Languages
German · English · Greek
Focus
Preventive & clinical cardiology
Affiliation
Founding doctor of Herzquartier Mülheim
Cardiology
Dr. med. Paschalis Kekes
Prevention, Diagnostics & Treatment of Cardiovascular Disease
Cardiologist with extensive experience in Germany, focusing on the prevention, monitoring and treatment of cardiovascular risk factors such as hypertension, diabetes and elevated cholesterol.
Relevant Symptoms
Browse the types of consultations available below.
CONSULTATIONS
Consultations Provided
SHORTNESS OF BREATH
Shortness of Breath Consultation
Shortness of breath and reduced physical capacity are common symptoms that may significantly affect quality of life. Many patients notice that they are no longer as physically fit as before — particularly during exertion, walking uphill, climbing stairs, or even during mild everyday activities.
Patients frequently ask themselves:
- Why am I getting short of breath?
- Why do I become breathless when climbing the stairs?
- Is this related to the heart or the lungs?
- Could this indicate heart failure?
- Is my reduced exercise tolerance normal for my age?
- Is there an underlying cardiovascular disease?
What to expect We offer specialized dyspnea consultation, where we provide comprehensive evaluation to identify potential cardiac causes of shortness of breath and reduced exercise capacity.
A diagnostic assessment includes · Echocardiography (cardiac ultrasound) · Vascular ultrasound diagnostics · Exercise stress testing · Stress echocardiography · Cardiac CT· Cardiac MRI · Specialized laboratory testing
These investigations allow detailed evaluation of cardiac function, circulation, and exercise capacity in order to identify or exclude cardiovascular causes of dyspnea and initiate appropriate therapy where necessary.
Show more +CHest pain
Chest Pain Consultation
Chest pain is a common and often distressing symptom. Patients may describe the discomfort as pressure, burning, stabbing pain, tightness, or pulling sensations occurring at rest, during physical exertion, during the day, or even at night during sleep.
Patients frequently ask themselves:
- Why am I experiencing chest pain?
- Is this coming from the heart?
- Am I at risk of a heart attack?
- Could it be caused by stress or muscle tension?
- Is it related to the spine or another non-cardiac condition?
- Is there a serious underlying disease?
- Do further investigations or treatment become necessary?
What to expect Within our specialized chest pain consultation, we provide comprehensive evaluation to clarify the underlying cause of chest discomfort and to distinguish cardiac from non-cardiac conditions.
A diagnostic assessment includes · Electrocardiography (ECG) · Echocardiography (cardiac ultrasound) · Vascular ultrasound · Exercise stress testing (ergometry) · Stress echocardiography · Cardiac CT Cardiac MRI
These investigations allow a precise assessment of potential cardiovascular causes and help exclude significant cardiac disease or initiate appropriate therapy when required.
Should invasive assessment of the coronary arteries become necessary, this is performed in specialized centers with which we closely collaborate.
Show more +Hypertension
Blood Pressure Consultation
Elevated blood pressure is one of the most common cardiovascular risk factors and often remains unnoticed for many years. Untreated hypertension may lead to long-term damage affecting the heart, blood vessels, kidneys, and brain.
Patients frequently ask themselves:
- Was the elevated blood pressure reading accurate?
- Do I need medication?
- What lifestyle changes can improve my blood pressure?
- What is the underlying cause?
- Has organ damage already occurred?
- Why is my blood pressure still high despite medication?
- Could my blood pressure be elevated due to stress or anxiety during medical appointments (“white coat hypertension”)?
What to expect we offer comprehensive diagnostic evaluation and individualized treatment of arterial hypertension and associated cardiovascular risk factors.
A diagnostic assessment may include · Echocardiography · Vascular ultrasound · Exercise stress testing · 24-hour ambulatory blood pressure monitoring · Ultrasound of the renal arteries · Special laboratory tests
These investigations help determine the severity and possible causes of hypertension, as well as identify potential cardiovascular or organ damage at an early stage.
Based on the results, we develop an individualized therapeutic strategy that may include lifestyle modification, dietary optimization, and guideline-directed pharmacological therapy according to current scientific recommendations.
Show more +Cholesterol
Lipidology Consultation
Disorders of lipid metabolism represent some of the most significant risk factors for cardiovascular disease. Elevated cholesterol and lipoprotein levels frequently remain undetected for many years and may subsequently contribute to progressive vascular disease, myocardial infarction, or stroke.
Patients frequently ask themselves:
- Does elevated cholesterol require medical treatment?
- Can I improve my cholesterol levels through nutrition and lifestyle changes?
- Which dietary changes are truly effective?
- Has vascular damage already developed?
- Could the condition be hereditary in nature?
- Which type of lipid disorder is present?
Within our specialized lipidology consultation service, we provide comprehensive diagnostic evaluation and individualized management of lipid disorders and cardiovascular risk factors.
Particular emphasis is placed on · Elevated LDL cholesterol · Lipoprotein(a) [Lp(a)] · Familial hypercholesterolemia · Elevated triglycerides · Mixed dyslipidemia · Statin intolerance · Cardiovascular prevention in high-risk patients
What to expect a detailed cardiovascular risk evaluation, comprehensive laboratory analysis, vascular assessment, and, where clinically indicated, advanced cardiovascular imaging.
Based on the diagnostic findings, we formulate an individualized treatment strategy that may include lifestyle modification, nutritional counseling, and contemporary lipid-lowering therapies in accordance with current scientific guidelines.
Show more +SWOLLEN legs
Swollen Legs Consultation
Swelling of the legs or ankles is a common symptom that can have many different causes. While fluid retention may be related to cardiovascular disease, it can also result from venous disorders, lymphatic conditions, medication side effects, kidney disease, or other medical problems.
Patients frequently ask themselves:
- Why are my legs or ankles swollen?
- Could the swelling be a sign of heart failure?
- Is my heart functioning normally?
- Is the swelling caused by poor circulation or venous disease?
- Could my medication be responsible?
- Why does the swelling worsen throughout the day?
- Do I have fluid retention?
- Is there a risk of a blood clot or another vascular problem?
- Do I need treatment or further investigations?
- What can I do to reduce the swelling and prevent future complications?
A specialized consultation helps determine the underlying cause of leg swelling and assess whether the heart or circulation may be contributing to the symptoms.
What to expect During the consultation, symptoms, medical history, medication, and cardiovascular risk factors are carefully reviewed. Depending on the clinical situation, further diagnostic assessment may include echocardiography, vascular ultrasound, electrocardiography (ECG), ambulatory monitoring, and specialized laboratory testing.
The goal is to identify the underlying cause of the swelling, detect potential cardiovascular disease at an early stage, and develop an individualized treatment strategy to improve symptoms, mobility, and long-term cardiovascular health.
Show more +HEART Rhythm
Arrhythmia Consultation
Palpitations, irregular heartbeats, episodes of rapid heartbeat, or an unusually forceful awareness of one’s heartbeat are common symptoms encountered in everyday clinical practice. Many patients notice these symptoms particularly at rest or during quiet moments.
Patients frequently ask themselves:
- Why does my heart “skip a beat”?
- Why is my heart racing?
- Why do I suddenly feel my heartbeat so intensely?
- Could stress or anxiety be the cause?
- Is there an underlying cardiac condition?
- Does this require treatment?
In many cases, these symptoms are harmless. However, they may also indicate an underlying cardiac arrhythmia or structural heart disease that should be appropriately evaluated.
What to expect we offer specialized arrhythmia consultations, where we provide comprehensive diagnostic assessment using modern cardiological techniques. These investigations allow accurate evaluation of heart rhythm disturbances and help determine whether treatment is necessary.
A diagnostic assessment includes · Electrocardiography (ECG) · Long-term ECG monitoring (Holter monitoring) · Echocardiography (cardiac ultrasound) · Vascular ultrasound · Advanced cardiovascular diagnostics when clinically indicated · Special laboratory tests
Based on the diagnostic findings, we develop an individualized management strategy and, where appropriate, initiate guideline-directed therapy.
Show more +FAINTING
Syncope (Fainting) Consultation
Fainting (syncope) is a temporary loss of consciousness caused by a brief reduction in blood flow to the brain. While many episodes are harmless, syncope can occasionally be a sign of an underlying cardiovascular condition that requires further evaluation.
Patients frequently ask themselves:
- Why did I faint?
- Was it a harmless event or a sign of a serious medical condition?
- Could my heart have caused me to lose consciousness?
- Do I have a heart rhythm disorder?
- Am I at risk of fainting again?
- Was the episode related to low blood pressure, dehydration, or stress?
- Could there be an underlying structural heart disease?
- Is it safe for me to drive, exercise, or continue my normal daily activities?
- What can I do to prevent future episodes?
A specialized syncope consultation helps identify the cause of fainting, assess the risk of recurrence, and determine whether the heart may have contributed to the event.
What to expect During the consultation, the circumstances surrounding the event, medical history, medication, and cardiovascular risk factors are carefully reviewed. Depending on the clinical situation, further diagnostic assessment may include electrocardiography (ECG), ambulatory rhythm monitoring, echocardiography, exercise stress testing, cardiac imaging, blood pressure evaluation, and specialized laboratory testing.
The goal is to establish an accurate diagnosis, identify potentially significant cardiovascular causes, assess the risk of recurrence, and develop an individualized management strategy that promotes safety, reassurance, and long-term cardiovascular health.
Show more +PREvention
Cardiovascular Check-up
How healthy is my heart? What is my personal cardiovascular risk? Am I physically fit enough? Am I at risk of a heart attack or stroke? Do I need treatment or should I make lifestyle changes to prevent future disease? How can I improve my long-term cardiac health and life expectancy?
These important questions can be addressed through an individualized cardiovascular check-up. The aim is to detect cardiovascular disease at an early stage, assess personal risk factors realistically, and develop an appropriate preventive strategy together.
Even in the absence of symptoms, changes in the heart or blood vessels may already be present. Many cardiovascular diseases develop gradually and remain unnoticed for years. Modern cardiological diagnostics allow early detection and timely intervention.
Depending on the individual risk profile and clinical situation, the following diagnostic procedures may be used · Echocardiography (cardiac ultrasound) · Vascular ultrasound diagnostics · Exercise ECG · Stress echocardiography · Cardiac CT· Cardiac MRI · Myocardial perfusion scintigraphy
Examinations such as contrast-enhanced cardiac CT, myocardial perfusion scintigraphy, and cardiac MRI are performed in specialized centers with which we closely collaborate.
Based on the results, lifestyle factors, physical performance, cardiovascular risk, and potential therapeutic measures can be individually assessed and discussed.
Show more +HORMONES
Hormone Replacement Therapy Consultation
All of us want to stay fit, energetic and attractive. Hormones play a vital role in maintaining overall health by preventing premature cellular aging, regulating the immune system, and orchestrating countless essential bodily functions. Their influence extends to numerous physiological processes, ensuring that the body operates efficiently and remains resilient against various challenges.
Hormonal changes and hormone deficiencies may affect both women and men and can significantly influence overall well-being, quality of life, metabolism, and cardiovascular health.
Patients frequently ask themselves:
- What are the differences between synthetic hormones and bioidentical hormones ?
- I am in perimenopause or postmenopause — how can I best support my body and long-term health?
- Could my symptoms be hormone-related?
- Do I suffer from hormone deficiency?
- Is hormone replacement therapy appropriate?
- Could my symptoms be linked to cardiovascular changes?
- Is hormone therapy safe for me? Are there any negative reactions?
- What are bioidentical hormones and their advantages?
- What outcomes and benefits can be expected from the use of individually dosed bioidentical hormones?
Patients frequently report symptoms such as
- Excessive sweating or hot flashes
- Joint pain
- Declining memory or concentration
- Sleep disturbances
- Reduced sexual desire
- Weight gain
- Dry skin
- Increasing hair loss
- Palpitations or episodes of rapid heartbeat
- Reduced energy levels
- Mood changes or episodes of sadness
What to expect Within our specialized consultation, we provide individualized evaluation in the context of hormone replacement therapy.
Following a detailed blood analysis, hormone levels are evaluated. If clinically relevant hormone deficiencies are identified, the potential indication for individualized hormone replacement therapy can be discussed in detail.
Show more +Your visit
What to expect
Most first appointments follow the same calm, thorough rhythm.
01
Conversation
Your history, symptoms and risk factors, discussed without rush.
02
Examination
A full physical examination and blood pressure measurement.
03
Diagnostics
ECG, cardiac imaging, vascular ultrasound or labs, as needed.
04
Your plan
Findings explained clearly, with next steps you can act on.
Availability