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Treatment of Cardiomyopathy in Germany

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

Dilated and ischemic cardiomyopathy diagnosis
685.85
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
2515.75
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
16921.5

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
Dilated and ischemic cardiomyopathy diagnosis
2303.1 help2123.1
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7270.45 help6670.45
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
39277.45 help36077.45

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
Dilated and ischemic cardiomyopathy diagnosis
2101.35
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
6857.5
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
36687.9

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
Dilated and ischemic cardiomyopathy diagnosis
2378.3
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7540.45
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
41680.25

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
Dilated and ischemic cardiomyopathy diagnosis
0
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
0
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
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
Dilated and ischemic cardiomyopathy diagnosis
3123.6
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
10610.1
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
61343.7

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
Dilated and ischemic cardiomyopathy diagnosis
2402.95
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7966.75
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
44497.6

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
Dilated and ischemic cardiomyopathy diagnosis
2242
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7035.85
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
39006.45

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
Dilated and ischemic cardiomyopathy diagnosis
2604.5
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
8043.6
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
45035.55

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
Dilated and ischemic cardiomyopathy diagnosis
2484.15
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7467.95
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
41561.35

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
Dilated and ischemic cardiomyopathy diagnosis
2253.6
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7061.95
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
39023.85

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
Dilated and ischemic cardiomyopathy diagnosis
2536.35
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7908.75
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
44613.6

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
Dilated and ischemic cardiomyopathy diagnosis
2529.1
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
8100.15
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
44220.65

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
Dilated and ischemic cardiomyopathy diagnosis
2218.8
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
7217.1
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
39135.5

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
Dilated and ischemic cardiomyopathy diagnosis
2147.75
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
6683.5
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
36712.55

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
Dilated and ischemic cardiomyopathy diagnosis
2611.75
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
8003
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
44174.25

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
Dilated and ischemic cardiomyopathy diagnosis
2559.55
Dilated and ischemic cardiomyopathy conservative treatment and holter monitoring
8105.95
Dual chamber icd implantation to treat dilated and ischemic cardiomyopathy
44490.35
| from Booking Health GmbH

Most often, heart diseases result from inflammation, tumors, or vascular lesions. In many cases, when the cause of cardiac pathology is too vague or cannot be determined, the diagnosis "cardiomyopathy" is made. Metabolic cardiomyopathy (previously defined as myocardial dystrophy, myocardiodystrophy) implies myocardial lesion of various etiologies, based on the disruption of metabolism, energy formation process and/or disruption of its conversion into mechanical work, leading to myocardial dystrophy and failure of the contractile and other heart functions.

Content

  1. Types of cardiomyopathies
  2. Why does cardiomyopathy occur?
  3. Patterns of cardiomyopathy formation
  4. Symptoms of cardiomyopathy
  5. Diagnosis of cardiomyopathy
  6. Cardiomyopathy treatment principles
  7. Surgical treatment options for patients with cardiomyopathy
  8. Treatment in hospitals in Germany
  9. The cost of treatment in Germany

Types of cardiomyopathies

 

According to the modern classification in medicine, cardiomyopathies can be divided into two main types and several characteristic groups. The disease can develop both by itself and as a result of other diseases. In the first case, the causes are often not identifiable, they are hard to establish by conventional diagnostic methods.

Considering the causes that contribute to the development of cardiomyopathies, cardiology specialists distinguishes two main types of this disease:

  • Primary from, when the etiology of the cause is not identified.
  • Secondary form, with the possibility of determination of the cause of the development of pathological changes in the myocardium.

Classification is also carried out according to the mechanism of development, pathogenesis:

  • Hypertrophic.
  • Alcoholic.
  • Dilated.
  • Ischemic.
  • Restrictive.

Why does cardiomyopathy occur?

 

Primary cardiomyopathy can be caused by a viral infection, autoimmune disorders, and idiopathic myocardial fibrosis. Certain types of changes in the human genome can also be a cause. The influence of genetic factors on the occurrence of cardiomyopathy of the heart cannot be determined, since a huge number of proteins are involved in the metabolism of cardiomyocytes. At the same time, pathology develops with the occurrence of changes in only one or a few of them.

The symptoms typical for cardiomyopathy are caused by viral causes of cardiomyopathy development. This theory can be supported by the detection of antibodies, which are found in relation to viral invasion. For example, the immune system responds to cytomegalovirus, the causative agent of hepatitis C, and the Coxsackievirus. All these pathogens can affect the DNA, with subsequent development of pathology of the heart muscle.

The theory of the development of cardiomyopathy by cardiology guidelines as a result of autoimmune shifts in the body is not without foundation. The mechanism of development is related to the perception of myocardial cells as alien to the human immune system. In this case, there is a production of antibodies in the body, directed against cardiomyocytes. This opposite action of immunity can be caused by viruses, bacteria, or different pathologies.

The restrictive form of cardiomyopathy is characterized by myocardial stiffness with a limited filling of the heart chambers with blood. Reduced blood flow leads to diastolic dysfunction, which leads to heart failure with acute restrictive cardiomyopathy. The cause may be idiopathic myocardial fibrosis, cardiosclerosis, in which cardiomyopathy appears. In this case, the diagnosis shows replacement of the characteristic muscle tissues of the heart with connective tissue. They lose elasticity, disrupt the heart rhythm, and are unable to contract. The cause may be inflammatory processes in the myocardium or the suffered heart attack. In this case, the so-called secondary cardiomyopathy occurs.

Secondary cardiomyopathy develops due to pathologies associated with the work of the human cardiovascular system.

The list of these diseases includes:

  • CHD (coronary heart disease).
  • Infections that lead to destructive changes in the heart muscle.
  • Endocrine disorders.
  • Arterial hypertension.
  • Shifts in metabolism and substance accumulation.
  • Electrolyte imbalance.
  • Amyloidosis.
  • Neuromuscular pathology.
  • Severe poisoning.

Patterns of cardiomyopathy formation

 

The cardiac chamber is dilated in the presence of the following pathological patterns:

  • If the number of myofibrils is reduced. These are the main contractile part of the cardiomyocytes. When their number is reduced, the wall becomes less elastic, and when the chamber fills with blood, it is overstretched.
  • If the number of cardiomyocytes is reduced. Muscle tissue decreases during the development of cardiosclerosis, which is caused by inflammatory disease or ischemia. Connective tissue has high strength, but it does not contract and does not maintain muscle tone. The first stage of the disease is characterized by excessive stretching of the walls of the organ.
  • Nerve regulation is disturbed. Under the action of neuromuscular disease, excitatory impulses are not received. When they enter the blood, the intracameral pressure rises, resulting in a response of the heart in the form of a signal to muscle contractions, there is no signal entry, and there is no contraction of cardiomyocytes.
  • Occurrence of electrolyte imbalance. For the myocardium to contract, the blood and the muscle cell must contain sodium, potassium, and chloride ions in normal amounts. Electrolyte imbalance is characterized by changes in the content of the above minerals, as a result of which there is no normal contraction of cardiomyocytes, and the heart chamber expands.

Symptoms of cardiomyopathy

 

In many patients, cardiomyopathy does not cause any serious health disturbances. However, in some cases, this pathology can cause serious discomforts, such as shortness of breath, chest pain, or fainting.

Patients with cardiomyopathy are likely to develop dangerous heart rhythm disturbances (arrhythmias), such as ventricular tachycardia or ventricular fibrillation. These rhythm abnormalities can lead to heart failure or sudden cardiac death. Cardiomyopathy is the leading cause of death of patients under the age of 30. Fortunately, there are not many such deaths.

Possible complications of hypertrophic cardiomyopathy include:

  • Sudden death from cardiac arrest. It is the worst complication of cardiomyopathy that occurs due to ventricular tachycardia or ventricular fibrillation. Unfortunately, this condition is difficult to predict. If patients experience fainting, severe dizziness, or prolonged palpitations, patients should not delay seeing a doctor and seek medical attention.
  • Obstructed blood flow. In many patients, a thickened myocardium causes a slowing of blood flow, thus increasing the strain on the heart.
  • Mitral valve disorders. Thickening of the heart muscle can decrease the volume of the left ventricle, reducing the free space for blood, which in turn causes blood to flow back through the mitral valve back into the atrium. This is called mitral valve regurgitation. Mitral valve regurgitation can lead to other complications, such as heart failure or arrhythmias.
  • Heart failure. Heart failure means that your heart cannot pump enough blood to meet your body's needs. The heart muscle in cardiomyopathy eventually becomes too stiff to work efficiently, leading to dyspnea and heart failure.

Diagnosis of cardiomyopathy

 

Making an accurate diagnosis is a complicated process. This is because clinical manifestation of the pathology is similar to those of any other heart disease. In most cases, it is difficult to distinguish signs of the primary form from those of the secondary form. Therefore, to make a final diagnosis, the specialist takes into account not only the data obtained during the general examination of patients, but also indicates that patients should undergo an instrumental examination. Once all possible medical information is obtained, the doctor will determine the type of disease and prescribe appropriate treatment measures.

To detect and classify the disease, it is necessary to undergo a physical examination, electrocardiography, and X-rays. During the physical exam, the doctor visually examines the patients, the shape of the chest wall, and measures the pulse, respiratory rate, and blood pressure.

Electrocardiography records how an electrical pulse travels, with the further display on a graph. When the doctors decipher such a graph, they will get information about the structural and functional change that has occurred in the heart.

Echocardiography involves an ultrasound examination of the heart. This examination is more informative during the medical diagnosis of cardiomyopathy. With echocardiography, one can see the heart chamber and the heart wall. Also, using an ultrasound wave, wall thickness, and cavity diameter, and blood flow velocity can be evaluated. The results of the ultrasound may be fundamental to the final diagnosis.

A diagnostic procedure that involves passing a beam of X-rays through the human body is called an X-ray. X-rays show the density of the tissue and the shape and size of the heart. This examination must be done once every six months because the patients receive dosed ionizing radiation during the procedure. Female patients carrying a child are not allowed to have X-rays. There are situations when it is necessary to make an exception with observance of all precautions. This method is not able to determine the form of cardiomyopathy though.

Cardiomyopathy treatment principles

 

Depending on whether patients have the primary or secondary disease, the doctor chooses a treatment regimen. In addition, the mechanisms that can provoke heart failure are also important. The treatment of secondary cardiomyopathy consists of eliminating the primary disease. In the primary form, heart failure is compensated and heart function is restored. This means that treatment measures must begin after an accurate diagnosis. Patients who report symptoms similar to cardiomyopathy need to be hospitalized. If there are no pronounced symptoms of the disease, the doctor may allow outpatient treatment.

The treatment methods for cardiomyopathy may include drug therapy, surgery, or prophylaxis. Conservative treatment aims at eliminating clinical manifestations. With the help of medicines, doctors of the cardiology hospitals restore normal heart function and compensate for heart failure. If patients have a diseased heart, it is difficult to pump the normal volume of blood. This requires taking ACE inhibitors, beta-adrenoblockers, and calcium channel blockers, or other types of medicines, as prescribed by a physician.

If it becomes necessary, the doctor changes the dosage and adds medications that belong to another group of medicines. This includes taking diuretics, or diuretics that can reduce swelling or relieve pulmonary edema. The intake of aggregating agents prescribed by the doctor is necessary for the fight against thrombosis and for lowering the probability of thromboembolism. It is important to remember that the use of the above drugs should be coordinated with a qualified and experienced specialist. Otherwise, severe complications may await patients.

In extremely rare cases, surgical treatment can be used for cardiomyopathy. In most cases, it is indicated in the secondary form of the disease. The need for this type of treatment should be discussed with a cardiology center specialist.

Surgical treatment options for patients with cardiomyopathy

 

Interventricular septal resection involves an open-heart surgery, in which the surgeon removes a part of the interventricular septum. This surgery is used if medications do not relieve symptoms.

Electrical ablation is a procedure in which low-frequency currents destroy the areas in the heart muscle involved in the development of heart rhythm abnormalities. Rarely during this manipulation is it necessary to implant an artificial pacemaker to regulate the heart rate. This treatment is very common nowadays.

The pacemaker implantation is a procedure performed under local anesthesia and involves the subcutaneous insertion of a heart rate regulator. It is often used in patients with severe comorbidities for whom open-heart surgery is associated with complications.

Defibrillator placement is a manipulation similar to an artificial pacemaker placement, but in this case, the defibrillator action is aimed at restoring a normal heart rate when a life-threatening rhythm disturbance develops.

Candidates for surgical treatment may be:

  • Patients who have suffered a cardiac arrest.
  • Patients with a family history of cardiomyopathy.
  • Patients with unexplained syncope.
  • Patients with extreme thickening of the left ventricular wall.

Treatment in hospitals in Germany

 

The German health care system, as the first health care system in Europe, emerged in the 1880s. Today, doctors, specialists, and hospitals in Germany make up one of the best health care systems in the world.

Medicine in Germany is based on the main principle of solidarity. Medicine should be accessible to all segments of the population, irrespective of their financial situation, and should be financed by insurance support. Germany has an excellent health care system, and you have the right to receive medical care in hospitals in Germany as well. However, the amount of care provided by hospitals in Germany may vary depending on your residency status.

You can contact Booking Health to learn how to go for treatment in hospitals in Germany.

The cost of treatment in Germany

 

Here is a list of the average prices for cardiomyopathy treatment in Germany:

  • The prices of cardiomyopathy diagnostics start at 473 EUR.
  • The cost of treatment with conservative therapy and Holter monitoring starts at 1,735 EUR.
  • The cost of treatment with dual-chamber implantation to treat dilated and ischemic cardiomyopathy starts at 11, 670 EUR.
  • The cost of treatment with cardioverter-defibrillator implantation starts at 10,783 EUR.

The treatment in Germany with Booking Health is very cost-effective because you decide which services you need and pay only for them.

Booking Health works individually with each client and tries to take into account all your wishes as much as possible. In any case, the price is negotiated in advance, and only after that a contract is concluded.

For more information about the treatment in Germany, fill in the request form on the Booking Health website.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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