4 GIORNI PER L’UDITO

La Clinica Ruesch, in collaborazione con i Centri Audioprotesici "L’Acustica" è lieta di invitarti a quattro appuntamenti all’insegna della prevenzione delle affezioni della sfera uditiva.

Il 21 e il 28 GENNAIO e il 4 e l'11 FEBBRAIO sarà possibile prenotare un CHECK-UP COMPLETO DELL’UDITO che include le seguenti prestazioni:

• Visita otorinolaringoiatrica
• Esame otoscopico
• Esame audiometrico
• Impedenzometria

L’obiettivo dell'iniziativa è incentivare uno stile di vita sano e promuovere il benessere uditivo.

Ti riconosci in uno o più di questi sintomi?

• Chiedi spesso alle persone di ripetere quello che hanno appena detto?
• Hai difficoltà a sentire lo squillo del telefono o il campanello della porta?
• Quando guardi la TV hai bisogno di alzare il volume?
• Ti capita di avvertire leggeri brusii, fischi, o fruscii?

Prenota subito!

Costo del check-up completo dell'udito: 50€

Per informazioni e prenotazioni:

Telefono:

800404070
0817178360

Whatsapp:

3427436573
331 3686154

Dalla collaborazione tra la Clinica Ruesch, da ormai più di cento anni polo di riferimento nell’ambito sanitario privato sul territorio campano e Balance Holidays, l'esperto creatore di soggiorni benessere che si svolgono in destinazioni autentiche e dal lusso discreto, immerse nella natura, nasce «Linea dell’Orizzonte».  

Il primo ritiro di Benessere dedicato ai temi della Prevenzione e della Salute. 

In un luogo unico, incastonato tra cielo e mare, dove trascorrere 5 giorni per potersi riconnettere con se stessi ed essere indirizzati ad una maggiore cura del proprio corpo e della propria mente. 

Il contesto ideale per apprendere il Modello di Prevenzione Olistico Esperienziale (MPOE) elaborato da Specialisti altamente qualificati. Tale modello si basa sul concetto, scientificamente dimostrato che, esercitare uno stile di vita corretto è il modo più concreto ed efficace di fare prevenzione.  

Attraverso le tecniche fisiche, respiratorie e meditative della Medicina Energetica Quantistica, incontri individuali di Medicina Personalizzata e Narrativa, alimentazione rivitalizzante e depurativa, pratiche di movimento nella natura incontaminata, sarà possibile riscontrare benefici concreti e percepibili già nell'immediato. 

 

Referente: Elena Garzilli  - 345 605 6290 - elena.garzilli@clinicaruesch.mom

 

What is ergometric testing and what is it for? The strain electrocardiogram (or ergometric test) is an instrumental examination that consists of recording the electrocardiogram (ECG) during the execution of a physical effort (unlike the basal ECG that is recorded in resting conditions) and in the measurement of blood pressure. In this way it is possible to slate and define the nature of any heart disorders, allow a check of the effectiveness of the therapy, establish a possible rehabilitation plan, examine the response of the cardiovascular system to exercise, ascertain suitability for sports activity and work for cardiovascular aspects, evaluating heart rate, atria response and any ECG alterations. During physical exertion, in fact, conditions are realized that involve an increase in the demands of work to the heart that could highlight any alterations not found at rest. It can also be considered the first choice instrumental examination for the diagnosis of ischemic heart disease. How does the ergometric test take place? The cycle and heergometer test is a maximum effort test, that is, protracted until muscle exhaustion, which is carried out by applying progressively increasing workloads. During the cycle and engine test, an electrocardiogram is continuously recorded and blood pressure is monitored, so you can determine the degree of stress tolerance by measuring workloads and assess moment by moment the presence of any anomalies. The part of the exam, with the application of the workload, will have an average duration of 15 minutes and will be followed by a deflacing period of 3-6 minutes. The electrodes will be applied to the chest; A resting basal electrocardiogram is then recorded. Physical exertion will then begin, usually by pedalling on an exercise bike (cycloergometer) or walking on a rotating carpet (treadmill). The effort is progressive and is increased by constant increase in the resistance opposed by the pedals of the cycle or the speed of the rotating carpet. It starts from a low workload that is progressively increased until you reach a certain heart rate value, calculated by your doctor based on the patient's gender and age. The choice of the size and speed of increased effort are chosen by the doctor under uniform and standardized protocols, based on the patient's clinical characteristics. During the examination your cardiac activity will be constantly monitored by the medical staff through electrocardiographic monitoring and regular detection of blood pressure and heartbeats at regular intervals. Symptoms (chest pain, dizziness, shortness of breath, excessive weakness) and their relationship to any changes in electrocardiogram and blood pressure will also be paid attention. The test can be interrupted by the doctor at any time if necessary (there are standardized clinical and instrumental criteria of arrest), but also on request at the appearance of the symptoms described above. What are the limits and risks? Some particular conditions and even taking certain medications may interfere with the evaluation of an ECG by effort. For example, the patient's inability (for orthopedic, neurological or psychic problems) to perform physical exertion is a contraindication to the ergometric test. Some characteristics of the basal ECG make the interpretation of electrocardiographic alterations during strain unreliable. In addition, taking certain medications, such as digital, anti-anginous drugs, beta-blocking drugs, some antidepressants can variously interfere with the interpretation and result of stress testing; therefore, in these cases it will be assessed with the doctor the possibility of their possible suspension before the examination is carried out. Finally, there are some conditions which contradict the execution of an effort test: 'myocardial infarct for less than 48 hours; Unstable angina; Some situations of heart rate irregularities (arrhythmias); Diseases of the aortic valve (severe aortic stenosis); Cardiac decompensation during clinical instability; Recent pulmonary embolism or heart attack; Iocarditis or pericarditis in the acute phase; Aorta aneurysm In some cases, a cardiac ischemia may be induced, which will occur with the appearance of chest pain or be detected by the doctor at the electrocardiogram; only rarely is the administration of drugs required to solve cardiac ischemia. Sometimes there may be a marked reduction in blood pressure that is accompanied by symptoms such as sweating and obfuscation of vision. However, the necessary health facilities are readily available to deal with these occurrences and the staff is trained to deal with them at the time of need. Life-threatening heart arrhythmias may appear in some cases. How to prepare for the test. Before taking the test, it is important to follow the following behavioral standards: 1. do not eat before the test: only a small snack is allowed 2-3 hours before; 2. Don't drink coffee or other exciting drinks; 3. Do not smoke for at least 2 hours before the start of the test; 4. do not make any significant muscle efforts in the hours before the test; 5. present with shorts, T-shirt, sneakers, towel, water bottle; 6. electrocardiograms and/or cardiological tests already performed. What are the possible alternatives? Ecocardiogram with pharmacological stress with administration of dobutamine or dipridamolo Scintigrafia myocardial with dipridamolo. Evaluation of the ST-T section to the dynamic ECG sec. Holter (24-hour ECG). Please note that the consequence of refusing to undergo the diagnostic survey involves a failure to diagnose and/or functionally assess your cardiac activity. It is guaranteed that all cautions, diligence and expertise will be observed in the execution of the procedure in order to avoid harmful events that could compromise health.

What is it and what is the Holter ECG The dynamic ECG according to Holter is a continuous 24-hour detection of the heartbeat that allows you to accurately assess the presence of arrhythmias, the type, frequency and recurrence of the same in specific 24-hour periods. It also allows you to evaluate the frequency of beats (maximum, minimum and average in the 24 hours of recording). As is the case with the 24-hour Holter ECG recording On the patient's chest that is properly shaped and cleansed, the nurse places electrodes on each of which is hooked a cable connected to the beat detector (Holter). Before being discharged, the patient is given a diary sheet on which he will have to report carefully the ongoing drug therapy, any symptoms he has encountered during the 24 hours of registration (e.g. pain, dizziness, headache, vomiting...), activities carried out. The device may not function properly if: - The patient's skin is not properly shaped and/or cleansed, - One or more electrodes are not properly connected to the patient, - One or more electrodes detach during the 24 hours of recording. In these cases, the recording hours will be less than the expected 24 hours or there will be recording artifacts that will reduce the quality of the ECG track. During the 24 hours of the recording the patient is urged not to perform intense physical activity that can make him sweat so as to disconnect the electrodes, not to take a shower and to wear a mesh over the electrodes so as not to accidentally remove them. Please respect the time indicated by the nurse for the return of the Holter device so as not to incur delays and inconvenience for other users. It is useful, as a comparison term, to bring an ECG into view if performed previously. What can I do when monitoring Holter? Holter monitoring does not require restrictions on routine therapy or activity (except for activities that may lead to excessive sweating). Indeed, it is important to live as active a life as possible during the Holter registration, and possibly carry out activities associated with the onset of the symptoms that are being studied. It is important to note any symptoms and changes of activity on the appropriate notebook (diary) in order to correlate the symptoms to any rhythm disorders. What are the limits and risks? Holter 24-hour MONITORING does not involve any kind of risk.

What is the bubble test and what is it for? Bubble testing or microbubble testing is a minimally invasive, ultrasound-based method that allows the detection of any communication between right and left sections within the heart cavities. The most frequent and known case is PFO (Pervio Oval Foramen). PFO is a kind of "hole" in the intertrinal sept, present in 25-30% of the population. Before birth, in the foetal period, this hole promotes the passage of blood between the two atria and is therefore important to distribute oxygen and blood to the body. At birth, however, and within the first year of the newborn's life, the whole septet should physiologically close, because in the meantime the lungs are activated. If this closure does not take place we speak of "the persistency of the oval foramen". In a very small percentage of cases this can cause cerebral ischemia and/or neurological symptoms. How does the bubble test take place? The examination consists of infusing from a superficial vein of the arm a saline solution (mixed or not with a gel suitable to increase its viscosity) capable of forming small bubbles that have no interference in the body. These bubbles under the pressure of venous circulation reach the heart and, in case of the presence of shunt between the heart chambers, it is possible to observe the direct passage from the right sections to the left sections through a transtoracic echocardiogram. The nurse will place a venous access before the start of the examination, using an agocannula from which the previously prepared solution will then be injected. After 5 seconds of infusion, the patient will be asked to perform a Valsalva manoeuvre (forced closed glottis exhalation) that increases abdominal pressure and, consequently, in the right atrium. In case of abnormal communication, bubbles will be passed through the arterial circle. The timing of the passage of these bubbles may point to the location of this abnormal passage (early at the heart level, late in the extracardial level). The entire procedure will be repeated later under ecodoppler monitoring of the average brain artery through a temporal or occipital transcranial window. This second step allows the quantification and grading of the defect according to a standardized classification. What are the limits and risks? The bubble test is an extremely safe method whose limits are exclusively related to the presence or not of a suitable acoustic window to the transthoracic echo and/or transcranial doppler. In rare cases, vague reactions (lowering blood pressure, dizziness and weakness, blurring of vision) can occur as a result of administration of solution prepared for infusion. However, the necessary medical facilities are readily available to deal with this situation and the staff is trained to handle emergency situations. How long does the bubble test last? The bubble test is typically run in 20 minutes. It is not a painful, or invasive examination. It consists of a simple ultrasound evaluation performed after administration of physiological solution. How to prepare for the test. The bubble test is a simple execution survey and does not involve major side effects, requires no preparation and allows you to return to your activities immediately after the exam. The test is indicated in all cases of Ischemic Transient Attacks (TIA) or Stroke of an undefined nature. What are the possible alternatives? The bubble test is the only examination capable of providing a diagnosis of certainty regarding the presence of intracardiac shunts along with the quantitative functional data of any pathological findings. The results of the bubble test should be supplemented with an assessment of the significance of any pathological shunts found, in case a chryptogenetic stroke/TIA diagnostic process is being carried out using cerebral MRI. An alternative examination of the bubble test for morphological evaluation of intracardiac defects is the transesophageal ecocolordoppler, which nevertheless represents a superior invasiveness examination and does not allow an equally accurate functional grading.