Cardiology Examination & Diagnostics

The general cardiology clinic at Centrum kardiovaskulární péče Brno offers self-pay cardiology examinations without a referral and without insurance waiting lists. A comprehensive examination (2,500 Kč) includes history, physical examination, resting ECG, and a management plan from a cardiologist at a centre that specialises in arrhythmias and has performed catheter ablations since 1993. The full diagnostic arsenal is available on-site: echocardiography, 24-hour and 7-day ECG Holter monitoring, blood-pressure Holter, ergometry and spiroergometry exercise testing, tilt-table testing for unexplained fainting, and even evaluation of ECG recordings from smartwatches. If a significant arrhythmia is found, definitive treatment — cardioversion, loop recorder implantation, or catheter ablation — is available within the same centre.

Cardiovascular disease develops silently for years before the first symptom, and symptoms such as palpitations, exertional breathlessness, chest discomfort, or fainting deserve specialist assessment rather than reassurance. Centrum kardiovaskulární péče (CKP) gives self-pay patients direct access to a cardiology team led by doc. MUDr. Martin Fiala, Ph.D. — one of the most experienced electrophysiologists in the Czech Republic — without needing a GP referral. **Comprehensive cardiology examination (2,500 Kč):** A full consultation covering personal and family history, cardiovascular risk-factor assessment, physical examination, resting 12-lead ECG with specialist interpretation, and a written conclusion with a concrete plan — whether that is reassurance, further testing, medication, or an intervention. A follow-up examination (1,000 Kč) reviews progress and test results. **Diagnostics available on-site:** - *Echocardiography (1,800 Kč):* Ultrasound imaging of the heart's chambers, valves, and pumping function — the cornerstone test for murmurs, breathlessness, and suspected heart failure. Transesophageal echo is also available where higher-resolution imaging is required. - *Holter ECG monitoring (24-hour 1,000 Kč / 7-day 2,500 Kč):* Continuous rhythm recording to capture intermittent palpitations and silent arrhythmias such as paroxysmal atrial fibrillation. The 7-day option dramatically increases the chance of catching infrequent episodes. - *24-hour blood-pressure Holter (680 Kč):* Ambulatory monitoring that unmasks white-coat and nocturnal hypertension. - *Ergometry (1,200 Kč) and spiroergometry (2,500 Kč):* Bicycle exercise tests with ECG and blood-pressure monitoring; spiroergometry adds breath-by-breath gas analysis (VO2 max) for objective fitness and unexplained breathlessness work-ups. - *Tilt-table test (1,300 Kč):* The standard investigation for recurrent unexplained fainting (syncope), run within the centre's dedicated syncope clinic. - *Smartwatch ECG evaluation (150 Kč):* A cardiologist formally reviews ECG strips recorded on an Apple Watch or similar device — a quick, inexpensive way to act on a worrying smartwatch alert. **Continuity into treatment:** Unlike a standalone diagnostic lab, CKP closes the loop. Confirmed arrhythmias can proceed to electrical cardioversion (4,500 Kč), implantable loop recorder placement (5,500 Kč), or catheter ablation (individually priced 50,000–90,000 Kč) using 3D mapping systems and pulsed-field ablation technology at the centre's inpatient unit in the Milosrdní bratří hospital campus. **Practicalities:** Phone (250 Kč/15 min) and email (100 Kč) consultations are available for established questions. The clinic operates Monday–Friday 8:00–18:00 at Campus Science Park, Brno, with free 3-hour parking.