Patients are admitted to the Department of Cardiology according to previously scheduled appointments. Each patient at the reception should bring all available medical documentation, blood tests and biochemistry not longer than 15 days, blood type (if intervention procedures are performed) as well as previously performed specifically requested tests (load test, INR, bleeding time, stress test). MDCT coronary angiography and the like). Admission of patients is performed in the outpatient clinic on weekdays from 07 and 30 to 12 and 30. During the stay at the Department, the patient is obliged to listen to the advice of doctors and medical staff.
The following laboratory analyses must be provided in case of cardiac surgery:
CBS (Complete blood count) and ESR (erythrocyte sedimentation rate) – not older than 15 days
Biochemical blood tests (potassium, sodium, bilirubin, urea, total protein, CRP) – not older than 15 days
Coagulation status (D-dimer, INR, bleeding time and fibrinogen) – not older than 15 days
Biochemical urine tests – not older than 15 days
T3, T4, TSH (valid for 3 months)
If the patient is taking anticoagulant medicines such as Sintrom, Farin, Sincum, etc., it is mandatory to consult a doctor and stop taking them 5-7 days before the scheduled operation.
Nasal and throat swab
If the patient is foreseen for surgical replacement of the aortic or mitral valve, it is required to submit a dentist’s certificate on the normal dental status.
If the patient suffers from some concomitant diseases, it is necessary to submit the opinion of the attending specialist who treats the patient with the consent to the surgical procedure.
Patients are admitted to the Institute Dedinje within the cardiac surgery outpatient unit – Outpatient unit No. 1, on weekdays from 8 a.m. to 11 a.m. A patient who has been previously scheduled for admission should have properly prepared documentation in order to be admitted to the hospital in a fast and efficient manner. The doctor at the cardiac surgery outpatient unit performing admissions evaluates the patient’s medical condition, as well as previously requested analyses and examinations. If the required documentation is incomplete, or if there is a medical condition that may jeopardize the safety of the patient during cardiac surgery, admission may be postponed. For this reason, we kindly ask patients to provide proper and complete medical documentation upon admission, with the mandatory certified referral letter for hospital treatment at the Institute for Cardiovascular Diseases Dedinje. Possible postponement of admission due to medical reasons is in the best interest of the patient and his/her safety during the surgical intervention. Immediately after completing the documentation or remedying any health problems due to which admission was postponed, the patient’s surgery will be rescheduled and performed as soon as possible. After verifying the patient’s medical condition and reviewing required medical documentation, the patient’s case history is opened and he/she is sent to the Preoperative Patient Preparation Department within the Cardiac Surgery Outpatient Unit, which is located on the third floor of the Institute.
For admission to the Department of Preoperative Patient Preparation, the following documentation must be submitted:
Referral letter for a specialist examination (for patients coming from other parts of the country the referral letter needs to be certified by the competent health insurance fund)
Blood count (Hb, Hct, Er, Le and Tr) and erythrocyte sedimentation rate
INR (if the patient is taking oral anticoagulant therapy, e.g. Syndrome, Farin,…)
Bleeding and coagulation time, aPTT
Bleeding and coagulation time
Blood type and antibody screening test
Throat and nose swab
X-ray imaging of the heart and lungs
CDS of the main arteries of the neck (mandatory – if there one or more of the following criteria is met: murmur above the carotid artery, previous surgical intervention on the carotid artery, neurological symptoms or age of the patient ≥ 65)
Indication by the cardiac surgery medical advisory board of the ICVD Dedinje on the operative treatment
If the patient is foreseen for heart valve surgery or congenital heart defects, it is required to submit a dentist’s certificate on the normal dental status.
Five days before the admission to our institution, avoid taking Ticlodix, Plavix or Zylt (unless otherwise specified by the attending cardiologist)
Values of results of the required analyses must be within the reference limits and must not be older than 15 days
If the patient suffers from some concomitant diseases, it is necessary to provide relevant medical documentation (discharge note, results of relevant analyses, consent of the attending medical doctor to the scheduled heart surgery, etc.)
If the patient is on a hemodialysis program, he/she is obliged to provide the opinion of a competent nephrologist regarding the nephrological status and foreseen heart surgery
Findings and opinion of the medical doctor treating the underlying disease regarding the scheduled surgical procedure
If invasive cardiac diagnostics was performed in another institution, the patient MUST provide a film (or CD) obtained after invasive diagnostic procedures
If, upon admission, the patient does not have the required analyses within the reference physiological values or adequate referral letter for the heart surgery, his/her appointment shall be rescheduled and a new hospital admission date shall be determined.
Regular follow-up examinations with a competent cardiologist are also recommended. In case of any deterioration of the patient’s underlying condition, the competent cardiologist can refer the patient to the Institute, with appropriate medical documentation, for the re-evaluation of the degree of urgency.
The patient must bring medication that he/she uses as a part of everyday therapy
Admission to the Vascular Surgery Clinic is performed in the vascular outpatient unit every weekday from 7 a.m. to 8 a.m. Patients must schedule the admission in advance, and should provide specified, properly prepared documentation. The doctor in the outpatient unit performing admissions evaluates the patient’s medical condition, as well as previously requested analyses and examinations. If the required documentation is incomplete, or if there is a medical condition that may jeopardize the safety of the patient during the scheduled vascular surgery, admission may be postponed. Possible postponement of admission due to medical reasons is in the best interest of the patient and his/her safety during the surgical intervention. Immediately after completing the documentation or remedying any health problems due to which admission was postponed, the patient’s surgery will be rescheduled and performed as soon as possible. After verifying the patient’s medical condition and reviewing required medical documentation, the patient’s case history is opened and he/she is sent to the Department of Vascular Surgery, where further preoperative patient preparation will be performed.
Referral letter for hospital treatment
Complete blood count and basic biochemical analyzes (Na, K, urea, creatinine, bilirubin, glucose, transaminases, cholesterol, triglycerides) – the findings are valid for one month
Erythrocyte sedimentation rate
Urine analysis (sediment and biochemistry)
Test for the most common communicable diseases (HIV, HBSag, HCV, SYPHILIS) – the finding is valid for 6 months
X-ray of the heart and lungs (provide image)
Reports and material obtained during diagnostic procedures (CT, ultrasonography)
If the patient suffers from a chronic condition, the consent of a relevant specialist to the operation is required.
Serological test for COVID-19 – not older than 72 hours