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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

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.

Sick-Sinus-Syndrome (sss) diagnosis
1582
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
17353
Pacemaker implantation to treat sick-sinus-syndrome (sss)
11753
location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Sick-Sinus-Syndrome (sss) diagnosis
1680
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
18486
Pacemaker implantation to treat sick-sinus-syndrome (sss)
12243
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificatecertificate

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Sick-Sinus-Syndrome (sss) diagnosis
1649
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
18168
Pacemaker implantation to treat sick-sinus-syndrome (sss)
12040
location_onCountry: Germany
location_searchingCity: Muenster
certificatecertificatecertificatecertificate

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Sick-Sinus-Syndrome (sss) diagnosis
1673
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
18295
Pacemaker implantation to treat sick-sinus-syndrome (sss)
12087
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificate

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

The Academic Hospital Sachsenhausen at the Goethe University Frankfurt was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes.

Sick-Sinus-Syndrome (sss) diagnosis
1488
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
16093
Pacemaker implantation to treat sick-sinus-syndrome (sss)
9773
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Sick-Sinus-Syndrome (sss) diagnosis
1575
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
17424
Pacemaker implantation to treat sick-sinus-syndrome (sss)
11682
location_onCountry: Germany
location_searchingCity: Munich
certificate certificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Sick-Sinus-Syndrome (sss) diagnosis
1595
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
17455
Pacemaker implantation to treat sick-sinus-syndrome (sss)
11677
location_onCountry: Germany
location_searchingCity: Krefeld

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Sick-Sinus-Syndrome (sss) diagnosis
2085
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
20307
Pacemaker implantation to treat sick-sinus-syndrome (sss)
13630
location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Sick-Sinus-Syndrome (sss) diagnosis
1651
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
18408
Pacemaker implantation to treat sick-sinus-syndrome (sss)
12259
location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Sick-Sinus-Syndrome (sss) diagnosis
1668
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
18221
Pacemaker implantation to treat sick-sinus-syndrome (sss)
12115
location_onCountry: Germany
location_searchingCity: Munich
certificate

PAN Clinic Cologne

9/10 from 14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Sick-Sinus-Syndrome (sss) diagnosis
1671
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Sick-Sinus-Syndrome (sss) diagnosis
1566
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
17067
Pacemaker implantation to treat sick-sinus-syndrome (sss)
11727
location_onCountry: Germany
location_searchingCity: Munich
certificate

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Sick-Sinus-Syndrome (sss) diagnosis
2075
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
20278
Pacemaker implantation to treat sick-sinus-syndrome (sss)
13299
location_onCountry: Germany
location_searchingCity: Berlin

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

The Preventicum Diagnostic Clinic has been intensively working over the years to become one of the leading medical excellence centres in Germany.

Sick-Sinus-Syndrome (sss) diagnosis
2156
location_onCountry: Germany
location_searchingCity: Essen

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Sick-Sinus-Syndrome (sss) diagnosis
0.00
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
0.00
Pacemaker implantation to treat sick-sinus-syndrome (sss)
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Sick-Sinus-Syndrome (sss) diagnosis
1493
Pacemaker implantation and coronary angiography to treat sick sinus syndrome (sss)
16216
Pacemaker implantation to treat sick-sinus-syndrome (sss)
9857
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate certificatecertificate

About the disease

Sick sinus syndrome is a chronic slowing of heart rhythm. During the sick sinus syndrome the sinus code, which acts as a pacemaker in the heart, weakens or stops functioning. Sick sinus syndrome usually manifests in heart rate. Slow heart rate is also known as bradycardia. It can also result in ectopic arrhythmia. The biggest complication of sick sinus syndrome is sudden cardiac arrest, which may result in death. Sick sinus syndrome mostly affects people over 60-70 years of age. In rare cases sick sinus syndrome can develop among children. It is equally common in both females and men.

Sinus node is a pulse generator and it controls the heart rate. Generally, sinus node generates electrical pulses at a frequency of 75-85 per minute. For patients with sick sinus syndrome frequency of electric pulses much less. According to Journal Of The American College of Cardiology, there is an increasing number of SSS cases because of increasing longevity of population age. It was estimated that by 2060 there will be about 170 000 cases of this disease per year.   

In general, there are two types of sick sinus syndrome: cerebral and cardiac. Symptoms of cardiac sick sinus syndrome include heart rhythm abnormalities accompanied by fatigue, irritability, forgetfulness and emotional instability. Elderly people suffer from the memory loss and discordance of some speech functions.

People who have cardiac sick sinus syndrome can often lose consciousness. A patient may faint several times per day for one or two minutes. Before fainting he may hear noise in the ears and feel weakness, which are also symptoms of cardiac arrest. Usually fainting happens without any warning.

Skin of patients with cerebral sick sinus syndrome is pale and constantly cold. They can also experience cold sweats during the night  In this case blood pressure drops sharply. Fainting sometimes may be provoked by cough or by sharp turn of the head. Also wearing shirt with tight collar can result in fainting episode.

Symptoms

  • Arrhythmia
  • Headaches
  • Dizziness
  • Development of cardiac asthma
  • Pulmonary edema
  • Coronary artery disease
  • Angina
  • Myocardial infarction

With the progression of sick sinus syndrome patients may develop tachycardia or fibrillation, which may result in sudden cardiac death.

Diagnosis

  • SSS is usually diagnosed during ECG monitoring, when number of heartbeats is less than 90 per minute.
  • Doctors can also identify sick sinus syndrome by MRI screening.
  • Another common sick sinus diagnosis is the so-called Holter monitoring, when patient is being observed by doctors for the period of 24 hours. The main purpose of Holter monitoring is to understand if there is a sinus node dysfunction. Another way to determine if a patient has sick sinus syndrome is to make him exercise. Usually healthy people experience heart rate increase while running, jumping or moving fast.. This is not the case for people with sick sinus syndrome. Although their heart rate accelerates a bit, it still remains very low comparatively to people who do not have the similar problem. Sometimes doctors try to assess the response of patients to an excessive amount of oxygen by giving them oxygen masks and seeing the reaction of the heart . Patients with sick sinus syndrome have a decreased heart rate, which is another indicator of bradycardia. 
  • Coronary angiography is used to assess state of coronary arteries.

Treatment

Choice of sick sinus syndrome treatment (SSS) depends on the degree of heart rhythm abnormalities, arrhythmia and severity of medical symptoms. Most effective treatment option is pacemaker implantation

Pacemaker implantation is required if patient has chronic heart failure and there is a possibility of sudden cardiac death. The pacemaker generates impulses and increases heart beat until it becomes normal. It is also good for the elderly, because usually their heart welcomes the introduction of the device, which can support the heart rhythm. The only problem is that heart can get used to the pacemaker very quickly, that`s why it patients who undergo this kind of therapy are likely to have to wear the pacemaker for the rest of their lives. There were no known complications; although there is a slight possibility that pacemaker may bring some kind of infection. The chances of that are very slim.

Sick sinus syndrome (SSS) usually has a tendency for progression, so if the treatments is suddenly stopped clinical symptoms may worsen and patient may develop other heart diseases.

Sick sinus syndrome prognosis depends on the extent of bradycardia. If there is no treatment, life expectancy can vary from several weeks to 20 years or more. Nevertheless, antiarrhythmic drugs and timely implemented pacemaker may prolong life expectancy for many years.




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