Group Practice

Examinations

Preventive & screening examinations
Many internal organ diseases can now be detected and treated at an early stage. Timely identification of risk factors can often prevent the occurence of diseases. Through early diagnosis and treatment of existing diseases, the prognosis for virtually all diseases can be favorably influenced. This is made possible mainly by rapid advances in the medical and technical fields. Using high-resolution ultrasound, sectional imaging techniques and new chemical laboratory analyses, effective therapy can be established in a timely fashion, particularly in the areas of cardiovascular diseases and tumor diseases. Together with our cooperating partners, we offer a full range of internal prevention, diagnostics and therapy. The type, duration and intensity of the condition as well as the complexity of the disease to be treated determine whether evaluation is necessary in an outpatient or inpatient setting. In addition, we offer the possibility of a short inpatient stay with a complete checkup.
The heart and vascular screening includes a complete, non-invasive assessment by ECG, stress ECG, 24 hour ECG, 24 hour blood pressure monitoring, as well as ultrasound examination of the heart and all vascular regions. This is useful for patients with known heart and vascular diseases, as well as patients at risk for diabetes, hypertension or those who have a family history of cardiac or vascular diseases.
The heart and vascular screening includes a complete, non-invasive assessment by ECG, stress ECG, 24 hour ECG, 24 hour blood pressure monitoring, as well as ultrasound examination of the heart and all vascular regions. This is useful for patients with known heart and vascular diseases, as well as patients at risk for diabetes, hypertension or those who have a family history of cardiac or vascular diseases.
The abdominal ultrasound facilitates examination of the internal organs such as the liver, spleen, kidneys, pancreas, gallbladder, urinary bladder, aorta, lymph nodes and even the intestine. This is important in the context of preventive care, and is an essential component in the resolution of abdominal discomfort and diseases of the aforementioned organs. The abdominal ultrasound examination also plays an important role in the early detection of organ damage in patients with hypertension and diabetes.

In order to enable optimal viewing conditions during the abdominal ultrasound examination, your stomach should be empty (no food 4 to 6 hours prior to procedure). Try to avoid foods that could cause bloating the day before the examination, if possible.
Cardiological diagnostics
By recording the electrical activity of the heart by means of a 12-lead electrocardiogram (ECG), various forms of heart disease can be identified. These include rhythm disturbances, circulatory disorders and structural heart diseases such as heart valve disease or myocardial disease. For this reason, the resting ECG examination is part of the standard basic diagnostics for internal medicine and cardiology. The advantage of the ECG examination is that it is completely painless and risk-free. The disadvantage to the short examination time is that conditions (such as rhythm disturbances) which occur only occasionally, are often not recorded. Circulatory disorders can also go undetected during the resting ECG examination. There are no contraindications for the ECG examination (anyone can undergo the procedure). The ECG examination does not require any preparation.
We offer the stress ECG examination in the form of bicycle exercise test. After recording a resting ECG, the stress test ECG and blood pressure monitoring takes place on an ergometric bicycle, with stress gradually increasing until reaching capacity. This enables the measurement of performance, as well as replication of conditions that may only appear under stress, under medical supervision. For example, circulatory disturbances or rhythm disturbances that are otherwise not apparent in a resting ECG may be observed by the physician during a stress test. In this context of blood pressure stabilisation, a stress test to monitor blood pressure regulation should be administered. In this case, the stress test can help to identify stress hypertension (present only during exertion). Existing or newly established drug therapy can also be optimized by means of this test. The stress test has the advantage of a higher degree of accuracy in the detection of diseases compared to the resting ECG. The risk of complications during a stress test such as collapse, triggering of malignant rhythm disturbances or severe circulatory disturbances is extremely low, making the examination is suitable for outpatient assessment. Despite these advantages, there are still many situations in which the accuracy of the stress test is insufficient in detecting or ruling out certain diseases. In these cases, more elaborate imaging methods are used. There are also some contraindications for the stress test (reasons why the examination should not be carried out). These are evaluated by us before the examination, and may be a reason not to recommend the test. To prepare for a stress test, we recommend wearing athletic wear (comfortable pants), trainers (or sturdy shoes), and a towel.
The mobile 24 hour electrocardiography (Holter ECG) is used to record the cardiac current curve over an extended period of time, in order to identify sporadically occurring rhythm disturbances or circulatory disorders of the heart. The need for rhythm-stabilizing drug therapy or a pacemaker can be assessed by the Holter ECG. Frequently, this examination is also successfully used for diagnostics in the case of a collapse. During the examination, a mobile ECG device (approximately 2cm x 5cm box) is fastened with a strap, and connected by thin cables to adhesive electrodes, which are attached to the patient's rib cage. The examination can be carried out as an inpatient or outpatient procedure at a private hospital. Performing a Holter ECG examination requires no preparation. Showering and bathing are prohibited during the examination.
Mobile 24-hour blood pressure monitoring closely observes blood pressure values over an extended time period, in order to be able to analyze a complete course (day and night profile) of the patient's blood pressure regulation. This 24 hour blood pressure monitoring can assist in evaluating need for blood pressure lowering therapy, or help with the optimisation of existing blood pressure lowering therapy. A mobile blood pressure monitor (measuring approximately 15 x 15cm) is strapped around the rib cage and connected to a blood pressure cuff on the patient's upper arm during the examination. Blood pressure is measured at regular intervals using the cuff. In addition, a pulse wave analysis for the calculation of cardiac output, peripheral vascular resistance and "circulatory stress" is the most modern form of mobile Holter blood pressure analysis. The examination can be carried out as an inpatient or outpatient procedure at a private hospital. Performing a 24 hour blood pressure measurement requires no preparation. Showering and bathing are prohibited during the examination.
The cardiac ultrasound examination is currently undoubtedly the most important non-invasive cardiac examination. High-resolution cardiac ultrasounds can be used to painlessly and rapidly detect cardiac disease, circulatory disorders, cardiac insufficiency, pulmonary hypertension and many other cardiac and cardiovascular disorders. Heart ultrasound is also one of the most important follow-up examinations for patients with heart disease. The advantage of this examination is risk-free presentation of the heart function as well as fast and painless examination technique. A disadvantage of the cardiac ultrasound examination is the lack of accuracy regarding the detection of lesser circulatory disturbances (angina pectoris). In such instances, additional investigations are often necessary. The heart ultrasound examination can be carried out on an outpatient or inpatient basis in a private hospital, and requires no special preparation.
Angiological diagnostics
By means of these measuring methods, circulatory disturbances of the arms and legs can be discovered without stress for the patient. They are also particularly useful for follow-ups for known vascular diseases. Blood flow of the extremities can be measured with special blood pressure cuffs on arms and legs. Based on the findings, the "degree of compensation", or the extent of the circulatory disorder, can be determined. Both methods are irreplaceable in the initial diagnosis of peripheral vascular disease or "critical" circulation disorders. The advantage of these measuring methods is a completely painless and risk-free examination, as well as quick availability. A disadvantage of the examination is incomplete information pertaining to the exact location of vessel changes. For localization diagnosis (length and location of narrowing of vessels), additional examination procedures such as vascular ultrasound are required. This procedure does not require any preparation.
Venous diseases of the legs can be detected and measured by means of photoplethysmography. Small measuring probes are attached to the patient's lower leg. The parameters of the venous return are then measured at rest and after stress. The study is painless, risk-free and is used primarily for the diagnosis of chronic venous insufficiency (venous weakness) in patients with swollen legs. Additional examination procedures, such as vascular ultrasound, are required for localization diagnosis (length and location of narrowing of vessels). This procedure does not require any preparation.
Vascular ultrasound examination of the carotid and vertebral arteries
The anterior carotid arteries (arteria carotis) and the posterior carotid arteries (arteria vertebralis) can be analyzed, from the exit from the aorta to the entrance into the skull, by means of high-resolution ultrasound. This examination has two objectives:

Firstly, the most common circulatory disorders in the brain vessels are found in this area - up to one third of strokes are caused by constriction of the carotid arteries in this area. The ultrasound examination aids in the detection of such constrictions, allowing them to be identified, measured and, should it be necessary, treated before a stroke occurs. As most strokes occur without any warning symptoms, we recommend routine carotid ultrasound examinations as a timely screening against risk factors. Patients who have already had a major or minor stroke should have a a carotid ultrasound examination as soon as possible. This can aid in identifying the constriction of neck vessels as a cause and provide patients with expedient treatment before another stroke occurs.

Secondly, examining the carotid artery via ultrasound serves as an "indicator vessel" for early detection of vascular disease in the human body. The cardiovascular risk of the patient can be estimated by measuring the intima media thickness (IMT). The examination of the carotid thus aids in deciding which type of cardiovascular risk is present in individual patients, and whether treatment is necessary.

The advantage of this examination is that it is completely painless and can be performed quickly without any risk to the patient. The disadvantage is possible inaccuracy in the presence of certain anatomical conditions. In such cases, we will perform an additional sectional examination (MRI or CT scan). No preparation is required for ultrasound examinations of neck vessels.

Ultrasound examination of brachial arteries and arm veins
By means of high-resolution ultrasound, the brachial arteries and arm veins can be analyzed in their entirety, from the chest to the hands. Diseases of the brachial arteries are relatively rare, so that the examination usually only takes place under specific circumstances. The main disorders of the arm veins are thromboses. These can occur spontaneously (without any apparent trigger) or due to certain circumstances (such as after venepuncture or indwelling cannulas). An ultrasound examination can reinforce a clinical diagnosis, and is the basis for deciding on an appropriate treatment. The advantage is that the procedure is completely painless, and can be performed quickly without any risk to the patient. The disadvantage is possible inaccuracy in the presence of certain anatomical conditions. In such cases, we will perform an additional sectional examination (MRI or CT scan). No preparation is required for ultrasound examinations of neck vessels.

Vascular ultrasound examination of the visceral artery (aorta)
The ultrasound examination of the visceral artery in the abdomen is used to detect aortic aneurysms (widening of the abdominal arteries with risk of vascular tearing). The larger the diameter of such an aneurysm, the greater the risk of bursting. Using a high-resolution ultrasound, the diameter of the visceral artery can be measured, and an aneurysm detected. The advantage is that the procedure is completely painless, and can be performed quickly without any risk to the patient. The disadvantage is possible inaccuracy in the presence of certain anatomical conditions. In such cases, we will perform an additional sectional examination (MRI or CT scan). Ultrasound examinations of the abdominal arteries should be performed on an empty stomach (no food 6 hours prior to procedure). Food or drinks that may cause bloating should be avoided the day before the examination.

Ultrasound examination of renal and visceral vessels
High-resolution ultrasoundexamination of the kidneys and visceral vessels can be used to detect circulatory disorders. Narrowing of the renal arteries can be a cause of hypertension. This must be considered particularly in young patients with hypertension, or patients with hypertension that is difficult to stabilize. Constriction of the visceral arteries is very rare, therefore an ultrasound examination is only performed in specific instances. The advantage is that the procedure is completely painless, and can be performed quickly without any risk to the patient. The disadvantage is possible inaccuracy in the presence of certain anatomical conditions. In such cases, we will perform an additional sectional examination (MRI or CT scan). Ultrasound examinations of the abdominal arteries should be performed on an empty stomach (no food 6 hours prior to procedure). Food or drinks that may cause bloating should be avoided the day before the examination.

Ultrasound examination of the pelvic and femoral arteries and veins
The femoral arteries and leg veins can be examined in their entirety by means of a high-resolution ultrasound examination. Diseases of the leg vessels are among the most common vascular diseases in general. These include the most significant arterial and venous diseases: peripheral arterial occlusive disease (PAOD) and venous thrombosis. Both disease images represent potential danger to affected patients, and can be reliably diagnosed with an ultrasound examination. The advantage of this examination is that it is completely painless and can be performed quickly without any risk to the patient. The examination is the most factor in determining a future treatment plan. The disadvantage is possible inaccuracy in the presence of certain anatomical conditions. In such cases, we will perform an additional sectional examination (MRI or CT scan). No preparation is required for ultrasound examinations of leg vessels.
Lab diagnostics
Laboratory examinations are now an integral part of medical diagnostics, as almost all disorders cause changes in the composition of the blood. Laboratory tests are conducted in collaboration with Labors.at.
Thyroid diagnostics
The thyroid gland is a small, soft organ located in front of the trachea. Thyroid hormones play an important role for the whole metabolism. In order to produce the thyroid hormones, the thyroid gland needs iodine, among other things. Since we lack insufficient iodine in our diet in Austria, the thyroid gland often fails to fulfill its task. It begins to grow in order to absorb more iodine. Based on initial thickening of the thyroid (goiter/struma), additional thyroid diseases can develop over the course of years and decades:
  • With or without nodes
  • (one node = struma uninodosa, several nodes = struma multinodosa)
  • With or without functional disturbances
  • Rarely also malignant changes
Independently of an increase in thyroid gland size, there may be an hyperfunction or subfunction present, and/or inflammation of the thyroid gland.
As with all diseases, the prerequisite for successful treatment is a diagnosis, for which sonography is a valuable contribution.
Pulmological diagnostics
By means of a lung function examination, disturbances of the respiratory organs can be identified or diagnosed, monitored, and the appropriate treatment for pulmonary disease administered. The lung function examination measures the air current during inhalation and exhalation, enabling identification of obstructions in the respiratory tract. The most common disorder recognizable by the lung function examination is chronic obstructive pulmonary disease (COPD) along with its subgroups, chronic bronchitis and pulmonary emphysema (pulmonary hyperinflation). The lung function examination, along with the possible provocation tests and whole body plethysmography, is performed in cooperation with nearby pulmonary specialists. The advantages of the lung function examination are painless and risk-free examination technique, its quick availability and high diagnostic reliability. However, the lung function examination is not a replacement for lung imaging (X-ray, CT scan) in many cases. The examination can be carried out as an inpatient or outpatient procedure at a private hospital. Performing a lung function examination requires no preparation.
Preparation for surgery
Medical certificates
Outpatient vein surgery
Venous diseases of the legs can be detected and measured by means of photoplethysmography. Small measuring probes are attached to the patient's lower leg. The parameters of the venous return are then measured at rest and after stress. The study is painless, risk-free and is used primarily for the diagnosis of chronic venous insufficiency (venous weakness) in patients with swollen legs. Additional examination procedures, such as vascular ultrasound, are required for localization diagnosis (length and location of narrowing of vessels). This procedure does not require any preparation.
Dietetics
Bioelectrical impedance analysis is a professional and scientifically based method for the determination of body composition. It is based on measuring the resistance of the different body components: water, muscle and adipose tissue.

An imperceptible alternating current is passed through the body through two electrodes, which are attached to the wrists and ankles. This takes less than a minute and is absolutely safe.

By means of this measurement of body composition, changes in muscle and fat mass can be documented during weight loss or gain.
There should be at least 2 hours between the time of your last meal and the measurement.
Please do not drink more than 0.5 liters within an hour of the measurement.
Please empty your bladder before the procedure.
No alcohol should be consumed for 24 hours before the measurement.
Do not engage in any strenuous, sweat inducing activity (extreme sports, sauna) for 24 hours before the measurement.
No moisturizer should be applied to the hands or feet on the day of measurement.
Modern nutritional therapy is based on scientifically based recommendations, and aims to alleviate symptoms through targeted dietary change. In addition, early dietary prevention can significantly reduce the risk of food-borne metabolic diseases, among other conditions.

In nutritional therapy, a detailed medical history is documented, to ascertain symptoms, as well as current dietary habits and preferences. Based on this information, recommendations for dietary change are discussed, which are based on individual feasibility.

Nutritional counseling can be scheduled either as an individual appointments, or as a care package focusing on long-term diet change.