Functional Diagnostics

About the Department
The Department conducts more than 60 types of research, covering the cardiovascular, respiratory systems, neurophysiological research methods. The assessment of the functional state of blood vessels and the heart is carried out on expert-class devices (Vivid e9, Cardiosoft treadmill test system). The Department has a “Sleep Laboratory”that conducts modern methods of diagnosis, evaluation and treatment of sleep disorders with polysomnography, computer pulse oximetry (detection of chronic hypoxemia, sleep apnea) with the selection of treatment (auto – CPAP therapy).

Services of the Department

computer spirometry on automated devices
spirography with functional tests
stimulation electroneuromyography
stress EchoCG
daily blood pressure monitoring
transcranial duplex scanning of the brain base (TCCS)
treadmill test
holter daily ECG monitoring (12-channel)
holter daily ECG monitoring (3-channel)
color duplex scanning of upper limb arteries
color duplex scanning of lower limb arteries
color duplex scanning of upper extremity vein
color duplex scanning of lower extremity veins
color duplex scanning of ocular arteries and veins
color duplex scanning of kidney vessels
color duplex scanning of extracranial brachiocephalic artery vessels
color duplex scanning of the central retinal arteries
color duplex scanning of the abdominal aorta and visceral branches
CDS of arteriovenous fistulas with determination of volumetric blood flow
CDS of the internal thoracic artery
transesophageal echocardiography
ECG (electrocardiography)
ECG (electrocardiography) with load
needle electroneuromyography
electroencephalographic tests (photo,phonostimulation, hyperventilation)
electroencephalography with computer processing
EchoCG (echocardiography)
color duplex scanning of liver vessels
color duplex scanning of extracranial vessels veins brachiocephalic
polysomnography
advanced respiratory monitoring
electroneuromyography of the upper extremities
electroneuromyography of the lower extremities
polysomnography with the selection of CPAP auto mask
selection of auto CPAP therapy
respiratory monitoring
body composition analysis
selection of BPAPtherapy
computer spirometry on automated devices
registration of an EEG attack in the in-patient department
registration of an EEG attack in the in-patient department in 12 hours
determination of the diffusion capacity of the lungs with spirography
ergospirometry
cardio sonographic examination with bubble contrast (bubble test)
ECG (electrocardiography) recording
ECG (electrocardiography) interpretation
color duplex scanning of testicular veins (CDS of testicular veins)
EchoCG (echocardiography) with Doppler sonography
transcranial duplex scanning of the brain vessels with embolus detection (TCDS bubble test)
nighttime EEG sleep monitoring
daily EEG sleep monitoring
EEG sleep monitoring 3-6 hours
EEG sleep monitoring 6 hours – daytime
EEG sleep monitoring1. 5 - 3 hours.

Сolor duplex scanning(triplex) of blood vessels of upper, lower limb, blood vessels of the head and neck (CDUS, TCCS), blood vessels, liver, kidneys, abdominal aorta and its branches, transthoracic and transesophageal echocardiography, treadmill stress test, computerized spirometry with bronchodilation tests, daily monitoring of ECG (12 and 3-channel), daily monitoring of blood pressure, electrocardiography, electroencephalography, EEG videomonitoring, stimulation electroneuromyography of upper, lower limbs, computer pulsoximetry, polysomnography, CPAP therapy, the diffusion capacity of the lungs.
The Functional Diagnostics the Hospital has a gas analysis module Power Cube Diffusion by Ganshorn Shiller Group.
This device is designed to determine the diffusion capacity of the lungs by a single inhalation with a breath delay. The results of the DLcO study allow us to judge the ability of the lungs to perform their main function – the transfer of oxygen from atmospheric air to the blood.

Advantages

Тhe diffusion test is the earliest and most sensitive method of diagnosing disorders of the pulmonary parenchyma structure than spirometry.

Method

During the study, the patient inhales a gas mixture (helium, carbon monoxide and synthetic air), holds his/her breath for 10 seconds, during which the CO diffuses into the blood, and then makes a forced exhalation. The number of CO passed into the blood is determined and measured in alveolar gas to and at the end of the breath hold, the diffusion capacity of the lungs - the amount of carbon monoxide coming through aero-hematic barrier for 1 min. is calculated.
Single-use antibacterial filter is used for each study, designed to minimize the risk of air pollution and cross-infection during testing.

Preparation for the examination

before performing the procedure, the doctor who sends the patient for the examination shall give detailed explanations to the patient about the nature and purpose of the study.
examination is carried out in the morning, on an empty stomach, for outpatient patients after 15-20 minutes of rest after arriving at the examination room.
medications that may affect the outcome of the examination are cancelled: bronchodilators are canceled in accordance with their pharmacokinetics: short-acting beta-2 agonists and combined drugs, including short-acting beta - 2 agonists, 6 hours before the examination, long - acting beta-2 agonists-12 hours before examination, prolonged theophylline-24 hours before examination.
if it is impossible to cancel the medication, the examination shall be conducted against the background of its administration, but when evaluating the results of the respiratory function, it is necessary to take into account the effect of the medication and reflect it in the conclusion.

It is usedin patients

chronic diseases of the respiratory system.
determination of the presence and severity of obstructive and restrictive ventilation disorders.
with high accuracy, the level of damage to the bronchial tree (large, medium, small bronchi) can be determined.
in patients with restrictive and obstructive diseases.
for the diagnosis of emphysema or fibrosis of the pulmonary parenchyma.
detection of preclinical interstitial lung diseases,
diffuse fibrosing alveolitis (Hamman-Rich syndrome), pneumoconiosis (silicosis, asbestos, berylliosis), pathological processes leading to a decrease in the gas exchange surface (acute and chronic inflammatory processes), toxic lung lesions.
development of interstitial edema, development of interstitial fibrosis, sclerotic changes in the parenchyma of the lungs and vascular walls.

Contraindications

Severe forms of bronchial asthma
Patients with motor neuroses
Open forms of pulmonary tuberculosis
Uncontrolled arterial hypertension>200 mmHg
Acute myocardial infarction
Allorhythmia, paroxysmal tachycardia, atrial fibrillation, AV blockades of the 2nd degree
Unstable angina
Pregnancy and lactation

Doctors of the Department

Alfiya Yermekovna Abzhanova

Chief of the Department
The Highest Category
Work experience: 37 years

Zaure Seidakhmetovna Baidauletova
Functional Diagnostics Doctor (EchoCG)
The Highest Category
Work experience: 23 years

Lyubov Valeriyevna Dushnyak
Functional Diagnostics Doctor (EchoCG)
Candidate of Medical Sciences
The Highest Category
Work experience: 20 years

Dinara Sabitovna Yeshmuratova
Functional Diagnostics Doctor (EchoCG)
The Highest Category
Work experience: 22 years

Aigul Bayalovna Kozhakhmetova
Functional Diagnostics Doctor (EchoCG)
The Highest Category
Work experience: 29 years

Bayan Khairzhanovna Kulmanova
Ultrasound Diagnostics Doctor
The Highest Category
Work experience: 29 years

Ira Meiram
Functional Diagnostics Doctor
The Second Category
Work experience: 10 years

Anatoliy Eduardovitch Min
Functional Diagnostics Doctor (EchoCG)
The Second Category
Work experience: 20 years

Kayirzhan Toltayevitch Mukanov
Functional Diagnostics Doctor (EchoCG)
Candidate of Medical Sciences
The Highest Category
Work experience: 38 years

Ainur Maratovna Nurmukhanova
Functional Diagnostics Doctor (EchoCG)
The Highest Category
Work experience: 16 years

Gaukhar Serikkazinovna Oguzbayeva
Functional Diagnostics Doctor
The Highest Category
Work experience: 27 years

Saule Altynbekovna Rashidova
Functional Diagnostics Doctor

The Highest Category
Work experience: 16 years

Alina Begezhanovna Toktorbayeva
Functional Diagnostics Doctor (EchoCG)
The Highest Category
Work experience: 21 years

Zhanatgul Kabidullinovna Turgumbayeva
Functional Diagnostics Doctor (EchoCG)
The Highest Category
Work experience: 29 years

Zhasulan Yergalievitch Utebekov
Functional Diagnostics Doctor (EchoCG)
The Second Category
Work experience: 10 years

Olga Vladimirovna Ageyeva

Functional Diagnostics Doctor
The Highest Category
Work experience: 27 years

Functional Diagnostics

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