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Treatment of Atrioventricular Block (av-block)

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

AV-Block Diagnosis
 from  496
Atrioventricular block diagnosis and conservative treatment
 from  1489
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
 from  6535

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques. The clinic has at its disposal the latest
AV-Block Diagnosis
2268 help1718
Atrioventricular block diagnosis and conservative treatment
5017 help4557
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
19162 help16882

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Cardiology, Angiology and Internal Intensive Care

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
AV-Block Diagnosis
1945
Atrioventricular block diagnosis and conservative treatment
5171
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
18862

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Cardiology and Angiology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
AV-Block Diagnosis
2479
Atrioventricular block diagnosis and conservative treatment
6787
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
26024

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Cardiology, Angiology and Pulmonology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Atrioventricular block diagnosis and conservative treatment
0
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
0

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Cardiology, Pulmonology and Angiology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
AV-Block Diagnosis
1969
Atrioventricular block diagnosis and conservative treatment
5437
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
19492

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Cardiology and Angiology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
AV-Block Diagnosis
1826
Atrioventricular block diagnosis and conservative treatment
4900
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
17500

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Cardiology, Angiology, Pulmonology and Intensive Care

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
AV-Block Diagnosis
1945
Atrioventricular block diagnosis and conservative treatment
5293
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
19623

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Cardiology and Angiology

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
AV-Block Diagnosis
1815
Atrioventricular block diagnosis and conservative treatment
5055
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
18889

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Cardiology, Endocrinology, Nephrology and Pulmonology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
AV-Block Diagnosis
1810
Atrioventricular block diagnosis and conservative treatment
4786
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
17518

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Cardiology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
AV-Block Diagnosis
1916
Atrioventricular block diagnosis and conservative treatment
5365
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
19558

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Cardiology, Pulmonology and Angiology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
AV-Block Diagnosis
1940
Atrioventricular block diagnosis and conservative treatment
5403
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
19512

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Cardiology, Angiology and Internal Intensive Care

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
AV-Block Diagnosis
1797
Atrioventricular block diagnosis and conservative treatment
4977
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
17439

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Cardiology, Angiology and Internal Intensive Care

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
AV-Block Diagnosis
1720
Atrioventricular block diagnosis and conservative treatment
4720
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
16472

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Cardiology, Angiology and Pulmonology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
AV-Block Diagnosis
1953
Atrioventricular block diagnosis and conservative treatment
5403
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
20049

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Cardiology, Angiology and Pulmonology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
AV-Block Diagnosis
1955
Atrioventricular block diagnosis and conservative treatment
5353
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
19697

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Cardiology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
AV-Block Diagnosis
1807
Atrioventricular block diagnosis and conservative treatment
4899
Pacemaker implantation and coronary angiography to treat AV block Type Mobitz
17538
| from Booking Health GmbH

Atrioventricular block is an impairment of the conduction of impulses directed from the atrium to the ventricles. A rare pulse and syncope (fainting) conditions become manifestations of heart disease. In severe cases, AV block leads to loss of consciousness, brain oxygen deprivation, and can cause sudden cardiac death. The treatment of atrioventricular block requires pacemaker implantation. After this procedure, the heart rate is completely normalized.

Content

  1. Causes
  2. Degrees of heart block
  3. Symptoms
  4. Diagnostics
  5. Treatment
  6. How to get treatment in the world's leading hospitals

Causes 

 

Atrioventricular block can occur due to functional or organic causes. Functional AV block is potentially a reversible, and often asymptomatic disorder. It can be associated with increased vagal tone, electrolyte disorder, drugs, or toxins. Organic AV block has a worse prognosis and often requires invasive treatment. Even in first-degree heart block, the risk of death from all causes increases.

Atrioventricular conduction disorder is associated with a large number of diseases, which lead to myocardial lesions:

  • Coronary artery disease and myocardial infarction (after a heart attack, severe AV blocks develop in 3% of patients).
  • Autoimmune inflammation.
  • Storage diseases.
  • Congenital diseases.

The prevalence of AV block is relatively low – it is detected in 0.5-2% of the population. The risk of pathology increases with age.

Normally, first-degree heart block in children is not associated with structural heart damage. It is detected in 8% of children during ECG and in 20% during 24-hour heart rate monitoring. The main cause is the high tone of the vagus nerve.

Second-degree heart block and higher occurs after surgery to repair congenital heart defects caused by drugs or toxic damage to the myocardium, in anomalies of the cardiac conduction system.

Degrees of heart block

 

First-degree atrioventricular block. It usually does not cause any symptoms. Atrioventricular conduction is preserved, although it is slowed down.

Second-degree atrioventricular block. Bradycardia is associated with the fact that not all impulses generated by the sinus node located in the atria reach the ventricles. There are two options for this block:

  • Mobitz type 1 is more favorable prognostically. Heart conduction is slowed down. Ventricular contractions periodically drop out. Mobitz type 1 is characterized by variability of the PQ interval on the cardiogram. It reflects the period of time between the contractions of the atria and ventricles. In each heartbeat, the PQ interval gets longer. Then one ventricular contraction is absent and the cycle begins again.
  • Mobitz type 2 has a constant PQ interval. Not all impulses reach the ventricles, but only every second or every third does. The fewer impulses are received, the lower the pulse rate and the more severe the disease progresses. This is a prognostically unfavorable form of pathology, which often develops after anterior myocardial infarction and is a precursor of complete atrioventricular block.

Third-degree atrioventricular block. This type of block is called complete. There are no impulses passing from the atria to the ventricles. Dissociation of the activity of the atria and ventricles is observed. The atria contract in a normal rhythm. The ventricles no longer receive signals from the sinus node, which causes them to contract at a rate of 60-80 per minute. Now they contract at their own rhythm. The pulse rate depends on the level of damage. If the rhythm is set by the AV node, its frequency is about 40 beats per minute, the bundle of His provides 30 beats per minute, and the Purkinje fibers – 20 beats per minute.

Symptoms

 

Mobitz 1 first- and second-degree AV blocks usually do not manifest any symptoms.

Mobitz 2 is characterized by attacks of dizziness and fainting. The worst prognosis is in the intermittent type of the disease, when the AV block is either complete or incomplete. In this case, there is no constant ventricular rhythm, and the atrial rhythm is interrupted periodically.

The patients with these conditions develop Morgagni-Adams-Stokes Syndrome. When the flow of impulses from the atria stops, the heart actually arrests for 1-2 minutes or the heart rate is only 10-20 beats per minute. There is not enough oxygen supplied to the brain, so the person loses consciousness. Then the pacemaker of the next order is turned on. The heartbeats are restored and the patient regains consciousness.

Complete AV block, which has a permanent form, proceeds more favorably. In this case, the rhythm is slow but steady. The person does not tolerate physical activity, but usually does not lose consciousness at rest.

Diagnostics

 

The diagnosis is made by ECG. If the abnormality of AV conduction is not recorded on the cardiogram, ECG is made within 24 hours.

To clarify the diagnosis, an electrophysiological test is performed. With its help, doctors determine the degree of the block.

To determine the causes of AV block, laboratory tests and echocardiography are used. Cardiac MRI, coronary angiography, and cardiac catheterization can be conducted, if indicated.

Treatment

 

The main treatment method is the implantation of a pacemaker (AP). It is indicated in the following cases:

  • Type 2 second-degree atrioventricular block (most of the operations are performed in the case of this type of heart block).
  • Second-degree type I atrioventricular block – only in the presence of syncope (fainting) conditions caused by large pauses in the rhythm.
  • Complete heart block.

The patients with this disease are implanted with a dual chamber pacemaker. One electrode is placed in the atrium, and the other one in the ventricle. The body of the pacemaker is implanted in the subcutaneous fat of the chest.

The treatment procedure is minimally invasive. The operation is performed under local anesthesia. The doctor makes an incision in the thorax a few centimeters long to implant the body of the pacemaker. The electrodes are delivered to the heart through the blood vessels. The recovery period after such an operation is minimal. The electrical stimulator can serve up to 8 years, and then it will be replaced.

How to get treatment in the world's leading hospitals

 

You can get diagnostics and treatment of atrioventricular blocks abroad. The Booking Health specialists will select a specialized cardiac surgery hospital for you and organize your trip. Booking Health is a medical tourism provider that has been organizing the treatment of patients from 75 countries in the world's leading hospitals for more than 10 years. Compliance of the quality of the company's work with high international standards is confirmed by the prestigious ISO 9001:2015 certificate.

Both doctors and patient case managers working at Booking Health undergo regular training to gain new medical knowledge and provide effective medical and organizational assistance. Booking Health offers the following benefits for you: 

  • Selection of a specialized hospital with high treatment success rates. 
  • Direct communication with your attending physician. 
  • Preliminary preparation of the medical care program, without repeating previous diagnostic examinations.
  • Provision of a favorable cost of treatment, without extra charges and additional coefficients for foreigners (saving up to 50%).
  • Doctor's appointment on the most suitable dates. 
  • Independent control of the medical care program at all its stages.
  • Assistance in buying and forwarding medicines.
  • Communication with the hospital after the completion of treatment.
  • Control of invoices and return of unspent funds.
  • Organization of additional diagnostic examinations or rehabilitation (if necessary).
  • Top-class service: booking hotels, airline tickets, transfer. 
  • Interpreting services and assistance of a personal medical coordinator.

Please leave your request on the Booking Health website, and a medical advisor or a patient case manager will contact you on the same day.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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