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Treatment of Pulmonary Hypertension 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

Diagnosis of pulmonary hypertension
729.35
Pulmonary hypertension conservative treatment and holter monitoring
2324.35
Right heart catheterization for diagnosis of pulmonary hypertension
3482.9

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
Diagnosis of pulmonary hypertension
2156.45
Pulmonary hypertension conservative treatment and holter monitoring
5854.1
Right heart catheterization for diagnosis of pulmonary hypertension
8243.7

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
Diagnosis of pulmonary hypertension
2290.35 help2130.35
Pulmonary hypertension conservative treatment and holter monitoring
6565.75 help5965.75
Right heart catheterization for diagnosis of pulmonary hypertension
9079.2 help8229.2

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
Diagnosis of pulmonary hypertension
2416
Pulmonary hypertension conservative treatment and holter monitoring
6676.25
Right heart catheterization for diagnosis of pulmonary hypertension
9613.95

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
Diagnosis of pulmonary hypertension
0
Pulmonary hypertension conservative treatment and holter monitoring
0
Right heart catheterization for diagnosis of pulmonary hypertension
0

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Cardiology, Pulmonology and Angiology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnosis of pulmonary hypertension
2405.85
Pulmonary hypertension conservative treatment and holter monitoring
6945.95
Right heart catheterization for diagnosis of pulmonary hypertension
9925.7

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
Diagnosis of pulmonary hypertension
3336.75
Pulmonary hypertension conservative treatment and holter monitoring
9416.75
Right heart catheterization for diagnosis of pulmonary hypertension
13578.25

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
Diagnosis of pulmonary hypertension
2268.1
Pulmonary hypertension conservative treatment and holter monitoring
6373.2
Right heart catheterization for diagnosis of pulmonary hypertension
8913.6

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
Diagnosis of pulmonary hypertension
2418.9
Pulmonary hypertension conservative treatment and holter monitoring
7228.7
Right heart catheterization for diagnosis of pulmonary hypertension
9776.35

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
Diagnosis of pulmonary hypertension
2243.45
Pulmonary hypertension conservative treatment and holter monitoring
6442.8
Right heart catheterization for diagnosis of pulmonary hypertension
8981.75

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
Diagnosis of pulmonary hypertension
2372.5
Pulmonary hypertension conservative treatment and holter monitoring
6761.8
Right heart catheterization for diagnosis of pulmonary hypertension
9192

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
Diagnosis of pulmonary hypertension
2611.75
Pulmonary hypertension conservative treatment and holter monitoring
7138.8
Right heart catheterization for diagnosis of pulmonary hypertension
9902.5

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
Diagnosis of pulmonary hypertension
2492.85
Pulmonary hypertension conservative treatment and holter monitoring
7075
Right heart catheterization for diagnosis of pulmonary hypertension
9786.5

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
Diagnosis of pulmonary hypertension
2120.2
Pulmonary hypertension conservative treatment and holter monitoring
6017.95
Right heart catheterization for diagnosis of pulmonary hypertension
8349.55

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
Diagnosis of pulmonary hypertension
2240.55
Pulmonary hypertension conservative treatment and holter monitoring
6260.1
Right heart catheterization for diagnosis of pulmonary hypertension
8816.45

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
Diagnosis of pulmonary hypertension
2611.75
Pulmonary hypertension conservative treatment and holter monitoring
6944.5
Right heart catheterization for diagnosis of pulmonary hypertension
9874.95

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
Diagnosis of pulmonary hypertension
2462.4
Pulmonary hypertension conservative treatment and holter monitoring
7199.7
Right heart catheterization for diagnosis of pulmonary hypertension
10014.15
| from Booking Health GmbH

The medical term "hypertension" in medicine is mostly used to indicate heart diseases. However, high blood pressure can also occur in the lung tissues. This is basically what pulmonary arterial hypertension is. It is less common but has a more significant threat to life. Why does it occur and what are the complaints? What options of treatment and diagnosis are offered by modern medicine and is surgery necessary? We will try to answer these questions below.

Content

  1. What is pulmonary arterial hypertension?
  2. What are the symptoms of pulmonary arterial hypertension?
  3. Possible complications of pulmonary hypertension
  4. Treatment principles in Germany
  5. Drug therapy for pulmonary hypertension
  6. Surgical treatment
  7. Treatment of PH in the midst of the pandemic
  8. Treatment of pulmonary hypertension in German hospitals
  9. The cost of treatment in Germany
  10. How to start treatment in Germany?

What is pulmonary arterial hypertension?

 

In a healthy person, the pulmonary arterial pressure is much lower than in the aorta and the vessels coming out of it. But when pulmonary arterial hypertension develops, the vessels narrow, creating difficulties for blood flow to the lungs, and thereby increasing the pressure in the pulmonary vessels. When blood exits the right ventricle of the heart, it encounters resistance, causing the right ventricle to work harder to actually get blood to the lungs, eventually leading to myocardial muscle weakness and right ventricular failure. In its early stages, the medical condition does not cause any symptoms, but over time, the cardiac function becomes impaired, posing the risk of developing various heart diseases, heart failure, and even death.

The disease is more common in women, especially young women, than in men.

What are the symptoms of pulmonary arterial hypertension?

 

The symptoms of the disease are very nonspecific, so it is very difficult to identify pulmonary arterial hypertension without a professional diagnosis. Moreover, in the early stages, pulmonary arterial hypertension is usually not accompanied by any signs, so there is no obvious need to seek medical attention.

The first characteristic sign of pulmonary hypertension is dyspnea on physical load. At first, it appears only during significant loads, and in later stages – during light physical activities (walking, squatting) or even at rest. Patients also complain of rapid fatigue, irregular heartbeat, and fainting for a few seconds during heavy physical activity (then patients usually get up as if nothing had happened). Sometimes there is chest pain or abdominal discomfort and headaches.

When the disease begins to disrupt the activity of the right ventricle of the heart, there are symptoms of heart failure, including swelling of the legs and abdomen, lack of oxygen, causing a bluish color of the skin. These symptoms are already a signal that requires immediate medical attention.

Possible complications of pulmonary hypertension

 

Impaired blood flow in the lungs, which is often present in patients with pulmonary arterial hypertension, can lead to the development of dangerous complications, including:

  • Heart failure. When the conditions force the right ventricle to increase the functional load to get blood into the lungs, the heart begins to compensate for the narrowing of the pulmonary arteries by thickening the walls of the myocardium and expanding the ventricle to increase the volume of blood it can store. In doing so, the right ventricle collapses due to constant hyperactivity, which ultimately leads to heart failure.
  • Thrombosis. When pressure increases due to pulmonary blood vessel narrowing, there is an increased risk of blood clots, which can lead to clogging of the vessels suffering from the narrowing.
  • Arrhythmia. While pulmonary arterial hypertension progresses and heart activity increases, palpitations, dizziness, and fainting are observed.
  • Bleeding. High blood pressure can lead to bleeding in the lungs with a bloody cough.

Treatment principles in Germany

 

General guidelines are relevant for all patients with pulmonary arterial hypertension without exception, which, when followed, reduce the risk of possible worsening of the course of the disease due to certain circumstances and external factors. In everyday life, patients with pulmonary arterial hypertension should avoid potentially dangerous activities that may provoke the occurrence of dyspnea, syncope, and chest pain; physical activity after meals and unfavorable temperature conditions are prohibited. At the same time, patients with pulmonary arterial hypertension should maintain adequate skeletal musculature by performing daily dosed physical activities that do not cause the above symptoms, which helps to reduce clinical symptoms.

Hypoxia exacerbates vasoconstriction in pulmonary arterial hypertension, so additional oxygen therapy should be discussed for patients during air transport flights. Infectious disease prophylaxis is of paramount importance for patients with pulmonary arterial hypertension. Patients should be advised to receive flu and pneumococcal vaccinations because pneumonia aggravates the course of the disease and becomes the cause of death in 7% of patients with pulmonary arterial hypertension.

All patients with pulmonary arterial hypertension of reproductive age should be recommended appropriate means of contraception. The dependence of hormonal birth control and the aggravation of pulmonary arterial hypertension has not been proved in a significant number of studies. Such patients are recommended for estrogen-free contraceptives and barrier methods of contraception. Pulmonary hypertension patients are highly sensitive to the lowering of blood hemoglobin levels, so even mild anemia requires prompt and effective medical care.

Methods of treatment of elevated pressure in the lungs depend on what has caused the disease and how aggressive the disease is. The disease itself can be considered chronic, but drug therapy helps to relieve symptoms. Medication usually requires extensive and long-term medical follow-up to make sure that treatment is beneficial and prevents fatal complications.

Drug therapy for pulmonary hypertension

 

Despite the rarity of the condition, modern medicine offers several drugs for its management. With that said, patients can be indicated therapy with:

  • PDE5 inhibitors to lower the pulmonary pressure.
  • ERAs. Such drugs block the receptors that cause vessels to dilate. These drugs can cause liver complications, so they require regular medical monitoring and control with blood tests on liver function.

In parallel with the targeted drug therapy, general therapy is conducted, which consist of such medical manipulations as:

  • Therapy with calcium channel blockers. These drugs block the calcium absorption, helping to improve tone of heart muscles and relax them.
  • Drug therapy for heart rhythm disorders. Prescribed to control heart rate and increase cardiac activity.
  • Therapy with diuretics. Diuretics help remove excess fluid from the body, helping to lower the pressure in the circulatory system.
  • Therapy with anticoagulants. These drugs are used as the main treatment for pulmonary hypertension, since this phenomenon is associated with an increased risk of blood clots as a result of heart failure.
  • Oxygen therapy. In addition to medication, some patients diagnosed with pulmonary hypertension are recommended to receive supplemental oxygen therapy. Oxygen therapy can be carried out according to different techniques with the use of oxygen masks and balloons. In the case of exacerbation of pulmonary hypertension, patients may require prolonged oxygen therapy.

Surgical treatment

 

When therapy with medication does not bring the desired result, and after several drugs and their combinations have been tried, surgery is required for such patients to prevent serious and life-threatening complications. Several types of surgery are currently practiced to treat pulmonary arterial hypertension:

  • Atrial septostomy. In this surgery, an incision is made that relieves the right side of the heart. The operation can potentially be accompanied by various aggravations, including heart rhythm abnormalities, which can be considered as a step toward a lung transplant.
  • Lung transplant. A healthy lung transplant is a last resort technique conducted in particularly severe conditions. The transplant is prescribed in the late stages mainly of the idiopathic pathology. After such surgery, long-term medication to prevent rejection of the implant (immunosuppressants) is needed for life, and people who have undergone such a procedure require constant medical monitoring.

Treatment of PH in the midst of the pandemic

 

In the present epidemiological situation, when the world is faced with a coronavirus pandemic, the problems of managing high-risk groups arise, and among such groups patients with cardiovascular conditions occupy a special place. People with cardiovascular pathology are in great danger especially when there is a significant course of progression present; the situation is related to chances for unfavorable reactions and creates additional difficulties in the establishment of tactics for treatment.

Pulmonary arterial hypertension is a dangerous cardiovascular pathology, which has an extremely poor prognosis if untreated. The world’s healthcare community faces many unique challenges in providing medical care during the pandemic for various types of the disease. Modern techniques of treatment of those having a pathology with a theoretically aggressive course are established on two key aspects: the implementation of effective specific medication and early use of rationally combined regimen. Thus, in pulmonary arterial hypertension patients, who developed clinical deterioration during the first year of monitoring, prognosis in the subsequent year significantly worsened compared to those without clinical deterioration.

The stable course of pulmonary arterial hypertension can be considered the exception rather than the rule. Destabilizing factors include pregnancy, need for surgery, prescription of concomitant medications, or temporary discontinuation of specific treatment. Any infectious process can provoke clinical deterioration in this category of patients. Therefore, in a pandemic, exposure to an infection and a stressor form a very dangerous duo. In these circumstances, the use of modern, highly effective drugs is a guarantee that a virus will not have a deleterious effect on the course of events.

Intensive treatment aimed at the reliable achievement of lower risk for patients with the disease that can improve prognosis and cutback the probability of unwanted outcomes, which is emphasized in the prevailing medical recommendations. It is necessary to remember that COVID-19 pandemic has changed the generally accepted standards of medical care for some groups of patients with pulmonary hypertension who receive specific medication therapy.

Nowadays, it is extremely important to take an individual approach to the treatment of patients with pulmonary hypertension, when discussing the issue of planned hospitalization. All patients should be assessed, on the one hand, for the risk of possible COVID-19 infection on admission to the hospital or outpatient visit to the outpatient clinic. On the other hand, in patients with a high probability of developing pulmonary hypertension, timely initiation of specific treatment to reduce the risk of disease progression is an important factor for completing the examination and a thorough risk assessment.

For people with deterioration (unstable patients), diagnostic measures must be repeated to timely detect the potential aggravation of the root disease, to detect ventricular decompensation, and to suspect COVID-19. Fever in such patients should raise the suspicion of COVID. If respiratory functioning worsens, emergency hospitalization, and laboratory testing should be considered.

Treatment of pulmonary hypertension in German hospitals

 

Pulmonary arterial hypertension requires comprehensive and highly professional treatment. At German hospitals, it is carried out by a team that includes qualified pulmonologists, cardiologists, and surgeons. The doctors achieve a steady improvement in the patient's condition and eliminate the risk of severe consequences of the disease. The high level of medical services is confirmed by those who underwent pulmonary hypertension treatment in Germany: reviews speak of the effective elimination of its causes and symptoms, stabilization of a condition, and return of the patients to their normal rhythm of life. Particular attention is paid to the diagnostic process, which is conducted on modern equipment, allowing the exact detection of pathology, and subsequently helps to determine the most effective treatment plan.

It is worth noting that German hospitals offer comfortable conditions for foreign patients.

The best hospitals for treatment in Germany are:

  • University Hospital of Ludwig Maximilian University of Munich.
  • University Hospital Frankfurt am Main.
  • Catholic Clinic Koblenz-Montabaur.
  • Academic Hospital Brothers of Mercy Munich.
  • Bundeswehr Academic Hospital Berlin.

For more information about the hospitals to undergo treatment in Germany, please visit the Booking Health website.

The cost of treatment in Germany

 

What patients should know is that even though the cost of treatment in Germany varies for different cases and diagnoses, the cost of treatment in Germany is calculated based on the unified pricing system, which excludes any arbitrary manipulations.

The list of presented prices for medical services is not exhaustive and includes only the main services that are most demanded for patients with pulmonary hypertension. The prices indicated in the list are preliminary.

  • The cost of treatment with conservative methods and holter monitoring starts at 1,463 EUR.
  • The prices for diagnosis start at 465 EUR.
  • The prices for right heart catheterization for pulmonary hypertension diagnosis start at 2,287 EUR.
  • The prices for pulmonary rehabilitation start at 708 EUR.

You can always contact Booking Health for the preliminary establishment of the cost of treatment in Germany in the specific clinical case.

How to start treatment in Germany?

 

Booking Health can easily initiate your treatment in Germany, since the company cooperates with the leading German hospitals directly, which influences the velocity of the organizational matters.

Besides, Booking Health is ready to consult you regarding any aspect of treatment abroad.

Therefore, feel free to contact Booking Health via the request form on the Booking Health website.

Authors: Dr. Nadezhda IvanisovaDr. Sergey Pashchenko




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