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Treatment of Coronary Insufficiency 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

Coronary Insufficiency Diagnostics
880
Conservative treatment in coronary insufficiency
2030
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
3762

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
Coronary Insufficiency Diagnostics
3219 help3039
Conservative treatment in coronary insufficiency
6075 help5525
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12359 help10959

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
Coronary Insufficiency Diagnostics
3135
Conservative treatment in coronary insufficiency
5614
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
10757

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
Coronary Insufficiency Diagnostics
3288
Conservative treatment in coronary insufficiency
6185
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12195

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
Coronary Insufficiency Diagnostics
0
Conservative treatment in coronary insufficiency
0
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
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
Coronary Insufficiency Diagnostics
4500
Conservative treatment in coronary insufficiency
8606
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
16638

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
Coronary Insufficiency Diagnostics
3434
Conservative treatment in coronary insufficiency
6441
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
13008

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
Coronary Insufficiency Diagnostics
3220
Conservative treatment in coronary insufficiency
5799
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
11362

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
Coronary Insufficiency Diagnostics
3555
Conservative treatment in coronary insufficiency
6422
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12866

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
Coronary Insufficiency Diagnostics
3352
Conservative treatment in coronary insufficiency
6249
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12255

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
Coronary Insufficiency Diagnostics
3171
Conservative treatment in coronary insufficiency
5846
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
11411

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
Coronary Insufficiency Diagnostics
3510
Conservative treatment in coronary insufficiency
6558
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
13030

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
Coronary Insufficiency Diagnostics
3410
Conservative treatment in coronary insufficiency
6539
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12860

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
Coronary Insufficiency Diagnostics
3154
Conservative treatment in coronary insufficiency
5823
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
11625

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
Coronary Insufficiency Diagnostics
3043
Conservative treatment in coronary insufficiency
5565
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
10964

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
Coronary Insufficiency Diagnostics
3483
Conservative treatment in coronary insufficiency
6547
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12953

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
Coronary Insufficiency Diagnostics
3530
Conservative treatment in coronary insufficiency
6517
Percutaneous transluminal coronary angioplasty with stents placement to diagnose and treat coronary insufficiency
12873
| from Booking Health GmbH

Today, coronary insufficiency is among the causes of mortality worldwide. Cardiac disease is most often detected in elderly people. Below you will find out the mechanism of the cardiac condition, how it manifests itself, measures of prevention, and treatment methods available in Germany.

Content

  1. What is coronary insufficiency?
  2. Causes of coronary insufficiency
  3. Forms of coronary insufficiency
  4. Symptoms of coronary insufficiency
  5. Characteristics of pain syndrome
  6. Tactics for treatment in Germany
  7. Surgical treatment in Germany
  8. Why is coronary insufficiency dangerous?
  9. The cost of treatment in German hospitals
  10. How to start the treatment in Germany?

What is coronary insufficiency?

 

Cardiac coronary artery disease is a mismatch between coronary vascular functioning capacity and blood supply requirements of the body. Coronary artery disease usually leads to local impairment of the myocardium. In medicine, it is customary to distinguish its two forms: acute and chronic.

Acute coronary insufficiency is characterized by a mismatch of blood flow to the metabolic needs of the myocardium (altered coronary arteries of the heart, angina attacks, severe heart rhythm disturbances, ECG changes may be observed along with the condition). The acute type of cardiac disease often provokes the development of myocardial infarction. Chronic coronary insufficiency is characterized by the prolonged (constant) insufficient blood supply to the myocardium. A prerequisite for the emergence of the pathology is a change in the coronary blood flow.

Coronary insufficiency can also occur in absolute form (blood flow through the coronary vessels is severely limited), and relative form (myocardial oxygen demand increases significantly, but there are no restrictions on coronary blood flow).

Causes of coronary insufficiency

 

Coronary insufficiency is a cardiac condition in which blood flow through the coronary arteries does not meet the energy requirements of the heart. This results in myocardial ischemia – damage to the cells of the heart due to a lack of oxygen and nutrients. Ischemia is a local process that occurs in the area of the myocardium where its nutrition has been impaired. The process of blood flow deterioration itself is most often explained by the narrowing of the lumen of the blood-bearing vessel.

Coronary insufficiency can occur as a result of processes that lead to a disturbance in the normal flow of blood through the arteries:

  • Changes in the tone of the arteries.
  • Decrease in the lumen of the arteries.
  • Changes in arterial tone.

Vascular wall spasm and decreased arterial tone may be a consequence of increased adrenaline release. For example, under severe stress, described by many as "heart palpitations in the chest", there is a temporary lack of oxygen. This is easily compensated by increased heart rate. As a result, blood flow increases, the flow of oxygen increases significantly, and the mood and well-being of the person improve for some time.

There is nothing wrong with a short-term stressful situation. On the contrary, it can be seen as training to reduce the sensitivity of coronary vessels to spasm (prevention of coronary artery disease). However, if the stress is prolonged, the decompensation phase sets in. This means that the cells of muscle tissue have used up all their energy. The heart begins to beat slower, carbon dioxide levels increase, and arterial tone decreases. The blood flow in the coronary arteries slows down as well. As a result, metabolism in the heart muscle is disturbed. Some of its parts may even die (necrosis). The resulting necrosis is known by the common name "myocardial infarction".

The following factors contribute to the occurrence of pathology:

  • Smoking (because of the intoxicating effect on the body of tobacco smoke, the cells of the inner layer of the arteries change, and the risk of increased thrombosis increases).
  • Consumption of large amounts of fatty foods (fraught with protein deficiencies, changes in the balance of microelements and vitamins, metabolic disorders).
  • Stress (because of the increased adrenaline background there is a prolonged arterial spasm).
  • Low physical activity (leads to venous stasis, deterioration of oxygen supply to the tissues, reduced strength of the heart contractions).

Forms of coronary insufficiency

 

Let us dive deeper into the forms the heart disease is manifested by, which are divided into acute and chronic.

The acute condition implies a sudden deterioration of blood supply to the myocardium, which is most often caused by thrombosis, less often, spasms. Blood supply is not restored after its disruption, which implies the transition from ischemia to necrosis – the death of heart cells. This is myocardial infarction. Manifestations of the acute form in patients often end in death.

The typical manifestation of the chronic variant of coronary insufficiency is angina pectoris. It is most often caused by an atherosclerotic lesion of the coronary arteries of the heart, which causes narrowing of their lumen. Under physical strain, the myocardium requires more blood, while the permeability of the artery is reduced, and ischemia with characteristic symptoms occurs.

When the attacks recur in response to a load of equal severity, we speak about a stable variant of angina pectoris. Its course is relatively favorable and well-controlled. There are other types of its manifestation. These are as follows:

  • Unstable angina. A form of angina in which the plaque in the coronary vessel undergoes ulceration, in the lumen gradually grows a clot, from which the attacks are constantly progressing and eventually lead to myocardial infarction.
  • Prinzmetal angina (vasospastic angina). The condition occurs as a result of a sudden spasm of the coronary arteries.

All of it is related to absolute coronary insufficiency, where the pathology was caused by various coronary artery diseases. But there is also a relative form, developing due to hypertrophic cardiomyopathy. In this process, the myocardium increases in size due to the increased load. In this case, ischemia of poorly supplied areas also develops.

Symptoms of coronary insufficiency

 

Symptoms of coronary artery disease may vary from case to case. It is also not uncommon for patients to feel nothing strange about their condition until one day, for example, a myocardial infarction occurs.

Among the most characteristic symptoms patients with coronary heart disease experience are:

  • Angina pains: pressing, squeezing, or burning pain behind the sternum lasting up to 10 minutes. Often appears during physical exertion. May start behind the sternum and then spread to the neck, back, shoulders, arms, and jaw.
  • Dizziness and fatigue.
  • Cold sweats.
  • Stomach pain.
  • Dyspnea, especially with exertion.
  • Sleep disturbances.

The listed symptoms are typical for a chronic (reversible) variant of coronary insufficiency, which is manifested by angina pectoris. In the acute (irreversible) variant, the described symptoms are more pronounced and last much longer, up to several days. Pain in some patients with coronary insufficiency is not relieved by nitroglycerin and may be so severe that it is necessary to resort to narcotic drugs.

Although the main symptom of coronary heart disease is most often severe retrosternal pain (80% of cases), the heart disease also has other manifestations:

  • Coughing and shortness of breath.
  • Sharp pain in the upper abdomen.
  • Symptoms of brain damage.

The asymptomatic form in patients with coronary insufficiency is rare. In this case, the area of lesion in the heart is not so extensive, and changes are recorded instrumentally post factum.

If such symptoms are detected, especially due to unaccustomed physical activity, patients are advised to get medical help as soon as possible. It should also be done if coronary insufficiency has already been diagnosed, but the symptoms are not relieved by nitroglycerin and persist longer than 15 minutes.

Characteristics of pain syndrome

 

The first and most important step in the diagnosis of coronary heart disease is a detailed description of the pain syndrome. 5 characteristics of pain are usually assessed: its nature, localization, duration, factors provoking and controlling pain. Patients use various definitions to describe the nature of pain associated with coronary insufficiency: "squeezing", "pressing", "bruising", "suffocating". Pain is often described as heaviness or a "stake" behind the sternum. It is not uncommon for patients to describe their sensations as "discomfort," "but not pain."

Patients usually describe the pain localizing behind the sternum, but also spreading to the neck, lower jaw, epigastric region, hands, or fingers. Pain occurring above the lower jaw, below the epigastrium, or localized in a small area in the left half of the chest at the projection point of the apex of the heart is not typical for patients with coronary insufficiency.

However, pain is usually short-lived: not more than 5 minutes in most patients, and sometimes even less than 1 minute. Discomfort or dull pain lasting hours is unlikely to be a symptom of coronary insufficiency. Coronary heart disease is usually triggered by physical or emotional stress and goes away during rest. Pain in the morning hours after getting out of bed and after a meal are classic signs of patients having severe coronary insufficiency. Pain occurring not during, but after physical or psycho-emotional stress is less likely to be experienced by patients with coronary insufficiency.

Tactics for treatment in Germany

 

The treatment plan for patients with pathology is based on its manifestation, the course of the heart disease, and concomitant cardiac conditions. Considering the individual risks of patients, doctors may prescribe lifestyle changes, drug therapy, or surgical treatment.

Lifestyle changes include weight normalization: losing as little as 3 – 5% of body weight reduces some risk factors for coronary artery disease, activity and regular exercise, proper nutrient-dense diet, ability to manage stress (therapy with a psychologist may be helpful at this point), quitting smoking, and getting enough hours of night sleep (at least 7 – 9 hours for adults) are also recommended.

Drug therapy for coronary insufficiency is aimed at managing the risk factors of heart disease and eliminating its underlying causes. For example, therapy with ACE inhibitors and beta-blockers helps reduce the load on the heart; therapy with calcium channel blockers corrects vascular tone; drugs for blood sugar control reduce the risk of complications from coronary heart disease; metamorphine therapy helps reduce the formation of atherosclerotic clogging of the vessels; drugs from the nitrate group (nitroglycerin) are used to stop and prevent angina attacks.

Surgical treatment in Germany

 

When therapy in the treatment of coronary insufficiency no longer helps, cardiac surgery is used to restore blood flow in the problematic area of the vessel. There are two main types of surgical treatment: bypass surgery and angioplasty.

With bypass surgery, doctors create additional blood flow to bypass the narrowed area in the vessel. The patient's own veins or arteries are most often used for this. This extra blood flow is called a shunt.

During angioplasty, a balloon is inserted into a narrowed section of the vessel, which dilates the problematic area. During this cardiac surgery, a small incision is made in the aorta, a tube with a balloon at the end is inserted, and is advanced to the site of the narrowed vessel. The effectiveness of angioplasty is up to 95%. Therefore, this type of surgical treatment for patients with coronary artery disease is used more often.

Today, many surgical interventions in medicine are performed as minimally invasive procedures. Angioplasty is one of the effective methods of coronary heart disease treatment, which was originally developed for use in patients with a single coronary vessel lesion in the proximal region. However, over time, the angioplasty method has been improved by the use of a guide during the procedure, intravascular ultrasound, pharmacological support, in particular, the use of drug-eluting stents, which allowed the use of percutaneous transluminal coronary angioplasty in more complex cases.

The percutaneous transluminal coronary angioplasty procedure in German hospitals is performed under local anesthesia. The procedure of percutaneous transluminal coronary angioplasty can now be performed as a stage of angiography. If angiography reveals areas of coronary artery narrowing, when angioplasty and stenting are indicated, angiography can be continued immediately in the form of angioplasty.

Why is coronary insufficiency dangerous?

 

Coronary insufficiency is often almost asymptomatic, progressing and leading to some complications, the most severe and irreversible of which is coronary death. Among the most common complications are:

  • Aortic aneurysm.
  • Pericarditis.
  • Involuntary vasoconstriction.
  • Minor but dangerous anatomical changes in the structure of the heart.

Three degrees of negative consequences of cardiac disease are distinguished in medicine:

  1. Increased risk of death. It is characterized by angina attacks lasting more than 20 minutes, pulmonary edema, low blood pressure, shortness of breath, darkening of the eyes, and fainting.
  2. An intermediate degree of lethal risk is defined by angina attacks of less than 20 minutes, nocturnal attacks of chest pain, and the age of the patient over 65 years.
  3. A low degree of risk is caused by more frequent angina attacks in the last two months, even after non-serious physical activity, absence of new changes on ECG in comparison with the earlier results.

The cost of treatment in German hospitals

 

Below you will find prices for common treatment methods. We have compiled information on the real cost of treatment in Germany for the widespread treatment options. You can find out prices to evaluate offers from German hospitals and medical companies around the world.

The average prices for coronary insufficiency diagnostics start at 880 EUR.

The cost of treatment in Germany with conservative therapy starts at 2,030 EUR.

The cost of treatment in Germany with percutaneous transluminal coronary angioplasty with stent replacement starts at 3,762 EUR.

The prices for rehabilitation in German hospitals start at 566 EUR.

How to start the treatment in Germany?

 

You can easily start coronary insufficiency treatment in Germany with Booking Health.

Booking Health provides all the necessary organizational services to patients with coronary insufficiency so that they will not worry about any issues that may arise during treatment arrangement.

To form the final cost of treatment in Germany, it is necessary to calculate the cost of air flights, transfers, hotel accommodation for an accompanying person, and organizational services.

Authors: Dr. Nadezhda IvanisovaDr. Sergey Pashchenko




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