Cardiac Surgeon Consultation in Kyiv: Diagnosis and Follow-Up at CSM Clinic
A cardiac surgeon is a specialist who becomes involved when the options of conservative (medication) therapy have been exhausted. This does not necessarily mean immediate surgery. It means a strategic decision is needed: whether the problem can still be treated with tablets or it is time to correct the heart problem surgically. At CSM Clinic in Kyiv, we offer outpatient cardiac surgeon appointments. We act as a consultation and referral hub: we perform in-depth diagnostics, determine the indications for intervention, prepare the patient and refer them to leading cardiac surgery centers (including the Heart Institute of the Ministry of Health of Ukraine), and after surgery we take care of your rehabilitation.
When Is a Cardiac Surgeon Consultation Needed?
Usually a cardiologist or general practitioner refers patients to this doctor. However, it is worth booking an appointment on your own to get a "second opinion" if you have been diagnosed with:
- Coronary heart disease (CHD): to decide on stenting or coronary artery bypass grafting (CABG).
- Heart defects: congenital or acquired (valve stenosis, insufficiency), so as not to miss the moment when surgery is necessary.
- Aortic aneurysm: to monitor its size and assess the risk of rupture.
- Complex heart rhythm disorders: requiring implantation of a pacemaker.
Warning Symptoms
Heart diseases that require surgery often make themselves known by the following signs:
- pressing, burning pain behind the breastbone that occurs when walking and goes away at rest (angina);
- shortness of breath, being unable to sleep lying flat without a high pillow;
- severe leg swelling that increases toward evening;
- sudden loss of consciousness;
- a feeling of irregular heartbeat accompanied by weakness.
Specialist Diagnostics in Kyiv
For a cardiac surgeon to make an informed decision, accurate data are needed. CSM Clinic offers a range of preoperative examinations:
- Echocardiography (heart ultrasound): visualization of valve function, measurement of ejection fraction and wall thickness.
- Holter ECG: 24-hour rhythm recording to detect hidden threats.
- Laboratory panel: coagulogram (blood clotting), lipid profile, biochemistry, inflammation markers.
- Duplex scanning of vessels: checking the carotid arteries and leg vessels (important before any heart surgery).
Your Path from Diagnosis to Rehabilitation
We do not leave the patient alone with a complex diagnosis.
- Consultation: The doctor assesses the risks and benefits of the intervention.
- Referral: If surgery is necessary, we prepare a package of documents and refer you to specialized surgeons in dedicated hospitals.
- Rehabilitation: After discharge you return to us. The cardiac surgeon at CSM Clinic removes stitches, adjusts warfarin/anticoagulant intake, monitors healing and develops a physical recovery program.
Frequently Asked Questions
How does a cardiologist differ from a cardiac surgeon?
A cardiologist treats the heart with medications, trying to stabilize the condition. A cardiac surgeon evaluates anatomical changes (narrowed vessels, a damaged valve) and decides whether they can be corrected mechanically.
Do you perform open-heart surgery?
No, CSM Clinic is an outpatient center. We provide diagnostics, preparation for surgery and postoperative care. The procedures themselves (bypass surgery, valve replacement) are performed by our partners at large public or specialized centers.
Can an ECG alone show that surgery is needed?
No, not from an ECG alone. An ECG shows electrical activity. To decide on surgery, a heart ultrasound (echocardiography) is required and often coronary angiography (an X-ray of the heart vessels), for which our doctor can provide a referral.
Is surgery always needed for heart valve defects?
No. Many defects can be monitored for years. The cardiac surgeon's task at the consultation is to catch the moment when the heart begins to tire and to arrange surgery in time, to help prevent irreversible changes.
Can you remove stitches after surgery at the Heart Institute?
Yes, of course. We provide full postoperative follow-up: dressing changes, stitch removal, INR monitoring (for patients with artificial valves) and medication dose adjustment.