Sick sinus syndrome (SSS) diagnosis in Beta Clinic Bonn

About the department

The Department of Cardiology and Angiology at the Beta Clinic Bonn offers the full range of medical services in the areas of its specialization. The department provides diagnostics and treatment for diseases of the heart, arteries, veins, and lymphatic vessels. In the field of cardiology, the key focus is on the treatment of coronary heart disease, heart rhythm disturbances, heart failure, and arterial hypertension. The team of angiologists most often treats patients with carotid stenosis, pelvic and lower limb artery stenosis, venous thrombosis, and aneurysms. The department has a modern diagnostic base, which allows the doctors to perform high-precision examinations to detect or exclude pathological changes in the heart and vascular system. Therapeutic options include both drug therapy with highly effective drugs and catheter-based interventional procedures. The department also offers comprehensive Check-up programs aimed at assessing the risks of developing myocardial infarction, arrhythmias, stenosis, and vascular occlusions. The department's doctors are highly qualified specialists, so they always find the best solutions to help patients with pathologies of varying severity. The department is headed by Prof. Dr. med. Jörg Otto Schwab.

The department pays special attention to the diagnosis and treatment of coronary heart disease. In patients with this disease, the blood supply to the heart muscle is disrupted due to narrowing or thrombosis of the myocardial arteries. Coronary artery disease may cause chest pain, difficulty breathing, general weakness, and other complaints. In the absence of timely and adequate treatment of this heart disease, the patient is at risk of developing myocardial infarction. When a patient is admitted to the department, doctors study his medical history and complaints, followed by a clinical examination, resting and stress ECGs, cardiac echocardiography, angiocardiography, and a series of laboratory blood tests. If the diagnosis is confirmed, treatment may include conservative and surgical techniques. As a rule, conservative treatment is prescribed in the early stages of coronary heart disease to control the pathology and prevent its progression. At this stage, the department's doctors combine drug therapy with lifestyle modifications (a healthy diet, giving up bad habits, dosed physical activity), and physiotherapy. In complex cases with critical occlusion of the heart arteries, the department's specialists recommend patients undergo angioplasty with coronary artery stenting. During the procedure, a balloon catheter is delivered to the site of stenosis and expands the lumen of the affected coronary artery, after which a stent (a metal mesh frame) is implanted inside, which maintains the lumen of the blood vessel necessary for normal blood flow. The last-line treatment for coronary artery disease is coronary artery bypass grafting, which is the responsibility of cardiac surgeons.

The department has modern methods for diagnosing and treating heart arrhythmias. As a rule, diagnostics include an electrocardiogram (ECG) to assess heart rhythm, echocardiography (heart ultrasound scan) to examine the heart muscle and valves, and detection of other heart conditions that may cause abnormal heart rhythms. The department also offers invasive diagnostic methods, namely cardiac catheterization. With all the diagnostic data, the department's cardiologists develop an effective treatment regimen. When patients have minor pathological changes in the heart rhythm, the specialists usually only prescribe drugs. Lifestyle modifications also play an important role: eliminating stressful situations, quitting smoking and drinking alcohol, as well as engaging in physical exercise. For patients with more severe forms of heart arrhythmia, the department offers radiofrequency catheter ablation and interventions to implant pacemakers and defibrillators.

The treatment of heart failure is also one of the priorities of the department's cardiologists. Diagnostics for suspected heart failure include laboratory tests, electrocardiography, echocardiography, 24-hour Holter ECG monitoring, chest X-ray scans, and other tests. As for the treatment, the department's specialists are competent in drug therapy. Patients are prescribed diuretics, ACE inhibitors, beta-adrenergic blockers, aldosterone receptor antagonists, and others.

In the field of angiology, key attention is paid to medical care for patients with carotid stenosis, pelvic and lower limb vascular stenosis, venous thrombosis, and abdominal and thoracic aortic aneurysms. The department's doctors successfully carry out drug therapy and endovascular interventions to treat vascular pathologies. Percutaneous transluminal balloon angioplasty followed by stenting is the most requested procedure among patients with vascular stenosis and obstructions. The essence of the procedure is as follows: a doctor inserts a flexible catheter-based system through a small skin incision and advances it to the blood vessel affected by stenosis; a special balloon is then inserted through the catheter that inflates, which leads to improved blood flow. The final stage of the therapeutic manipulation is stent implantation, due to which the lumen of the blood vessel remains open.

The department's range of medical services includes:

• Diagnostic options
  • Resting and stress ECG, 24-hour ECG monitoring
  • Resting and stress echocardiography using 3D electrocardiography
  • 24-hour blood pressure measurement
  • Spiroergometry
  • Doppler ultrasonography
  • Color duplex sonography
  • Computed tomography
  • Magnetic resonance imaging
  • Angiography
  • Comprehensive Check-up programs
• Therapeutic options
  • Drug therapy
  • Pacemaker and defibrillator implantation
  • Radiofrequency catheter ablation
  • Percutaneous transluminal balloon angioplasty with stenting
  • Endovascular catheter thrombectomy
  • Thrombolysis
• Other diagnostic and treatment methods