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Treatment of Atrioventricular Nodal Reentrant Tachycardia in Germany

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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

Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
479
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
5486
Cardiac rehabilitation
566.57

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1921 help1741
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
16947 help14667

Hospital Neuperlach Munich

9.8/10
location_onGermany, Munich

Department of Cardiology and Pulmonology

The Hospital Neuperlach Munich provides modern medical services of the highest quality. The medical center is an Academic Hospital of the Ludwig Maximilian University of Munich, and therefore it can offer its patients innovative diagnostic and therapeutic methods available only in the best German hospitals. The medical complex o
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1731
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
14690

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1888
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
16581

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Cardiology, Angiology and Pulmonology

According to 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 fields of
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
0
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
0

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
2416
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
22615

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1896
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
17123

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1812
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
15506

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1878
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
17385

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Cardiology and Angiology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1810
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
16138

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1805
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
15484

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1891
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
17463

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
2009
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
17160

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1810
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
15672

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1715
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
14837

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Cardiology, Angiology and Pulmonology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1873
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
17273

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
Atrioventricular nodal Rreentrant tachycardia (AVNRT) diagnostics
1984
Radiofrequency ablation (RFA) to treat atrioventricular nodal reentrant tachycardia
17595
| from Booking Health GmbH

Atrioventricular nodal reentrant tachycardia (AVNRT) is a medical term for a sudden heartbeat associated with a pathology of the heart's own conduction system. While in the normal state, electrical excitation spreads sequentially between the chambers of the heart, AV nodal tachycardia creates conditions for almost simultaneous excitation and contraction of all chambers of the heart. The change in the order of contraction of the heart chambers leads to serious disturbances in blood flow.

Content

  1. Overview
  2. How is AVNRT diagnosed?
  3. Clinical manifestation
  4. Treatment of AVNRT
  5. Medical care after radiofrequency ablation
  6. Prognosis
  7. Treatment in German hospitals
  8. The cost of treatment in Germany
  9. Treatment with Booking Health

Overview

 

This heart disease is one of the most common tachyarrhythmias that accounts for 85% of all ventricular arrhythmias in medicine. Among patients with this arrhythmia, men are diagnosed with the condition somewhat more often. With that said, this type of tachycardia is common in all age groups. However, in the majority of cases, pronounced clinical manifestations occur between the ages of 28 and 40.

The mechanism of arrhythmia is the reentry between fast and slow atrioventricular (AV) conduction pathways.

Patients with atrioventricular nodal reentrant tachycardia usually have no signs of structural myocardial pathology. The heart disease occurs as episodes of frequent rhythmic palpitations, which start and stop suddenly. The duration of atrioventricular nodal reentrant tachycardia paroxysms ranges from a few seconds to several hours, and their frequency ranges from daily arrhythmia attacks to 1-2 times a year. Symptomatology during an attack depends on heart rate (usually from 140 to 250 per minute), the functional capacity of the cardiovascular system, and the presence of concomitant pathology. During the paroxysm, patients usually complain of weakness, dizziness, the sensation of pulsation in the vessels of the neck and head. Sometimes the attack is accompanied by the development of syncope or hypotension.

How is AVNRT diagnosed?

 

To diagnose atrioventricular nodal reentrant tachycardia, doctors use various methods in their clinical practice, including medical history assessment, physical examination, and various instrumental methods of examination. Electrocardiography and electrophysiological examination (transesophageal or endocardial) are the most informative for verification of atrioventricular nodal reentrant tachycardia.

As a rule, the manifestation of clinical signs of arrhythmia in individuals with AVNRT occurs at an early age. The reasons for this are not definitively known. It is supposed that it is connected with the congenital reentrant loop with earlier activation, and in patients with formation of reentrant loop, including slow and fast conduction pathways and perinodal area of atrium, a number of functional and anatomical conditions are necessary.

There are quite specific criteria for the diagnosis by means of ECG. However, it should be taken into account that the diagnosis based on ECG data may not be confirmed during the further investigation of the patient. According to medical data, error may amount to 50%, and therefore the electrophysiological examination is considered the "gold standard" for definitive diagnostics of various forms of atrioventricular nodal reentrant tachycardia.

Clinical manifestation

 

Clinical manifestation of the atrioventricular nodal reentrant tachycardia varies depending on whether there is an arrhythmic attack.

Patients often do not demonstrate signs or manifestations of heart diseases outside the attacks. Somewhat more frequently, this arrhythmia can be associated with the so-called isolated connective tissue abnormalities of the heart (mitral valve prolapse, false left ventricular chord, etc.).

During an arrhythmic attack, the factor provoking arrhythmia in 18% of patients is whether physical or emotional overstrain and, less often, alcohol consumption. In most cases, there are no definite factors provoking arrhythmias. The main complaints of patients during an AVNRT attack are episodes of rhythmic palpitations and heart palpitations that start and end suddenly.

A pulsating sensation in the cervical veins is the most common because, during a typical paroxysm, a "fast" retrograde depolarization front causes atrial systole to coincide with or even slightly precede ventricular systole. As a result, atria contract in conditions of closed atrioventricular valves, which are accompanied by pulsation of cervical veins. Less frequently, seizures are accompanied by hypotension, development of presyncope and syncope, and other complaints. An arrhythmic attack may last from a few seconds to several hours and pass on its own or after reflex techniques. In 65% of cases, paroxysms are prolonged, and such type of attack requires medical intervention.

Treatment of AVNRT

 

The treatment tactics for AVNRT tachycardia are divided into emergency therapy and planned treatment.

The modern algorithm of AVNRT paroxysm emergency therapy implies stepwise use of various methods and antiarrhythmic drugs depending on the hemodynamic significance of the arrhythmia and the previously established efficacy of their use.

According to the medical guidelines, intravenous administration of adenosine is advisable for arresting AVNRT paroxysm. In cases accompanied by hemodynamically significant symptoms such as syncope, presyncope, hypotension, angina pectoris, or pronounced progression of heart failure, the first step of treatment is electric cardioversion. Reflex tests (Valsalva maneuver, carotid sinus massage), non-dihydropyridines, β-adrenoblockers, and cardiac glycosides are effective for relieving recurrent paroxysms of atrioventricular nodal reentrant tachycardia.

The technique of transesophageal electrocardiostimulation in modes of competitive, frequent, programmed or synchronized stimulation is also widely used for tachycardia relief. The efficiency of this technique reaches 90% depending on the simulation mode.

In planned AVNRT treatment, if the clinical examination does not reveal any signs of structural myocardial pathology, class IC drugs are the most effective agents for the management of the disease. It was found that during their use, atrioventricular nodal reentrant tachycardia does not recur in 40% of patients within a year, while the use of calcium channel blockers does not cause paroxysms within a year of observation in only 23% of cases. The use of non-dihydropyridines or β-adrenoblockers in patients with diagnosed organic cardiac pathology and paroxysmal AVNRT is considered reasonable, since these drugs also have antianginal properties.

In patients with rare paroxysms (1-2 times a year) without significant hemodynamic significance, it is possible to use antiarrhythmic drugs only during a tachycardia attack.

Radiofrequency ablation is another method of planned treatment. The essence of the technique is the destruction of the pathological focus that generates electrical impulses, or the areas of the conduction system supporting the pathological electrical dynamic. The procedure is performed using catheters, which are guided through the vessels under radiological control to the area of the heart where the pathological area that has become the source of the rhythm disturbance is located.

Various physical energy sources can be used for destruction. To date, the most effective and safe impacts are the use of high frequency electric current. That is why catheter destruction is also popularly called "radiofrequency ablation".

This surgery is classified as a minimally invasive intervention because it is performed without cutting into the skin. A doctor performs punctures of the femoral vessels, through which then guides the catheters into the heart cavity. A person does not feel the catheters moving in the vessels and heart cavity. Therefore, in adults, this procedure usually takes place under local anesthesia.

Medical care after radiofrequency ablation

 

Radiofrequency catheter ablation is a minimally invasive method of surgical treatment of heart rhythm disorders with high effectiveness. Positive results are achieved in 50-60% with RFA for atrial fibrillation, 75-80% with RFA for atypical atrial flutter, and 90-98% with RFA for paroxysmal supraventricular tachycardia. However, to get the maximum effect, patients themselves have to follow the recommendations of a health practitioner with responsibility.

Drug therapy may be indicated for several months after the procedure.

During the period after the intervention, the sensation of heart palpitations, discomfort, and possible rhythm disturbances may persist. In 10-15% of patients, after three months, paroxysms persist, and a second consultation with a cardiologist may be required to decide whether a repeat procedure is necessary.

In the case of frequent paroxysms of atrioventricular nodal reentrant tachycardia, patients should call an ambulance.

Prognosis

 

In the absence of structural heart pathology, the prognosis for patients with atrioventricular nodal reentrant tachycardia is favorable. In most cases, drug therapy is also effective for the prevention of recurrences. The efficacy of radiofrequency ablation of atrioventricular nodal reentrant tachycardia is about 95% with a low level of complications. This method is preferred in the majority of patients.

Treatment in German hospitals

 

Cardiology is a broad branch of medicine concerned with the study of the human cardiovascular system and the development of effective methods for its treatment and prevention. In addition, the scope of cardiology includes the problems of medical rehabilitation of people with lesions of the cardiovascular system.

All surgical and therapeutic manipulations performed by German doctors comply with the international protocols. All methods are aimed at organ preservation and minimally invasive approach. It is worth mentioning that Germany was the country where the first laparoscopic and endoscopic surgical interventions were performed.

The treatment of heart disease in German hospitals is widely known not only in Europe, but also overseas. University German hospitals are large-scale multidisciplinary treatment institutions. They comprise a great number of clinics, research institutes, treatment and diagnostic centers, and advanced laboratories.

That is why so many foreign patients with atrioventricular nodal reentrant tachycardia entrust their treatment to specialists of leading German hospitals.

You can find more hospitals for AVNRT tachycardia treatment in Germany on the Booking Health website.

The cost of treatment in Germany

 

For patients wishing to undergo treatment in Germany, the cost of treatment in Germany is one of the first questions. Prices for treatment in Germany are calculated according to the unified national rates. When calculating the cost of treatment in Germany, the cost of the medical service, the cost of medicines and necessary materials are taken into account at once.

The prices for diagnostics for atrioventricular nodal reentrant tachycardia start at 479 EUR; the price for rehabilitation after treatment starts at 566 EUR.

If you would like to know what would be the cost of treatment in German hospitals with RFA in your clinical case, leave a request on the Booking Health website.

Treatment with Booking Health

 

Over the years, thousands of patients have used the services of Booking Health for diagnostic, therapeutic, and preventive care.

Booking Health helps select a hospital and a doctor, forms an offer for treatment/diagnostics with exact amount and number of days of stay and provides different price categories, assists with arrangement of medical visas for treatment in Germany, and negotiates with the chosen hospital.

Hit the request button on the Booking Health website and fill in the form for Booking Health to contact you.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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