Information about the check-up packages which Acibadem City Clinic offers. Prevention and screening programs.

1. GENERAL INFORMATION BROCHURE
PREVENTION PROGRAMME

2. The Acibadem City Clinic Hospitals PREVENTION PROGRAM aims to optimize one’s health, as well as the
health status of their family, relatives and colleagues.
Whether one is employed, self-employed or taking care of their family, we know everyone’s time is limited.
People ask for the best medical care, but their time is insufficient. They expect excellent service, the best
experts and minimal waiting time. We, at Acibadem City Clinic Hospitals understand that. Therefore we offer
healthcare and complete preventive health services with an entirely new approach.
We are pleased to offer a variety of clinical services aimed at the early prevention of cardiovascular, cancer
and other major diseases as well as the improvement of physical health.
Before starting one’s program, patients receive an in-depth e-questionnaire to prepare them for their visit,
to schedule the respective examinations/tests as well as to obtain individual instructions.
PREVENTION PROGRAMME
Please read carefully the General Instruction prior to conducting your program. Should you have any
questions related to logistics, or you need details on starting (launching) the program for you and your closest
ones, feel free to contact Ms. Albena Hinova at: +359 2 960 4915 or by
e-mail: albena.hinova@acibademcityclinic.bg
The dates of conducting the prevention program of your choice shall be booked according to your personal
timetable and the working schedule of the medical staff. Prevention exams shall be conducted within two (2)
days – on weekdays (a.m. or p.m.) or on Saturdays (a.m. only).
Should you have any questions related to your health status or you would like to clarify additional details related
to the medical exams and tests tailored for you, the medication therapy prior to or after launching the program,
etc., please feel free to contact Ms. Katya Vodenicharova, MD, at: +359 2 9038 107
or by e-mail: katya.vodenicharova@acibademcityclinic.bg.
After undergoing the whole screening, your results shall be discussed by medical specialists of the Hospital,
and you shall receive the final analysis – the latter shall include recommendations and a clarified tailored
prevention program in order to maintain good health or correctly established (found) aberrations.

3. CONTENTS OF THE EXCLUSIVE
The tailored Prevention program contains standard protocols consistent with the patient’s age. You shall
be given the opportunity to add additional imaging, laboratory and specified tests as well as consulting
experts, among others: a dermatologist, a neurologist, an ENT specialist, a pulmonologist, an oncologist, a
nephrologist, an endocrinologist, as well as to get vaccinations when traveling abroad.
The presented screening program gives the option of consequential inclusion of additional diagnostic tests
targeting: stomach (abdomen), colon, liver, pelvis, prostate, breast, thyroid gland, lungs. Depending on the
established tolerances of the chosen program, we shall add the necessary consultations and examinations.
You may further choose among high-tech screening methods of diagnosis of cardiac, vascular, neurological,
oncological diseases.
Please revise the following packages:
Services Specialists
Laboratory tests:
• Full blood test, Erythrocyte Sedimentation Rate, Total
Cholesterol, HDL Cholesterol, LDL Cholesterol, Tryglicerides,
ASAT, ALAT, GGT, Glukose, Hb A1C, Ka and Na Complex,
Chlorides, Ionized calcium (iCa ++), Total calcium, Magnesium
(Mg), Phosphorus, FT4 + TSH + TAT + MAT
• CRP, Lipid Profile, Inorganic phosphate, Creatinine, Uric acid,
Total protein, Albumin
• Urine - General Chemical Analysis and Sediment Indicative
Clinical Laboratory
Examination by a specialist in internal medicine - taking a history
and intrusion
Internal diseases
Examination by specialist cardiologist with EchoCG Cardiologist
Stress test (VET) (specialist cardiologist) Cardiologist
X-ray of the chest (lung) - one projection Diagnostic Imaging
Examination with the Echo of abdominal and small pelvis
(specialist gastroenterologist)
Gastroenterologist
Ultrasound examination of a small pelvis (specialist gynecologist)
Obstetrician
Gynecologist
Cytological testing
Obstetrician
Gynecologist
Ultrasound examination of a mammary glands
Obstetrician
Gynecologist, Syrgeon
STANDARD
PREVENTION
PACKAGE
age 21 – 39
PACKAGE PRICE FOR HER:
BGN 860 (EUR 440)
PACKAGE PRICE FOR HIM:
BGN 615 (EUR 315)

4. HEALTH CARE SERVICE PACKAGES
Services Specialists
Laboratory tests:
• Full blood test, Erythrocyte Sedimentation Rate, Total Cholesterol, HDL
Cholesterol, LDL Cholesterol, Tryglicerides, ASAT, ALAT, GGT, Glukose,
Hb A1C, Ka and Na Complex, Chlorides, Ionized calcium (iCa ++),
Total calcium, Magnesium (Mg), Phosphorus, FT4 + TSH + TAT + MAT
• CRP, Lipid Profile, Inorganic phosphate, Creatinine, Uric acid, Total
protein, Albumin, PSA Total
• Urine - General Chemical Analysis and Sediment Indicative
• PSA total – for men
Clinical Laboratory
Examination by a specialist in internal medicine – taking a history and
intrusion
Internal diseases
Examination by specialist cardiologist with EchoCG Cardiologist
Stress test (VET) (specialist cardiologist) Cardiologist
X-ray of the chest (lung) - one projection Diagnostic Imaging
Examination with the Echo of abdominal and small pelvis (specialist
gastroenterologist)
Gastroenterologist
Examination by ENT specialist ENT
Examination with Echo of the urogenital system (specialist urologist) Urologist
Ultrasound examination of a small pelvis (specialist gynecologist) Obstetrician Gynecologist
Cytological testing Obstetrician Gynecologist
Mammography Diagnostic Imaging
STANDARD
PREVENTION
PACKAGE
age 40 – 49
PACKAGE PRICE FOR HER:
BGN 901 (EUR 461).
PACKAGE PRICE FOR HIM:
BGN 829 (EUR 424)
STANDARD
PREVENTION
PACKAGE
age 50+
PACKAGE PRICE FOR HER:
BGN 1776 (EUR 908)
PACKAGE PRICE FOR HIM:
BGN 1705 (EUR 872)
Services Specialists
Laboratory tests:
• Full blood test, Erythrocyte Sedimentation Rate, Total Cholesterol, HDL
Cholesterol, LDL Cholesterol, Tryglicerides, ASAT, ALAT, GGT, Glukose,
Hb A1C, Ka and Na Complex, Chlorides, Ionized calcium (iCa ++),
Total calcium, Magnesium (Mg), Phosphorus, FT4 + TSH + TAT + MAT
• CRP, Lipid Profile, Inorganic phosphate, Creatinine, Uric acid, Total
protein, Albumin,
• Urine - General Chemical Analysis and Sediment Indicative
• PSA total – for men
Clinical Laboratory
Examination by a specialist in internal medicine - taking a history and
intrusion
Internal diseases
Examination by specialist cardiologist with EchoCG Cardiologist
Stress test (VET) (specialist cardiologist) Cardiologist
X-ray of the chest (lung) - one projection Diagnostic Imaging
Examination with the Echo of abdominal and small pelvis (specialist
gastroenterologist)
Gastroenterologist
Examination by ENT specialist ENT
Examination by a pulmonologist with a functional breath test (FID) Pulmonologist
Examinatiom by an angiologist with ECHO Doppler of the vascular
system (arteries and veins)
Angiologist
Examination by Neurologist Neurologist
Endoscopic testing - FIBROCOLONOSCOPY with anesthesia Gastroenterologist
Examination with Echo of the urogenital system (specialist urologist) Urologist
Ultrasound examination of a small pelvis (specialist gynecologist) Obstetrician Gynecologist
Cytological testing Obstetrician Gynecologist
Mammography Diagnostic Imaging

5. GENERAL
IF YOU HAVE DIABETES
If you are older than 21 year and you have diabe-
tes, you take medications, shots or insulin, please
read the instructions herein, and make sure you un-
derstand them before you start the program. These instructions are
based on the common diabetic drug program similar to yours.
If you keep track of your blood sugar levels at home, please bring your
glucometer, medications, and diabetes diary log when coming for your
examinations/tests at Acibadem City Clinic. If you are further sched-
uled for blood tests in the morning, do not take your morning dose of
drugs or shots prior to having your blood test drawn. After having the
possibility to eat, you may continue your usual insulin therapy.
CARDIAC STRESS TEST
This test shall determine how well your heart is per-
forming. Changes in blood pressure, heart rate and
ECG as well as your physical capacity shall be
monitored during the test. Your health consultant shall recommend
this test if you have chest pain, fatigue, shortness of breath, high
blood pressure, palpitations, risk factors for cardiovascular diseases,
family history of certain diseases.
This test shall be part of your cardiac examination. Therefore:
• You should not have any food intake one hour prior to the test
• If you take medications, do not stop unless your health consultant
has advised the opposite
• Wear comfortable clothes and running shoes
• Do not apply any cream or lotion to your chest prior to the test
since it may make your skin too oily for the device patches to stick
to your skin.
ECG (ELECTROCARDIOGRAPHY)
This is a test to help specialists define heart activity.
Using an ECG, the heart electricity activity is trans-
ferred to and recorded on paper.
Intake of certain medications may change the result of the test.
Therefore it is important that you inform your physician of all med-
ications you may be currently taking, no matter if purchased over-
the-counter or with a prescription.
Before the test, you should take off all neck and wrest jewelry.
Should you have any questions related to your preparation for the
examination, what the possible risks are and what the interpretation
of the results is, please talk to your physician. There is no pain as-
sociated with this test. There are no risks either. The duration of this
test is around 5-10 minutes.
ECHOCARDIOGRAPHY
This is a primary method used in diagnosis of vari-
ous structural and functional disorders of the heart
– in cardiovascular diseases.
No preliminary preparation on behalf of the patient prior to the ECG
is necessary. It is conducted only in left half-side or left side posi-
tion taken by the patient. The method is non-invasive and painless.
There are no risks or complications described while conducting
an ECG.
MAMMOGRAM
This is a technique used for years in diagnosing dis-
eases of the mammary glands in both women and
men. The digital mammogram is an imaging method
of low dose X-ray irradiation providing visualization of the breast tis-
sue. This is the most common method in diagnosing breast diseases.
The method is considered the best option in early diagnosis of
breast cancer and it shall be conducted for all women – even if they
have no complaints or visible changes in their breasts. (IMPORTANT:
All women of age 40+ must conduct this yearly prevention check-
up and mammogram.)
Screening mammograms are performed for asymptomatic patients
or those who do not meet the approved criteria of mammograms.
These criteria include, but are not limited to age (40+) and fami-
ly history of breast cancer. Screening mammograms usually include
images of both breasts; the number of images depends on the pa-
tient. The purpose of this type of testing is to detect breast cancer
while too small to be even detected by the patient or her physician
during a physical examination. Detection at an early stage of breast
cancer – by the means of a screening mammogram – significantly
increases the chances for successful treatment of the disease.
COLONOSCOPY
This is a device-use examination of observation of
the colon lining. Colonoscopy is recommended to
be carried out in case of the following symptoms:
abdominal pain of unclear origin, blood in the stools, diarrhea, al-
ternation of constipation with diarrhea, previous polypectomy, un-
specified diseases of the end segment of the colon.
Prior to conducting a colonoscopy, the colon must be thorough-
ly cleaned: the patient is prescribed a special diet, intake of laxa-
tive medications, increasing intestinal motility. In addition, the patient
must not take any food 10-12 hours prior to the examination.
Colonoscopy is performed under venous anesthesia (sedation); con-
sulting an anesthesiologist in advance is compulsory Note: driving is
not advisable 24 hours post procedure.
If you are a diabetic patient, please consult your physician.
If you take anticoagulants (blood thinners), please specify and dis-
cuss their intake with your health consultant – whether it will be nec-
essary to stop their intake prior to the procedure, and for how long.
SPIROMETRY (LUNG FUNCTION
TEST)
This examination shows the functional capacity of
the lungs and the processes of breathing in and out.
It is explicitly recommended for the screening of risk patients such as
smokers or people with professional diseases.
Prior to conducting the test, it is a must:
• to avoid alcohol intake at least 8 hours prior to the test
• to avoid smoking 12 hours prior to the test
• to avoid huge quantities and heavy food as well as intake of
caffeinated drinks
• Right before the examination, all tight clothes shall be removed if
restricting breathing

6. INSTRUCTIONS
UPON COMPLETION OF YOUR PREVENTION PROGRAM,
YOU WILL BE PROVIDED WITH A FINAL ANALYSIS AND RECOMMENDATIONS.
THANK YOU FOR TRUSTING ACIBADEM CITY CLINIC HOSPITALS FOR YOUR PREVENTION PLAN
• Dentures shall be removed if if they restrict/interfere
with the test
• If a bronchodilator is used or inhaled medications are taken,
the patient must consult a physician whether it is necessary
to stop their intake
• Please inform the physician if you recently have had a heart
attack or surgery or if you are allergic to certain medications.
Functional pulmonary tests are generally safe for most people
and rarely cause any complications.
ECHO-DOPPLER OF THE
VASCULAR SYSTEM (ARTERIES
AND VEINS)
This is an ultrasound examination of the blood vessels – a
graphic and sound image of blood pulsations in the arteries
and veins. Using this method, specialists can detect the level of
occlusion of the vessels, as well as assess the risk of acute is-
chemia of one’s vital organs. Echo-Doppler is used in diagnosis
and assessment of severity of various vascular diseases, among
others: arterial thrombosis, arterial embolisms, aneurysms, vari-
cose veins, venous thrombosis, thrombophlebitis, as well as the
state of the extracranial and kidney blood vessels and the ab-
dominal aorta. The method is used as diagnosis, screening and
prevention of atherosclerosis in patients at risk.
The Echo-Doppler examination is completely safe and can be
done as frequently as needed as needed and under the vas-
cular surgeon’s discretion.
LABORATORY TESTS
Blood draw can be done either at the Hospi-
tal facility, or on site – at your working place.
 Instructions when testing blood counts:
the test must be carried out in the morning (best if done
between 07:30AM and 09:00AM), on an empty stomach, in-
cluding no intake of coffee.
 Instructions when testing glucose (blood sugar):
the test must be carried out in the morning (best if done be-
tween 07:30AM and 09:00AM), on an empty stomach, includ-
ing no intake of coffee, no intake of anti-diabetic medications
or insulin.
 Instructions when testing lipid profile:
the test must be carried out in the morning, on an
empty stomach, after 12-hour fasting. In addition, 2-3 days prior to
the examination the patient must intake food poor in fat. If the pa-
tient takes medication affecting fat metabolism, they need to be
stopped for a period of two weeks prior to the test.
 Instructions when testing thyroid hormones
(TSH, FT4, TAT and MAT):
The test is conducted in the morning, before any intake of coffee
and other caffeine-containing substances, as well as no medication
intake before the blood draw.
 Instructions when conducting a total (general)
chemical testing as well as urine sediment test:
Middle portion of the first morning urine is to be tested – after a
thorough local hygiene.
 Instructions when testing tumor markers:
Tumor markers are substances produced by the human body in re-
sponse to tumor growth or by the tumor tissue itself. Some tumor
markers are specific for a certain neoplastic (cancerous) disease
while others (the majority of tumor markers) can be observed at vari-
ous neoplastic diseases as well as in numerous and various non-can-
cerous diseases. On their own, tumor markers cannot make a diag-
nosis of a neoplastic disease.
Tumor markers can be used when: screening for neoplastic diseas-
es, diagnosis of neoplastic diseases, staging a neoplastic disease,
defining the prognosis of a neoplastic diseases, clarifying on the
type of treatment, monitoring of treatment, defining relapse occur-
rence, etc.
CA 125: a cancer antigen, a protein found in increased quantities
in the blood steam in conditions and diseases like: myoma, cancer
of the uterus, ovaries and tubes, endometriosis, inflammatory pelvic
diseases, cirrhosis;
CA 15-3: the tumor marker is tested during or after the treatment
of breast cancer in order to define the response to or the effect of
treatment;
CA 19-9: the tumor marker is increased by 70-95% in patients of ad-
vanced pancreatic cancer, but it can display increased levels in other
diseases as well – such as colorectal cancer, lung cancer, gall blad-
der cancer, and obstruction (clogging) of the biliary tract, pancreati-
tis, cystic fibrosis and various liver diseases.
CA 72-4: a tumor marker of carcinoma of the GI tract, mainly the
stomach.
PSA: Prostate-Specific Antigen (PSA) is a test that is mainly used
in prostate cancer screening. An increase in blood levels of PSA
sometimes occurs in inflammation and hypertrophy of the gland.
The test is done by taking venous blood and no special prepara-
tion is required.

7. LEADER
ACIBADEM CITY CLINIC provides full
diagnosis and contemporary treatment
based on the good medical practice
(European and US Guidelines) thanks to
the combination of leading specialists of
proven international experience and
state-of-the-art equipment.
”This was one of the
most valued days
of my life”
CARE FOR ONE’S HEALTH IS AN ACCEPTED RESPONSIBILITY
DEDICATE A PART OF YOUR
TIME. MAKE A STEP TOWARDS
A LONGER AND HEALTHIER LIFE.
QUALITY
ACIBADEM CITY CLINIC has developed tailored
screening plans for all its patients – these
packages of health services include screening
of potential risk factors, prevention and early
diagnosis of diseases, as per our patients’
individual needs. The Hospital provides an
efficient process of transition from a healthcare
screening to a full-range treatment course.
www.acibademcityclinic.bg

8. PREVENTION PROGRAM LOCATIONS
WWW.ACIBADEMCITYCLINIC.BG
Acibadem City Clinic Cardiovascular Center
is a teaching hospital of the
Sofia University St. Kliment Ohridski
and Varna Medical University
Б а, а а а
Joint Commission International
Hospital, accredited
by Joint Commission International
Б а, а а а
Joint Commission International
Hospital, accredited
by Joint Commission International
Hospital
accredited by
Joint Commission
International
66A Tsarigradsko shose Blvd., 1784 Sofia
phone +359 894 138 988
e-mail: onco@acibademcityclinic.bg
127 Okolovrasten pat Str., 1407 Sofia
phone +359 894 138 988
e-mail: cardio@acibademcityclinic.bg
Б а, а а а
Joint Commission International
Hospital
accredited by
Joint Commission
International