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Treatment of Pericarditis 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

Pericardial drainage to treat pericarditis
6191
Pericarditis differential diagnosis and conservative treatment
6003
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
Pericardial drainage to treat pericarditis
18397 help16397
Pericarditis differential diagnosis and conservative treatment
17821 help15821

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
Pericardial drainage to treat pericarditis
16554
Pericarditis differential diagnosis and conservative treatment
15742

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
Pericardial drainage to treat pericarditis
18416
Pericarditis differential diagnosis and conservative treatment
15350

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
Pericardial drainage to treat pericarditis
0
Pericarditis differential diagnosis and conservative treatment
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
Pericardial drainage to treat pericarditis
25916
Pericarditis differential diagnosis and conservative treatment
24316

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
Pericardial drainage to treat pericarditis
20012
Pericarditis differential diagnosis and conservative treatment
18645

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
Pericardial drainage to treat pericarditis
17427
Pericarditis differential diagnosis and conservative treatment
16686

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
Pericardial drainage to treat pericarditis
19845
Pericarditis differential diagnosis and conservative treatment
18433

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
Pericardial drainage to treat pericarditis
18997
Pericarditis differential diagnosis and conservative treatment
15302

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
Pericardial drainage to treat pericarditis
17441
Pericarditis differential diagnosis and conservative treatment
16695

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
Pericardial drainage to treat pericarditis
19891
Pericarditis differential diagnosis and conservative treatment
16265

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
Pericardial drainage to treat pericarditis
19852
Pericarditis differential diagnosis and conservative treatment
18328

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
Pericardial drainage to treat pericarditis
16392
Pericarditis differential diagnosis and conservative treatment
15793

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
Pericardial drainage to treat pericarditis
17618
Pericarditis differential diagnosis and conservative treatment
16731

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
Pericardial drainage to treat pericarditis
19982
Pericarditis differential diagnosis and conservative treatment
18457

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
Pericardial drainage to treat pericarditis
19678
Pericarditis differential diagnosis and conservative treatment
18300
| from Booking Health GmbH

The pericardium is the organ that maintains the natural direction of the heart. Pericarditis is a cardiac disease characterized by inflammatory processes in the pericardial layers. As a result of fluid accumulation in the sheath and fibrous changes, the disease disorganizes the functionality of the pericardial muscles.

Content

  1. Overview
  2. Types of pericarditis
  3. What causes pericarditis?
  4. Symptoms of pericarditis
  5. Diagnostics
  6. Treatment tactics
  7. Options for surgical treatment
  8. Why undergo treatment in hospitals in Germany?
  9. The prices for treatment in Germany
  10. Why undergo treatment with Booking Health?

Overview

 

Pericarditis is an inflammatory disease of the pericardium. Pericarditis often occurs in diseases of internal organs of both infectious and non-infectious nature, systemic connective tissue diseases (rheumatism, systemic lupus erythematosus, etc.), tumors and allergic processes, as well as cardiac trauma. The inflammatory process may lead to thickening of the pericardial walls, formation of adhesions, and compression of the heart. It results in cough, dyspnea, dull or sharp pain, spreading to the neck, left arm, and scapula. The intensity of pain varies with changes in body position.

The inflammatory process may also lead to the accumulation of a large volume of fluid in the pericardial cavity. At the same time, significantly increased pericardial volume adversely affects the function of adjacent organs due to their compression and displacement. With the slow accumulation of fluid, the pathological process manifests itself as chills, and symptoms of intoxication. Increased fluid volume causes excruciating cough, shortness of breath, and hoarseness of voice. In severe cases, blood pressure decreases, the face becomes blue, and the pulse rate increases. This category of patients requires immediate intervention, during which a soft catheter is inserted into the pericardial cavity to evacuate the accumulated fluid. The surgical treatment of pericarditis (removal of pericardial areas compressing the heart) is performed only in cases of emergency.

Types of pericarditis

 

Acute and chronic forms of pericarditis are distinguished.

The acute fibrinous form is caused by the excessive filling of the pericardium with blood. The time for acute form development is 1-2 weeks. Acute pericarditis can last up to six months, although the average recovery time is around 4 months. Fluid with fibrin forms in the membrane cavities. There is a so-called fibrin sweating. In this form, the volume of fluid is small. The exudative form involves abundant fluid (exudate), which may have a different character and composition with its basis being leukocytes, lymphocytes, etc. If the volume is small, fibrinous discharge may resolve on its own. Purulent formations pose one of the greatest dangers to heart function.

Bloody hemorrhagic fluid forms when the body is affected by tuberculosis. It can be accompanied by cardiac tamponade, which is the name given to heart muscle dysfunction due to excessive fluid accumulation in the pericardium and increased pressure. And it can also occur without tamponade.

In chronic pericarditis, the pathology may bother the patient for more than six months.

Chronic exudative pericarditis has the same symptoms as in the acute form. Adhesive pericarditis is a complication of pericarditis, presented in the form of scarring, adhesions between pericardial layers, and connective tissue. In some cases, blood circulation is restored, but more often the pathology manifests itself by calcium deposits in the pericardium, tissue adhesion, formation of inflammatory granulomas, and various disorders of cardiac functionality.

One of the most difficult to treat subsequently is constrictive pericarditis when the pericardium becomes infiltrated with fibrous tissue and calcified. The pericardium thickens, which affects blood dynamics in the heart chambers, and as a consequence, venous stasis is observed.

What causes pericarditis?

 

Pericarditis is an inflammation of the pouch, or pericardium, which is the sheath covering the outside of the heart muscle. The main causes of pericarditis are the following:

  • Infectious agents: viruses, bacteria, fungi, and even parasites. The inflammatory process in the pericardium is triggered by exo- and endotoxins released by microorganisms.
  • Autoimmune diseases of the connective tissue, such as lupus erythematosus or scleroderma. In these pathologies, the body synthesizes antibodies to its own cells, which damage connective tissue and cause systemic inflammation.
  • Heart disease. Serious damage to the heart muscle results in the spread of the pathological process to the surrounding pericardium. This can be seen in transmural myocardial infarction, infectious or reactive myocarditis.
  • Damage to other organs, such as the kidneys, can lead to pericarditis. If the excretory function is severely impaired and renal failure develops, there is the deposition of metabolic products in serous cavities, including the pleura and pericardium.
  • Penetrating pericardial trauma that compromises the integrity of the pericardial structures.
  • Tumor metastasis, which causes pericardial carcinomatosis.

The causes of pericarditis are varied, and thus treatment approaches depend on what caused the inflammation. But in the absence of timely diagnosis and correction of this condition, the outcome is always the same. The outcome of chronic pericarditis is cardiac tamponade, which leads to the patient's death.

Symptoms of pericarditis

 

The onset of pericarditis, symptoms, and first signs are quite characteristic. The main reason to consider a visit to the hospital is chest pain. Pain syndrome in this disease can be quite pronounced and persistent. But there are cases when the first place in severity is a fever. Its combination with shortness of breath and chest pain is often mistaken for pneumonia.

The pain syndrome in this cardiac condition may have irradiation, as in angina pectoris – in the left arm and scapula. But the distinctive signs of pain in pericarditis are the absence of connection with the physical load. The pain is almost constant and intensifies with a change of body position or deep breaths.

In addition to pain, pericarditis is always accompanied by additional symptoms, including general weakness, increase in body temperature, shortness of breath at slight physical exertion, presence of heart palpitations, and decrease in blood pressure. Unlike angina pectoris, nitrate-based medications do not bring relief.

If you notice such symptoms yourself or in your loved ones, you should urgently consult a doctor, because the price of delay may be human life. Only a professional cardiologist, after examining patients and prescribing immediate instrumental examination, will be able to diagnose the condition exactly and recommend adequate treatment.

Otherwise, if medications are not administered on time, serious complications are inevitable. With cardiac tamponade, a large amount of exudate accumulates in the pericardial cavity. The result is that the heart muscle is literally compressed and can not fully contract. The result of such compression is an acute cardiovascular failure, cardiac arrest, and the patient's death. In this case, the usual methods of resuscitation rarely give a positive effect, and only the release of excessive exudative fluid from the pericardium can make the heart contract again.

Diagnostics

 

Doctors at cardiology clinics will carefully review your medical history and do a complete physical exam. Physical examination is important in the diagnosis of pericarditis. While listening to the heart, the specialist can detect a characteristic noise caused by friction of the pericardial structure. At a hospital in Germany, patients can undergo the full range of laboratory and instrumental diagnostics, including:

  • Determination of indicators of the inflammatory or autoimmune process in the peripheral blood. Special laboratory tests will also help diagnose metabolic disorders underlying pericarditis.
  • Ultrasound diagnosis (echocardiography) is the primary imaging modality to detect fluid accumulation or fibrotic changes in the pericardial structures.
  • Electrocardiography and continuous monitoring.
  • Radiography and tomographic studies of the chest organs.
  • Pericardial puncture, which can be both a diagnostic and therapeutic procedure. The obtained exudate is sent for laboratory testing to determine its biochemical composition and microbiological analysis.

Treatment tactics

 

Treatment tactics for pericarditis depend on the form of the disease and its cause. In most cases, therapy with medication is used, bed rest is prescribed, physical activity restrictions and a strict diet is recommended (first of all, the amount of salt intake is restricted).

If pericarditis developed due to an infection, the patient is prescribed antibiotics, antiviral or antimycotic drugs. In allergic pericarditis, antihistamines and glucocorticosteroids are used. Doctors at cardiology clinics in Germany also prescribe anti-inflammatory and analgesic drugs. If necessary, other drugs can also be used to relieve symptoms of the disease and reduce the risk of complications.

The duration of therapy may vary. In some cases of acute pericarditis, improvement occurs on days 5-7 of therapy, but the average course of treatment is 21 days. If pericarditis is caused by tuberculosis, the treatment may take 6 months or more. Each case is different.

If complications develop, surgical treatment may be necessary. In particular, with cardiac tamponade, a puncture is made and the accumulated fluid is removed. In fibrinous pericarditis with thickening of the walls of the cardiac sac and compression of the heart, a cardiac surgeon may prescribe pericardectomy, which implies removal of a part of the pericardium.

The following groups of medications can be used in the drug treatment of pericarditis:

  • NSAIDs, which relieve the symptoms of inflammation.
  • Antibiotics, antiviral, antifungal, and antiparasitic drugs, if the etiological factor is an infectious agent.
  • Glucocorticosteroids and cytostatics, if the cause of pericarditis is autoimmune pathology.
  • Targeted drug therapy of the underlying disease that caused pericarditis: hemodialysis may be used for renal failure, and myocardial infarction; thrombolysis and restoration of blood flow through the coronary arteries.

At the risk of cardiac tamponade, the pericardial puncture is resorted to. The purpose of this manipulation is to remove fluid and prevent tamponade. However, the puncture is also diagnostically important. The obtained exudate is subjected to microscopy, bacteriological and cytological examination. It can detect atypical tumor cells or infectious pathogens.

The prognosis of pericarditis is generally favorable. If a correct diagnosis of pericarditis is made and treatment is started in time, a complication in the form of tamponade is extremely unlikely. But it is worth remembering that pericarditis, the treatment of which requires a professional approach, is quite a formidable and dangerous disease with its complications.

Options for surgical treatment

 

Complications of pericarditis may necessitate minimally invasive or surgical interventions in the hospital setting. Cardiologists and cardiac surgeons at German clinics perform the following types of procedures:

  • Pericardial puncture. It is used as a method of emergency aid in case of cardiac tamponade caused by severe exudative pericarditis. During the course of treatment, a puncture may be performed several times. Drainage may also be inserted. The procedure is usually performed under local anesthesia and under ultrasound guidance.
  • Pericardiectomy. This surgical procedure is used to remove calcifications and fibrotic changes that interfere with normal heart contraction. During the procedure, the sclerosed portion of the pericardium is removed to prevent the recurrent process.

The extensive clinical experience of German cardiologists ensures that the most effective treatment method for pericarditis in hospitals in Germany is chosen and prevents the development of complications.

Why undergo treatment in hospitals in Germany?

 

Specialists working in hospitals in Germany have achieved good results in the treatment of various cardiac diseases, including pericarditis.

Hospitals in Germany provide the full range of medical services both in diagnostics and treatment of cardiovascular diseases in general, and pericarditis specifically. The country pays a lot of attention to health issues and finances health care. That is why leading German cardiology clinics apply cutting-edge methods, the most advanced technologies, and have innovative equipment.

It is no less important that doctors and all medical personnel treat the patient with care and due respect. Everything is done to create the most comfortable conditions, reduce stress levels, and allow the person to focus on their health and on improving their condition.

To find out where the best place for pericarditis treatment in Germany is for you, contact Booking Health.

The prices for treatment in Germany

 

The average prices for the treatment of pericarditis in Germany are listed below:

  • The cost of treatment with conservative therapy (differential diagnosis included) starts at 6,003 EUR.
  • The cost of treatment with pericardial drainage starts at 6,191 EUR.
  • The prices for cardiac rehabilitation start at 566 EUR.

Booking Health can provide a calculation of the cost of treatment in Germany for your clinical case.

Why undergo treatment with Booking Health?

 

Booking Health has many years of experience in medical tourism and knows everything about how to find the treatment options that fit you. 

Services of Booking Health make it possible for you to concentrate on your recovery, while Booking Health takes care of all the arising issues and finds a clinic abroad, corresponding to the specifics of your diagnosis and your budget for treatment.

Besides, we will help you to prepare medical documentation, book flights, and accommodation, taking into account all individual wishes. Thanks to our help, thousands of people were successfully cured of pericarditis.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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