Reviews about the Tsarskaya Clinic medical center

Tsar's Clinic

Medical was founded in 2009 in Moscow.

The clinic has departments of plastic surgery, cosmetology, dentistry and others. Customers are offered various promotions, special offers and discounts.

The Tsar's Clinic guarantees a strictly individual approach, which is the key to effective treatment. Thus, an electronic medical history is created for each patient, containing information about the patient’s health status, prescribed treatment and manipulations performed, conclusions of instrumental and laboratory tests and other aspects. A computer medical document allows the doctor to draw up a clear examination and treatment plan, use reliable information and make adequate prescriptions.

Cosmetology procedures, plastic surgeries and other manipulations are carried out in well-equipped special rooms by highly qualified experienced doctors. Patients stay in comfortable rooms and receive the necessary attention and care.

Specialists:

• Nazoev Kirill Vladimirovich Plastic surgeon, Candidate of Medical Sciences

Prices for clinic services:

24-hour blood pressure monitoring

Daily blood pressure monitoring is a hardware diagnostic method that involves long-term recording of the patient’s blood pressure and heart rate for 1-2 days in natural conditions. It is especially valuable to conduct research in cases of “white coat” syndrome and the presence of high risks of complications from the cardiovascular system. The method records episodes of increase or decrease in blood pressure at different times of the day, at rest and during physical activity.

At the Family Clinic, the presented diagnostic method is prescribed by a cardiologist as an additional study if there are indications for its implementation.

Indications and contraindications

The use of 24-hour blood pressure measurements is indicated for diagnosing the “white coat” syndrome, when an increase in blood pressure is noted when it is registered in a medical institution, while the patient has a low risk of cardiovascular complications. The procedure is prescribed for diagnosed borderline arterial hypertension to determine further tactics for the cardiologist, since such a condition may indicate the possible development of hypertension.

ABPM is used to monitor symptomatic hypotension that may occur with certain antihypertensive medications, pathologies of the peripheral nervous system, myocardial infarction, heart failure, and adrenal damage. Also, hypotension, which is periodically recorded during the day, may indicate intolerance to permanent cardiac pacing.

The diagnostic method is indicated for patients with sleep apnea, as well as hypertension at night. ABPM is effective for diagnosing high blood pressure in pregnant women and in cases of suspected preeclampsia.

In conditions of inpatient observation, a study is prescribed to evaluate the treatment being carried out, clarify the nature of changes in blood pressure values ​​for the purpose of selecting medications.

Daily blood pressure monitoring can be carried out in preparation for surgery, determining the risk of developing cardiovascular complications, and also before delivery.

The use of the diagnostic method is contraindicated for injuries and vascular pathologies of the upper extremities, dermatological diseases localized to the skin of the shoulder, a decrease in the level of platelets in the blood, and a history of complications from previous blood pressure registration. Relative contraindications include the patient’s refusal to undergo ABPM, various cardiac rhythm and conduction disorders, and systolic blood pressure of 200 mm Hg. and more.

Registration of ABPM can cause a number of complications:

• swelling of the soft tissues of the forearm and hand;
• small areas of hemorrhage;
• dermatitis.

Methodology

The diagnostic method involves several stages.

Programming and installation - the device is placed in a special bag with adjustable straps, a cuff selected to size is put on the shoulder, the functionality of the batteries or accumulator is checked, after which the device is connected to the computer and programmed.

Before starting the device, blood pressure is first measured in both arms in a sitting position. In patients over 65 years of age and in the presence of diabetes mellitus, the procedure is performed while standing to exclude orthostatic hypotension. They also carry out a trial registration of blood pressure with the device; if the values ​​diverge, the device is reprogrammed.

The doctor instructs the patient. When recording blood pressure with a device, the arm should be extended along the body and be in a relaxed, motionless position. If the device begins measuring blood pressure while walking, you must stop and wait until monitoring ends. During blood pressure registration, the patient is prohibited from looking at the obtained values, as this may distort the information due to emotional stress. The patient should not think about recording blood pressure at night; it is necessary to ensure proper sleep and rest.

The received data is processed by a cardiologist. Changes in systolic and diastolic blood pressure values ​​during the monitoring period are assessed, as well as the dynamics of heart rate and some other parameters.

Efficiency

ABPM is a highly effective research method. The procedure allows you to identify arterial hypertension or hypotension in the early stages, assess cardiovascular risk, and choose the necessary treatment tactics. Disadvantages of the study include the influence of possible emotional stress on the results and the lack of control over the patient during monitoring.

Pregnancy management

Our clinic is one of the most equipped in the Moscow region, thanks to which residents from nearby cities can receive quality care, for example, Mytishchi, Yubileiny, Shchelkovo, Korolev, etc. We will provide a modern level of pregnancy management for residents of Korolev, Yubileiny, Mytishchi .

Every woman expecting a child knows that these 9 months are full of the most contradictory feelings: the joy of upcoming motherhood and the novelty of sensations can suddenly give way to anxiety for the health of the unborn baby, the slightest deviations from the usual sensations can raise a lot of questions, numerous advice from relatives and friends, publications in The press does not always contribute to a woman’s positive attitude towards the upcoming birth or, on the contrary, causes a frivolous attitude towards health. Managing pregnancy involves confidential contact between the expectant mother and the obstetrician-gynecologist, which allows the doctor to promptly identify possible changes and correct them, and the woman does not torment herself with unnecessary fears and doubts, and does not feed them with false information.

Our clinic’s specialists provide pregnancy management in Korolev of any duration, meeting the highest requirements and international standards.

In our clinic there are no “generally accepted” pregnancy management regimens. Each pregnancy is individual for us and we will do everything possible to give you the joy of happy motherhood. For us, not only the health of the expectant mother is important, but also the health of the baby, so the doctors of our clinic provide comprehensive pregnancy management, which includes careful monitoring of the child’s development, using the most modern medical equipment (ultrasound, CTG, etc.).

A unique advantage of our clinic is the presence of the highest-class ultrasound machine GE Voluson E10 Expert, which allows us to perform ultrasound of the fetus during pregnancy with the highest possible accuracy. We are proud that there are no similar devices of such a high class in the Moscow region. With the help of 4-D ultrasound, the expectant mother can see an almost photographic image of her baby and receive a video recording of his movements in real time. 4-D ultrasound allows you to obtain a three-dimensional image of the embryo when its length is only 15 mm.

Cardiotocography (CTG) of the fetus is performed using the most modern Oxford Sonicaid Team Care device (UK). Fetal cardiotocography is a very important study, thanks to which we have the opportunity to monitor the state of the cardiac activity of the unborn child at any stage of pregnancy.

The appointment is carried out at a time convenient for the patients, and is not accompanied by long waits in the corridor and uncertainty, because our specialists carefully explain to pregnant women and their relatives the features of each period of the baby’s development.

The management of Queens' pregnancy must be entrusted to experienced and sensitive people who can resolve all questions and doubts that arise.

Pregnancy management in Korolev - Health Clinic!