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Interistic practice Fontenay

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Private patients & self-payers

040 4133 076 30

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Welcome to the Fontenay Internal Medicine Practice

from 01.07.2025 at the new location at MEDIZINICUM Stephansplatz

At our practice in the heart of Hamburg, we offer modern internal medicine diagnostics and treatment with a focus on internal medicine, cardiology and angiology. We take time for your health - personally, competently and individually.

Our core competencies

Diseases of the arteries

Diseases of the veins

Diseases of the microcirculation

Lung diseases Hamburg

Diseases of the heart

Health check-up

Smoker's Check Hamburg

The health check-up supplements the preventive health insurance programs with an extension of the diagnostics using thorough ultrasound examinations of the heart, arterial and venous vascular system and abdominal organs, measurement of performance using spiroergometry and laboratory tests. An individual examination program is put together on the basis of a risk analysis. Of course, the focus is also on the early detection of risk factors such as high blood pressure, lipometabolic disorders and diabetes mellitus.

Prevention

Cardiovascular diseases are a major cause of chronic illness and premature death. The underlying cause is usually atherosclerosis, which develops unnoticed over a long period of time and is usually advanced at the time of the first symptoms. It often leads to a fatal heart attack or stroke before a diagnosis can be made. Atherosclerosis is caused by the interaction of various risk factors such as obesity, smoking, low physical fitness, genetic factors (family history), high blood pressure, high cholesterol levels and diabetes mellitus. The aim of prevention is to identify and treat the risk factors before symptoms of atherosclerosis appear. Improving the individual risk profile effectively reduces the rate of non-fatal and fatal events.

Warning signs of coronary heart disease can be exercise-induced pain/pressure in the chest. The symptoms often radiate into the left arm. Sudden unconsciousness also requires urgent clarification, as it can be the first symptom of life-threatening heart disease.

A stroke can be preceded by short-term blindness in one eye (amaurosis fugax), weakness in one half of the body or a temporary speech disorder. If such symptoms occur, you should see a doctor immediately as an "emergency".

The first symptoms of "intermittent claudication" (peripheral arterial occlusive disease, PAD) are exercise-induced pain in the calf muscles. However, depending on the underlying vascular problem, pain can also occur in the buttocks, thigh or foot. Typically, the pain disappears within a few minutes after a short break. If the disease progresses, pain at rest, discoloration and death of the toes/feet may occur.

It is important to identify the existing risk factors and then make the best possible adjustments for the patient. The risk of serious cardiovascular disease can be reduced very effectively by positively influencing lifestyle and through optimal drug therapy.

First, an assessment of the individual risk profile and an examination of the heart and vascular system are carried out. We then discuss how to reduce the risk by changing your lifestyle and taking medication. A diet and lifestyle consultation can also be arranged at our practice. The therapy is then regularly optimized as part of check-ups.

Apparative diagnostics

Lung diseases Hamburg

Cardiology

  • 12-lead ECG
  • Exercise ECG
  • Long-term ECG (24 hours)
  • Long-term blood pressure measurement (24 hours)
  • Ultrasound of the heart (echocardiography)
  • Ultrasound of the heart under stress (stress echocardiography)
  • Spiroergometry (determination of performance capacity)
  • Heart rhythm diagnostics

Angiology (vascular medicine)

Functional examination of the arterial vascular system

  • Ankle-arm index
  • Pulse wave analysis
  • Segmental pulse oscillography
  • Optical pulsoscillography of the fingers, toes

Functional examination of the venous vascular system

  • Venous occlusion plethysmography with arterial reserve
  • Venous valve function measurement
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Further procedures

  • Ultrasound of the abdominal organs
  • Laboratory tests
  • Color duplex sonography of the neck vessels
  • Color duplex sonography of the temporal and shoulder girdle arteries
  • Color duplex sonography of the abdominal aorta and renal arteries
  • Color duplex sonography of the leg arteries
  • Color Doppler echocardiography
  • Toe-arm index measurement in diabeticsiabetics

Examination for diabetes mellitus

Patients with diabetes are at a particularly high risk of heart attack, stroke, circulatory disorders in the legs and amputations. Diabetes affects not only the "large" vessels but also the microvessels. While constrictions in the "large" vessels can be treated by catheter intervention, diseases caused by damage to the microvessels are treated with medication. Those affected often do not notice the poor blood circulation because diabetes can also lead to nerve damage (peripheral polyneuropathy). This often delays a visit to the doctor considerably because injuries or pressure points are not noticed. In order to clarify the circulatory disorder of the legs in diabetics, we carry out special measurements (toe-arm index measurements, optical pulsoscillography of the toes) in our practice.

Gastrointestinal ultrasound diagnostics

Therapeutic offer

Catheter intervention for varicose veins

In people with healthy veins, the venous blood in the superficial leg veins is transported via the connecting veins (perforating veins) into the deep leg vein system and finally to the heart. A return flow from the deep veins into the superficial leg veins is prevented by the closure of the venous valves.

If venous valves do not close properly, this leads to venous reflux disorders. The consequences are the development of varicose veins, leg swelling, changes in skin texture with discoloration and the formation of chronic ulcers ("open legs"). Minimally invasive, catheter-based sclerotherapy or adhesion of the large truncal veins remedies the reflux disorder in the superficial varicose veins and eliminates or alleviates the symptoms.

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Catheter intervention for PAD

Peripheral arterial occlusive disease (PAD) mainly affects the arteries in the legs and often occurs in people over 60. It is usually caused by vascular calcification (atherosclerosis), less frequently by other diseases such as vascular inflammation or anatomical constrictions.

A precise diagnosis is crucial, as PAD significantly increases the risk of heart attack and stroke. Treatment is therefore aimed not only at leg symptoms, but also at controlling cardiovascular risk factors.

Typical symptoms are calf pain due to exertion, which forces the patient to stand still (intermittent claudication). In advanced stages, pain at rest, tissue damage or acute circulatory disorders and even amputation can occur.

Drug therapy for cardiovascular diseases

Please bring a current list of the medication you are currently taking. If we know what medication you are taking, we will be able to say whether it would be beneficial to increase or reduce the dose or change the substance classes.

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Our attending physician

PD Dr. med. Peter Kuhlencordt
Specialist in internal medicine, cardiology and vascular medicine (angiology), additional qualification in preventive medicine

Further information...

The MEDIZINICUM team in Hamburg

MEDIZINICUM Hamburg Team
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Internal medicine practice Fontenay

E-mail: info-kuhlencordt@medizinicum.de
Fax: 040 320 88 31-30
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Opening hours:
Mon. 08.00-18.00
Tue. 08.00-15.30
Wed. 08.00-15.00
Thu. 08.00-13.00
Fri. 08.00-13.00

Internal medicine practice Fontenay
At the MEDIZINICUM Stephansplatz location
Stephansplatz 3
20354 Hamburg

Locations & Contact

Our locations in Hamburg

Our location in Schleswig-Holstein

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Telephone
Radiology St. Stephen's Square Othmarschen Nienstedten Wellingsbüttel New wall Bergedorf On the Alster Fontenay Ahrensburg
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