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DR. BONGARD, LECTURER AT THE VENOUS THROMBOEMBOLISM CONGRESS

25.07.2019

Dr. Snezhana Meshkoska-Bongard from the Acibadem Sistina Hospital participated in an international congress organized by the Association of Cardiologists in Skopje. The theme of the congress was thromboembolism – a diagnostic approach. At the congress, Dr. Meshkovska-Bongard had an introductory lecture on the methods of diagnosing the disease.

“The goal of the congress was to share experience and to give importance to this disease, which is considered to be very severe and a possible cause of death, but can be diagnosed in a quick and simple way in our country. All doctors of all specialties shall pay due attention to venous thromboembolism since venous thromboembolism can occur as a consequence of other diseases. For example, it can occur in the postoperative period following gynecological surgeries, in patients hospitalized for another condition, in bedridden patients, and commonly in patients with cancer. The symptomatology of the disease was emphasized at the congress in order that all doctors of all specialties pay attention to it and take prompt action”, says Meshkoska-Bongard, MD.

The methods of proving the disease are based on the symptoms and laboratory findings, such as D-dimer test results. The disease can be difficult to diagnose and doctors’ knowledge is of key importance.

“On the other hand, the disease can be confirmed with other techniques too, apart from ultrasonographic techniques, which are quick and simple to perform and give a quick and accurate diagnosis of peripheral venous thrombosis, and with the use of computer techniques for disease confirmation. Institutions in the world have different technical possibilities for the diagnosis of this disease. The patient shall be asked about symptoms and medical history first, followed by an examination, echocardiography, ultrasonography of venous blood flow, cardiac ultrasonography, that can show complications of the disease, X-ray imaging, magnetic resonance, computerized tomography, and angiography. The goal of my lecture was to emphasize that diagnostics can be made both with many and with very few techniques, but it is necessary to be familiar with every aspect of the disease”, said Meshkoska-Bongard.

The congress lasted for three days and there were about 100 participants from Macedonia, but also from other countries. It was attended by doctors from both public and private healthcare, with guests from Serbia, Israel and Italy.