Danas su našu ustanovu i direktora, prof. dr. Elmira Jahića posjetili dragi gosti: osvjedočeni prijatelj Bosne i Hercegovine, Diego Arria, bivši ambasador Veneceule u UN i predsjedavajući Savjeta bezbjednosti UN tokom 1992.godine i naš čuveni akademik Abdulah Sidran. U delegaciji je bio i generalni sekretar VKBI, g. Emir Zlatar. Gosti su odsjeli u hotelu Most koji se nalazi u okviru Medical Institute Bayer i izrazili su zadovoljstvo kvalitetom usluge koja je pružena. Naši gosti se nalaze u Tuzli zbog promocije knjige “Usporeni genocid u Bosni”, autora ambasadora Diega Arrie koja se održava danas, 25.05.2023. godine u 18.00 sati u Centru za kulturu, Galerije portreta grada Tuzla.


U Medical Institute Bayer počinje sa radom porodilište sa neonatologijom. Na čelu našeg tima su Prof. dr Zlatan Fatušić – ginekolog, akušer, Prim. dr Amer Mandžić – ginekolog, akušer i Prof. dr Fahrija Skokić – pedijatar, neonatolog.

Telefoni za dodatne informacije: 035 309 122 i 035 309 140. Ili na mailove:

MIB – Život je lijep.


The Body Mass Index (BMI) is a method of calculating nutrition. BMI is calculated very easily and is based on the body weight and height of the person. What is the index beyond the value-value framework, it is a greater risk of having heart disease, diabetes, and elevated blood pressure.

BMI should be understood as a framework method, since the actual health condition of a person should be assessed in the wider medical context.

Supplied by BMI Calculator USA


In the table below, you will read in what situations after the surgery you need immediate medical help, which situations are considered urgent, what information you can, among other things, get from a doctor, as well as what information the doctor or nurse can ask you:

What to do if?

Needed immediate
medical assistance
Urgent problems Questions
Go to the nearest Ambulance or call Ambulance Contact your doctor Contact a specialist surgeon
Strong chest pain similar to pain before surgery Weight gain more than 0.5-1 kg daily for 2 days Instructions at release
Heart rate faster than 150 beats per minute with a lack of air or new irregular beats Worsening of the feeling of lack of air Issues related to surgery
Feelings of lack of air that does not disapear during rest Sharp pain during deep breathing Wound care
Chills with shaking Temperature is higher than 38°C twice within 24 hours Recovery after surgery
Coughing out bright red blood Permanent bleeding from a cut What can a doctor or nurse ask you if you call?
Sudden numbness or weakness of arms and legs Redness of wound, heat upon touch, swelling or discharge from wound How long have you been having these symptoms?
Sudden strong headache Skin rash What medicines are you currently taking?
Unconsciousness Extreme tiring When were you released from the hospital?
Strong pain in stomach Frequent urination, burning on urination, frequent and strong urge to urinate, bloody urine Related to discharge from the wound: appearance of the discharge, how long does it run, does the discharge improve or worsen, is there any odour?
A new onset of nausea, vomiting or diarrhea Acute gout Does a home care nurse come to you?
Clearly bloody stool Increased ankle swelling or increased pain in the leg

What's the emergency?

Everything we list should be treated as an emergency. If someone close to you or yourself find yourself in one of these situations, first of all, you need to call Ambulance in your city or bring a health-threatend person to the Ambulance:

  • The person stopped breathing or the heart stopped beating
  • A person suffers from severe chest pain or has difficulty breathing
  • There is serious bleeding from any part of the body
  • The person was unconscious or is still unconscious
  • A person feels drowsiness or weakness on one side of the body and/or has a problem understanding what you are saying
  • In other situations where a person suffers from sudden and unbeaable pain, in the event of head injuries, severe allergic reactions, bone injuries or when feeling incapacitated in any way.


Still not sure?

If you are still not sure whether the situation is urgent, you need help for something less serious or just want some advice, you can contact us on listed phone numbers, e-mail, ask our doctors on the web site within the “Our team” section or call your family doctor.


Our “BH Heart Center” has at its disposal an Emergency Medical Assistance Service with 24-hour assistance to life-threatened people with cardiovascular problems, regardless of their place of residence, and we are one of the most successful hospitals in the region for helping people in urgent health care .

The transport center of the Center is at your disposal for 24 hours. In the most modern medical vehicles, patients are transported accompanied by professional medical personnel.

In emergency situations, when a life-threatening patient can not receive adequate medical treatment in his city, he is transported by a medical vehicle or helicopter to the “BH Heart Center “.

In this case, our medical staff will immediately take care of the patient in order to avoid life-threatening situation, and contact the commission of the clinical center in the city from which the patient comes, for explanation and preparation of documentation.

In the near future, we will distribute our capacities across the entire country in the form of “satellite centers” that will have the task of quickly accepting urgent cases of heart disease, rapid diagnostics and rapid transport to the Center.

This excellent performance can only be maintained if people use emergency services for the right reasons, and not as an alternative to their treatment in the usual way. Emergency departments are strictly and soley for emergency cases.


Each patient reacts differently to a surgery. Thus, the recovery is different after each surgery, whether it is an aortocoronary bypass of narrowed or blocked arteries (CABG-BYPASS) or repair/replacement of a narrow valve. In spite of these differences, some things can be generalized.

After a heart surgery, and sometimes even before the procedure, patients and their families often ask questions about a later recovery. The answers to the most common questions are as follows.

Remember: If your doctor's instructions are in any way different from the ones listed below, always follow the instructions of your doctor.


  • To have a reduced appetite. It takes a few weeks for the appetite to be returned. Many patients noted that their taste was reduced or almost disappeared. It will be back. Some patients even complain of nausea after smelling food 1-2 weeks after surgery.
  • To have swelling of legs, especially if you have a cut on the leg. This leg will have a tendency to swell for some time. Raising your legs will help. Wear elastic stockings if prescribed.
  • To have trouble sleeping at night. It may happen that you have difficulty falling asleep or waking up at 2:00 or 3:00 in the night and you can not fall asleep again. This will improve. Sometimes it helps to take a painkiller before bedtime.
  • To have a constipation. You can use a laxative of your choice. Add more fruit, fruit juices and fibrous vegetables to your diet.
  • To have mood swings and feel depressed. You can have good and bad days. Do not get discouraged. The situation will be corrected.
  • To have a thickening at the top of the cut above the thoracic bone. It will eventually disappear.
  • To notice occasional “snapping” or other sensation in the chest in the first days after surgery. It should be happening more and more rare and disappear during the first few weeks. In case of worsening, call your surgeon.
  • To feel muscle pain or tension in the shoulders and upper back between shoulder blades. This will improve over time. Painkillers will ease this discomfort.
  • Remember that it takes 4 to 6 weeks to start feeling better.
  • Take all medicines prescribed by your doctor.
  • You may feel stiffness in the area to the left of the wound if an internal chest artery (LIMA, chest artery) has been used during the surgery. That is normal.


While in the hospital, follow the doctor's instructions. After releasing the wound can be washed with a mild soap and warm water daily.

Avoid strong rubbing of cutting location.

Keep in mind that cuts can easily burn in the sun. Protect cuts from excessive exposure to the sun during the first year after surgery. The scar will pigment more (become darker) if exposed to the sun. Do not put any lotions, creams, oils and powders on the cuts, unless the cardiac surgeon says otherwise.

Check the wound every day.

Tell your doctor if you notice any of the following:

  • Increased sensitivity of the cut
  • Increased redness or swelling around the edges of the cut
  • Any kind of leak from the wound
  • Increased long-lasting temperature


If a vein from a leg is used in aortocoronary bypassing, follow these instructions:

  • Nourish the wound on the leg as described above.
  • Avoid crossing legs because it is not good for circulation.
  • Avoid sitting in one position or standing for a long time.
  • Raise your legs on a chair when you are sitting. You can also lie on the couch and lift your legs on the couch back.
  • Check if your leg is swollen every day. The swelling should be reduced when you lift your legs, but it can return when you stand. If your leg still swells or your condition worsens, tell your doctor.
  • If you are prescribed elastic socks or elastic bandages, wear them for at least two weeks after release when you are on your feet. Socks reduce swelling, especially if you have a cut on the leg. Remove elastic socks before bedtime.


If an artery from left or right forearm is used in myocardial revascularisation, treat a wound as mentioned above. In some patients, occasional feelings of frisson or quiver may occur in the area of ​​the thumb or palm. These problems are not troublesome and are transient.


Before releasing home, you will receive a release letter with a list of medicines you need to take and medicines for the first few days. Take medicines exactly as prescribed.

Always carry with you a list of medicines you are currently taking, the dose and time you need to take them. Do not take other medicines without a doctor's knowledge.

You will receive further information on medicines from a nurse or a doctor before release.

Side effects

It's important to understand that medicines can cause side effects. If you have any of the following side effects of medicines, you should contact your doctor:

  • Excessive nausea, diarrhea, constipation or stomach pain
  • Vomiting
  • Dizziness at standing
  • Confusion
  • Quiver in fists and feet
  • Extremely slow or fast pulse
  • Skin rash


Stop immediately with any activity if you feel breathless, notice irregular heartbeats, feel weakness or dizziness, or have chest pains.

Take a break until the symptoms disappear.

If they do not disappear within 20 minutes, inform your doctor.


You can take a shower after wires of a temporary heart electrostimulator have been removed. Avoid soaking in a bath until the wounds have healed. Avoid hot water.


Recovery needs balanced rest and exercises. Plan a break between activities and, if necessary, a little sleep. Resting also includes a quiet seating for 20-30 minutes. Relax at least 30 minutes after eating, and before exercise.


Limit visits during the first few weeks. If you are tired, apologize and lie down. Your visitors will understand.


This is one of the best ways to exercise because it improves circulation of the whole body and heart muscle. It's important to gradually increase your activity. Walk at a speed that suits you. Stop and relax if you feel tired. Each person is recovering at a different pace after heart surgery. Do not try too many things at once. In the cold weather, wear a scarf or mask around the mouth and nose.


You can freely go up stairs, unless your doctor tells you differently. Take them with small steps. Stop and relax if you feel tired. If you use a grip, do not pull yourself up using hands. Use your feet.


As a passenger in a car, you can drive at any time. Avoid driving a car, bicycle or motor 6 weeks after surgery. This period of time is recommended in order for the chest bone to heal. When traveling, exit every 2 hours from the car and walk for a few minutes.


You should not strain chest bone too much while healing. Avoid lifting, pushing or pulling anything heavier than 5 kilograms for 6 weeks after surgery. This includes carrying children, groceries, luggage, mowing, sucking and moving furniture. Do not hold your breath during activity, especially when you lift something.

Daily weighing:

Weigh yourself each morning at the same time after urination, but before breakfast. Use the same scales every day.

Keep a record of daily weight.

Notify your doctor in case of gain 1 kg or more overnight.

Patient Safety Briefing film from Haelo on Vimeo.

When do you continue with usual activities?

1-6 weeks:

  • Easier home jobs: dust removal, table setting, dishwashing, stacking clothes.
  • Light gardening: planting plants, cropping flowers
  • Handicraft, cooking, climbing stairs, shopping, restaurants, car passenger, walking

After 6 weeks:

  • Return to work part-time (if the job does not require lifting of weight and if the return is approved by a surgeon)
  • Heavy home work: vacuum cleaning, sweeping, laundry, ironing
  • Harder gardening: mowing grass, grabbing leaves
  • Official or recreational trip, fishing, light aerobics (no weights), dog walking, car driving

After 3 months:

  • All previous activities (but also greater permissible intensity)
  • Heavy home work: floor scrubbing, window washing
  • Hard gardening: removing snow, digging
  • Football, tennis, bowling, hunting, jogging, cycling, weightlifting, riding a motorcycle, push-ups


In the “BH Heart Center” we take care that your recovery is in the best order and that you are ready to go home as soon as possible, provided you have recovered enough and that you have everything you need to fully recover.

During your stay, the medical assessment team works together to consider your medical needs and your progress in recovery. This means that they can jointly assess that you have been completely cured and that you are ready to go home or that you may need additional care and care outside the hospital, such as:

Ambulatory medical checks

  • Intermediary care – assistance from a nurse or professional therapist
  • Home treatment equipment
  • Family help and care

On the day of a departure home, the patient and his family will be placed in the pleasant surrounding of the daily rooml of our Center, where they will talk with the kind and professional medical personnel about the current state of health and the details to be taken into account.

We will talk to you to make sure that you have all the necessary assistance, equipment and medicines, and give you the opportunity to ask all the questions you have without worry.

With state-of-the-art equipment, the Center uses a specialized hospital software that enables continuous monitoring of a patient from hospital admission to leaving the hospital, and control and care for the patient after a medical treatment. Your medical card will be computer-updated, and then you and our nurse coordinator will agree on the date of the first postsurgery control by a surgeon.

If your doctor has prescribed medicines, you will receive a prescription from your family doctor with which you can get them at a pharmacy.

When you are discharged from the hospital, for your records, please provide your general practitioner with your release letter containing the details of the admission and the reasons for which you came to the hospital, what medical treatment you have gone through, and the details of new or changes to existing medicines.

If you are applying for a sick leave, do not forget to ask for a release certificate to prove your claim.



Upon release from our Center, carefully read the Release Letter and follow the instructions given in the chapter on recommendations and therapy.

Be sure to do control examinations with a specialist doctor who is indicated.

Always bring a release letter to control examinations, findings from all previous control examinations, and findings of doctors of other specialties if they are indicated in the release letter.

For all examinations in our Center you need a referral of your competent doctor.


035/309-141; 035/309-225.


At home

If you have any further questions about your condition or treatment after you left the hospital, you can always contact us via available phone numbers or e-mail addresses.

If you feel that you can use additional professional support on your return home, contact your general practitioner to provide you with a list of useful caregivers that can help you.

How to behave after surgery, how to treat the wound, what activities are allowed, how to take prescribed medicines, and what are possible side effects can be read in the INSTRUCTIONS FOR OPERATED PATIENTS.


Preparing patients for surgery and other invasive procedures in some cases involves exclusion of therapeutic medicines they use. You will be informed in detail and in a timely manner about all the steps you need to take before the treatment. You can also read the details on this on the following links:

  • Preparation for selective coronography
  • Preparation for surgery

On the day of surgery, the patient carries out personal hygiene and waits on a sterile sheet on a bed.

A nurse is with the patient all the time, cordially talks to him to deal with any suspicion and fear of the procedure, and to provide the patient with information about all the details.

Of course, doctors are also available to the patients at any time for any reason, and there is no reason to hesitate to talk to them. They will tell you all the details in order to be fully informed.

The surgical procedures we perform in the “BH Heart Center” may seem terrible, but remember that these are routine procedures for our experts and that you have no reason to worry about it. Patients come to us with a problem and leave with a smile.

You will be asked to sign a consent form if you will be subjected to a procedure that requires the use of anesthetics or a procedure that may have significant side effects or complications. This will confirm that you understand the details given to you by a doctor or consultant and that you consent to the described medical treatment.

Nurses will provide your family with a contact telephone number and a telephone number of the department where you will be acommodated, so that, at any time of the day, they can get information about your health.

Upon completion of an operation or an invasive diagnosis, they will invite your family members to inform them about the results of the medical treatment, your current health status, and when they can visit you and how much your hospital stay is planned.

Our staff is also available through e-mail beyond working hours, through which nurses respond to asked questions from family members of the patient who is hospitalized.


When you are about to go to the hospital, follow the instructions that you received from our nurses when scheduling hospitalization. This will make sure that you have also included all additional items that are not listed below, for which you were directed to take them with you. Let us remind you:

  • Findings and opinion of your cardiologist as well as all medical records you have collected so far regarding the reason for your arrival, if you have not already forwarded it to us.
  • Consent of the Health Insurance Fund and general practitioner's referral, if you are treated at the HIF.
  • Laboratory findings if this is indicated to you when scheduling the appointment.
  • Pyjamas/Nightgown
  • Slippers
  • Personal toiletries
  • Books, magazines or things to help you pass time during  your stay in the BH Heart Center.
  • Reading glasses if you need them

Do not forget to take your medicines with you if you are already using medical therapy and if it's indicated that you should not interrupt it before surgery!

You can read more about the preparation of a patient for selective coronarography, left ventriculography and surgery on the following links:

  • Preparation for selective coronography
  • Preparation for surgery


On the day you come to the hospital, please check in the receipt letter the exact date when you need to report to the hospital.

We advise you to report to the Center 10 minutes before the scheduled appointment. Patients will be admitted to a doctor in the order of scheduled appointments, not on arrival.

If you have a cold or cough and you are not sure if you should come, please call our nurses-coordinators from the receiving departments for additional advice:

  • Tel: 035309-108 – Nurse Erna Sejfulović (Cardiology Department)
  • Tel: 035309-123 – Nurse Leila Ćorhodžić (Cardiovascular department)

Upon arrival at the BH Heart Center, you will receive more information about the medical staff and procedures involved in your care and hospital stay. The nurses- coordinators will escort you from the reception to the reception infirmary.

Your family or friends can stay with you during your admission to the hospital. If you are a patient in a daily hospital and you are given any form of sedative, we recommend that you arrange your safe transportation to your home or arrange a trip with our transport service at your disposal 24 hours a day. In our medical vehicles and with professional staff you will feel safer.

If you stay longer in the hospital, the nurse will provide your companions with a contact telephone number and the telephone number of the department where you will be located, so that they can get information about your health condition at any time of the day.

Our staff is also available via e-mail beyond working hours, through which nurses respond to asked questions from family members of the patient who is hospitalized.

Upon receipt you will be accomodated in the planned hospital room, you will get breakfast and then the therapy.

The responsible nurse will talk to you to get to know you, relax and alleviate the feeling that you are in the hospital. Inform the nurse if you have any special needs or requirements such as difficulty in movement, hearing or sight impairment, difficult speech or specific cultural and religious needs.

Before you start treatment, your doctor will visit you to check how you feel and to provide necessary details about the medical treatments that await you. If you have any further questions or concerns, talk to your doctor to help you.

The staff of our clinic carry identification tags with the name and occupation label, so you always know who you are talking to. In addition, they wear uniforms of different colors, to make it easier for you to recognize them.

Remember that doctors and other medical staff are there for you, and are available 24 hours a day.

Patient rooms

Each patient has the right to enjoy a quality hospital treatment that guarantees safety and efficacy, and respects his privacy and dignity.

“BH Heart Center” is dedicated to providing high quality services to every patient, which means peace, equipped and separated men's and women's hospital rooms, which contributes to the preservation of privacy and dignity of patients at the moment when they are most sensitive.

We have completely aligned our accommodation capacities with the requirements regarding this issue.

Female and male patients stay in different rooms.

Sharing space with members of the opposite sex will occur exclusively in exceptional situations when this is inevitable based on clinical needs, for example, where patients need specialized equipment in areas of critical concern.

But even in such circumstances, we are trying to reduce any inconvenience.

It is possible that visitors of the opposite sex will enter the room where the patient's bed is, and this may include patients visiting each other. Nurses, doctors and other staff of the male and female sex will enter the patients’ rooms.


What does this mean for patients?

  • Our patients can expect the following:
  • Patients can expect a quiet stay in the hospital, respect for their needs, privacy and dignity
  • Professional and friendly staff is available 24 hours a day
  • Each room has a bell, which will be used for calling your nurse and doctor at any time of the day or night
  • Each room has a separate toilet and a bathroom
  • Each room has TV and internet
  • In the room where you will be accommodated, only the patients of the same sex will stay with you.
  • It is possible that there will be both male and female patients in the department, but they will not share the same bedroom.

If a patient needs help to use a bathroom, a member of the medical staff will be with him, but other patients will not use the bathroom at the same time.

If you experience any problems such as pain, choking, insomnia, use the bell and the doctor and nurses on duty will be with you at the same moment. At the “BH Heart Center”, a patient is not alone, he is always in the safe hands of our medical staff and problems are solved immediately.

If you want to talk to the Director of the Center Dr. Kabil, he will always be available to talk to you.

Nurses will gladly provide you with answers to all your questions, what kind of treatment you are using and why and it is used by the device.

All patients like to be informed, this is your right and our duty.

“BH Heart Center” continuously monitors all areas of trust in order to maintain the desired standard of stay for all patients.

The Center advocates dignified treatment and will continue to provide safe and effective services and to work to ensure that all patients are treated equally, with dignity and respect.

If you have any comments or suggestions regarding your hospital accommodation, feel free to contact our staff, and it will be very helpful.


Nutrition of hospital patients

For patients who stay overnight and longer, we provide a wide range of catering services that suit your needs.

Our menus are designed to offer a wide range of nutritious meals that will satisfy all your  nutritional needs.

Time of meals is respected, which means that all hospital activities that are not urgent will be suspended for a certain time, so that patients can eat their meals in peace, without interruption, and if necessary – with the support of medical staff.

Food will be available 24 hours a day, as well as hot and cold drinks or chilled, arranged fruit. If you experience hunger or thirst, do not hesitate to call a nurse on duty.



If you are hospitalized in our Center, you can receive visits every working day from 15:00 to 17:00, and on Sundays and holidays from 15:00 to 18:00.

One patient can be visited by two people at the same time with a stay of up to half an hour, or a shorter stay, if recommended by a competent doctor.

You can spend moments of socializing with your family and friends in the pleasant ambience of the visiting room, and depending on the patient's health, visits can also be provided within the department on which he is located.

Visits in some cases may be prohibited by a decision of a competent doctor, in certain cases of infectious diseases, measures of competent state authorities, etc., about which the patient and visitors will be informed.

When it comes to food, a patient can only receive fruit and juices from visitors.

Please follow instructions of the staff, respect staff and other patients, and respect the house rules of the Center. Also, when visiting the BH Heart Center BH, please read the house rules andinstructions in order to inform yourselves about the rights and obligations, not only of patients and visitors, but also of our staff.


Get to know the house rules

When are infirmaries open? What is the time of visits? What is the time peiod of visits? Are visits to the departments permitted or just within a daily stay? Can visitors bring food to patients? Other things that are provided in house rules, which are not specified.


Infection control

The risk of infection by hospital infection is very low, but about 8% of patients in any hospital in the world at any given time may have staphylococcal infection.

Infection control is one of the key priorities in the “BH Heart Center”. We are among the most successful in the region when it comes to controlling infections, of course, with the engagement and cooperation of staff, patients and visitors.

One of our best weapons to fight infections is to ensure that patients and visitors get their hands washed on entering and leaving hospitals and departments.

The hand washing is insisted because antibiotic-resistant bacteria are on the rise. In order for the patients at the hospital to be safe, we all have to look after the hygiene, regularly wash our hands and use antibacterial soaps.


All information on cardiac procedures and surgeries in the BH Heart Center Tuzla can be obtained through our Reception Office, which works every working day from 07-15 h to the following telephone numbers:

Nurse Erna Sejfulović
(Interventional cardiology department)

Phone: 035309-108
Fax :035309-240.

Nurse Leila Ćorhodžić
(Cardiovascular surgery department)

Phone: 035309-123
Fax :035309-240.


Zdravstvena ustanova Specijalna bolnica "Medical Institute Bayer" Tuzla već godinama zauzima lidersku poziciju u dijagnostici i tretmanu kardiovaskularnih bolesti u BiH i regionu.

Sva prava zadržava MIB