as a stroke or heart attack), early detection through regular measurement and long-term control via lifestyle changes and appropriate medication therapy are vital for preventing fatal complications.
Read More

Pericarditis

Pericarditis is an inflammation of the protective lining of the heart, often presenting with sharp chest pain that changes with different body positions. Although in most cases it is caused by a viral infection and successfully treated with anti-inflammatory medications, the condition requires careful monitoring due to the risk of fluid accumulation (effusion), which in severe cases can hinder the normal functioning of the heart.
Read More

Ischemic Heart Disease

Ischemic heart disease (IHD) is a chronic condition caused by atherosclerosis of the coronary arteries, leading to progressive vessel narrowing and oxygen deficiency for the heart muscle. The disease often manifests as chest pain (angina) during physical exertion, but its most serious risk is a complete artery blockage, leading to a heart attack. Treatment combines strict control of risk factors, medications to improve blood circulation, and, if necessary, invasive procedures such as stenting or bypass surgery.
Read More

Myocardial Infarction

Myocardial infarction is a critical condition in which part of the heart muscle dies due to a sudden interruption of blood supply, most often as a result of a coronary artery blockage by a clot. Rapid response and emergency medical treatment (such as stent placement) are vital for minimizing permanent damage, and long-term recovery requires strict control of risk factors such as blood pressure, cholesterol, and smoking.
Read More

Arrhythmia

Arrhythmia is a condition in which the heart's electrophysiological system does not function properly, causing a pulse that is too fast, too slow, or irregular. While many forms are benign, others require serious treatment — from medication and anticoagulants to procedures like ablation or pacemaker implantation — to prevent complications such as heart failure or stroke.
Read More

Hypertension

Hypertension is a chronic medical condition, known as the "silent killer," where consistently high blood pressure on the arterial walls progressively damages the heart, brain, and kidneys. Since it often occurs without noticeable symptoms until a serious incident (such as a stroke or heart attack), early detection through regular measurement and long-term control via lifestyle changes and appropriate medication therapy are vital for preventing fatal complications.
Read More

Pericarditis

Pericarditis is an inflammation of the protective lining of the heart, often presenting with sharp chest pain that changes with different body positions. Although in most cases it is caused by a viral infection and successfully treated with anti-inflammatory medications, the condition requires careful monitoring due to the risk of fluid accumulation (effusion), which in severe cases can hinder the normal functioning of the heart.
Read More

Ischemic Heart Disease

Ischemic heart disease (IHD) is a chronic condition caused by atherosclerosis of the coronary arteries, leading to progressive vessel narrowing and oxygen deficiency for the heart muscle. The disease often manifests as chest pain (angina) during physical exertion, but its most serious risk is a complete artery blockage, leading to a heart attack. Treatment combines strict control of risk factors, medications to improve blood circulation, and, if necessary, invasive procedures such as stenting or bypass surgery.
Read More

Myocardial Infarction

Myocardial infarction is a critical condition in which part of the heart muscle dies due to a sudden interruption of blood supply, most often as a result of a coronary artery blockage by a clot. Rapid response and emergency medical treatment (such as stent placement) are vital for minimizing permanent damage, and long-term recovery requires strict control of risk factors such as blood pressure, cholesterol, and smoking.
Read More

Arrhythmia

Arrhythmia is a condition in which the heart's electrophysiological system does not function properly, causing a pulse that is too fast, too slow, or irregular. While many forms are benign, others require serious treatment — from medication and anticoagulants to procedures like ablation or pacemaker implantation — to prevent complications such as heart failure or stroke.
Read More
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Important questions about hypertension

How can we tell if we suffer from hypertension?

The most common complaints with elevated arterial pressure (AP) are: headache, "tension in the head," ringing in the ears, short-term dimming of vision, dizziness, impaired balance, chest heaviness, tightness in the neck area, etc. If you notice such symptoms, make sure to measure your blood pressure 3-4 times a week, and it is recommended to do some of these measurements when you are not experiencing symptoms. In some cases of hypertension, including high-grade hypertension, there are no complaints. Patients feel well, are in good condition, and are unaware of the problem. In these cases, hypertension is detected accidentally – during a preventive check-up, a random AP measurement, and not infrequently, due to a complication. The only way to detect the presence of hypertension is to measure arterial pressure. This is especially important for men over the age of 40, women in menopause, children of hypertensive parents (especially if they are burdened on both the paternal and maternal sides), individuals with diabetes, obesity, kidney, endocrine, and systemic diseases (amyloidosis, lupus, etc.). Sometimes, it may be necessary to conduct 24-hour AP monitoring (Holter).

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