Congenital and acquired heart defects conservative treatment and holter monitoring in Asklepios Childrens Hospital Sankt Augustin
Asklepios Childrens Hospital Sankt Augustin
Sankt Augustin, Germany
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Program id #
320031
Dr. med. Walter Wiebe
Department of Pediatric Cardiology
Specialized in: pediatric cardiology The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- cardiological examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- indicators of inflammation
- indicators blood coagulation
- Cardiological examination
- Measurement of arterial blood pressure, EKG
- Cardiac monitoring (24h)
- ECHO
- Transesophageal echocardiography (TEE)
- nursing services
- full hospital accommodation
- explanation of individual treatment plan
Required documents
- Medical records
- Echocardiography (if available)
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About the department
The Department of Pediatric Cardiology at the Asklepios Children's Hospital Sankt Augustin offers preventive heart check-up, diagnostics and effective treatment of congenital and acquired heart defects in children of all age groups. The health of young patients is in the safe hands of an experienced team of doctors and nursing staff, who successfully deal with the treatment of both common and rare heart defects. The department has a specialized modern cardiac catheterization laboratory for interventional catheter-based diagnostics and treatment. The laboratory specialists perform more than 750 diagnostic and therapeutic interventional procedures on the heart annually. 7-14 days after the therapeutic interventional procedure, young patients undergo an outpatient follow-up medical check-up, including a clinical examination, electrocardiography and echocardiography. It is important for cardiologists to provide the child with effective medical care in a pleasant and friendly atmosphere. The department is headed by Dr. med. Walter Wiebe.
The primary task of the department's cardiologists is the treatment of young children, adolescents and adults with congenital heart defects. The key to the successful treatment of such pathologies is comprehensive diagnostics with the use of state-of-the-art equipment: systems for electrocardiography, echocardiography, spiroergometry, magnetic resonance imaging, as well as devices for diagnostic cardiac catheterization. Complex clinical cases are considered at interdisciplinary boards with the participation of pediatric cardiologists, cardiac surgeons, and intensive care specialists. According to the diagnostic results and a cooperative expert review of the clinical case, an optimal treatment strategy is developed in compliance with the child's individual needs. As a rule, a classic operation or an interventional catheterization is indicated to a child for congenital heart defect repair. The department's cardiologists are competent in interventional catheter-based procedures such as atrial septal defect closure with occluders, stent implantation, heart valve replacement surgery, direct administration of drugs for pulmonary hypertension, and others.
The department's specialists also admit young patients with arrhythmias. In some cases, a course of drug therapy is sufficient, but there are also cases when a pacemaker is required to normalize the heart rhythm. After this procedure, the child remains under close medical supervision. As of today, about 300 children and adolescents with implanted pacemakers or defibrillators are being monitored in the department. The department's specialists work with devices from almost all manufacturers and adjust them in accordance with the needs of patients, if necessary.
The department's pediatric cardiologists also provide medical care to children with arterial hypertension. Children most often suffer from high blood pressure due to other pathologies, such as heart and kidney diseases. In this case, symptomatic arterial hypertension is diagnosed in a child, and the therapy is aimed at the treatment of the underlying health condition. However, there are also cases of essential hypertension in clinical practice, in which high blood pressure is not a consequence of other diseases. The first-line therapy in such cases is lifestyle modification: a healthy diet, regular physical activity, walking, swimming, and the maximum elimination of stressful situations. If the above mentioned measures do not ensure the desired result, the child will be prescribed therapy with antihypertensive drugs.
The department's main clinical activities include:
- Diagnostics and treatment of congenital heart defects in children, monitoring of adults with congenital heart defects
- Diagnostics and treatment of acquired heart disease in children and adolescents
- Chest pain and heart murmurs
- Syncope
- Acute rheumatic fever
- Kawasaki disease
- Cardiomyopathy
- Pericarditis
- Myocarditis
- Endocarditis
- Diagnostics and treatment of arterial hypertension in children
- Diagnostics and treatment of cardiac arrhythmias
- Diagnostics and treatment of other heart diseases
The department's diagnostic and therapeutic options include:
- Diagnostics
- Electrocardiography
- Echocardiography
- Spiroergometry
- Magnetic resonance imaging
- Angiography (catheter-based examination)
- Treatment
- Drug therapy
- Interventional catheter-based therapy
- Atrial septal defect closure with occluders
- Stent implantation and balloon dilatation
- Heart valve replacement surgery
- Pacemaker implantation
- Defibrillator implantation
- Monitoring for young patients after the implantation of pacemakers, defibrillators
- Other diagnostic and therapeutic methods
Photo of the doctor: (c) Asklepios Klinik Sankt Augustin GmbH
About hospital
The Asklepios Children's Hospital Sankt Augustin positions itself as an ultramodern maximum care medical facility for children and adolescents. A distinctive feature of the hospital is the exceptionally high quality of medical service, a sensitive attitude and compassionate care for young patients. The hospital diagnoses and treats children of all age groups, ranging from premature infants to adolescents. The treatment is based on an integrated approach, whereas parents are also involved in the therapeutic process. They serve as a reliable support to their children.
The hospital is proud of its unique experience of more than 40 years. The hospital has 225 beds for the treatment of young patients on an inpatient basis. More than 9,000 inpatients undergo treatment here annually, and about 40,000 more children receive outpatient medical care. The number of patients of the hospital increases every year, which indicates the prestige of the medical facility in Germany and abroad.
The hospital has 15 specialized departments, including the Department of Pediatric and Adolescent Medicine, Pediatric Urology, Pediatric Cardiology, Pediatric Cardiac Surgery, Pediatric Orthopedics, Pediatric Neurosurgery. The medical team of the hospital consists of more than 850 employees. The department's doctors have excellent reputation in professional circles and make every effort to provide effective treatment.
In their clinical practice, doctors pay due attention to interdisciplinary cooperation, which allows them to cover the entire spectrum of pathologies in children, including complex and rare clinical cases.
The services of the hospital meet the most strict requirements of the German healthcare system. The quality of medical services is regularly monitored by external and independent expert commissions. Since 2009, the hospital has been awarded the "Ausgezeichnet. FÜR KINDER." certificate, which is the most prestigious one for pediatric medical facilities in Germany. In addition, the hospital has the "Aktion Saubere Hände" certificate that guarantees the maximum safety of treatment for young patients and the compliance of the hospital with the highest hygiene standards.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Asklepios Children's Hospital Sankt Augustin live in comfortable rooms designed in bright colors. The standard room furnishings include an automatically adjustable bed, a bedside table, a wardrobe, and a TV.
Meals and Menus
The patients receive an individual, self-selected breakfast and dinner. Lunch is prepared centrally for all patients. Parents can dine at the on-site cafeteria.
Television
After agreeing with the parents and the medical staff of the hospital, young patients may watch TV in the rooms of their department. The rooms for parents also have TVs.
Religion
The hospital has a prayer room where young patients and their parents can be alone for prayer. Divine services are held on Wednesdays from 12:15 to 12:30.
Accompanying person
When treating children under the age of 7 years or if special care is necessary, one of the parents may stay for free in their child’s patient room (a separate bed is provided), meals are included. To do this, one should register in the appropriate department. In other cases, as well as for the second accompanying person, accommodation and meals should be paid separately (hostel for parents or apartments in Ronald McDonald Haus).
