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Cardiology: Heart failure — Cardioverter -defibrillator implantation. Treatment abroad

Acute heart failure (AHF) is a condition arising from the sharp decline in cardiac contractility. In approximately 80% cases, the pathology development is caused by myocardial infarction, rheumatic heart disease and severe arrhythmias. AHF is treated in intensive care units.

Common Approaches

The primary goals of therapy are alleviation of adverse symptoms (shortness of breath, weakness, and so on) and restoration of the normal heart rhythm.

The patient is monitored continuously using:

  • electrocardiograms,
  • blood oxygen saturation monitoring,
  • blood pressure, pulse, breath rate and temperature monitoring.

A set of specific therapeutic interventions is selected in view of AHF type.

Right Ventricular Failure Correction 

This form of therapy is to remove the pathology underlying its development. Thus, pulmonary embolism is corrected by administration of thrombolytics. When required, the patient undergoes thrombectomy. Antibiotics are prescribed for pulmonary infection or bacterial endocarditis. AHF manifestations are inhibited by diuretics and dopamine in low doses.

Left Ventricular Failure Correction

The following medications are used to treat the left ventricular failure:

  • Narcotic analgesics. These drugs eliminate the shortness of breath, reduce agitation and pressure in the pulmonary circulation.
  • Oxygen with defoamer. It is administered for pulmonary edema accompanied by foaming. The patient inhales the drug through the nasal cannula or face mask.
  • Vasodilating drugs (nitroglycerin, aminophylline, pentamin). They dilate the blood vessels, reduce the workload on the heart and facilitate its work.
  • Diuretics (furosemide). They also allow to "unload" the myocardium quickly. The drugs are not administered when the patient has low blood pressure.
  • Clonidine. It is indicated for development of arterial hypertension.
  • Dopamine. It is administered for hypotension.

Upon increase of respiratory failure signs, the patient receives an artificial respiration. Against the background of the developed cardiogenic shock, a special antishock therapy is conducted.

The struggle against AHF is continued until elimination of all its clinical signs. Then a rehabilitation treatment is selected for the patient.

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Age: 15 years or older

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HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #50021

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

Price 25633.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #78387

The Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine of the University Hospital Cologne is part of the Heart Center Cologne. The Department offers its patients treatment at the highest level with the use of all innovations for treating coronary artery stenosis, arrhythmias and hypertension.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificate

Price 22319.00

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Cardiology, Angiology and Pulmonology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #178483

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 22311.00

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #106267

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

Price 30679.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiology, Angiology and Nephrology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #76539

The Department of Cardiology is a part of one of the most prestigious German hospitals – the University Hospital Frankfurt. The doctors of the Department are not only perfectly trained, but they also pay attention to upskilling and take an active part in medical researches.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 25886.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiology and Angiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #106861

The Department of Cardiology and Angiology at the University Hospital Charite Berlin treats patients with cardiac and angiological diseases. It is located at the Charite Mitte Campus.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin
certificate

Price 31067.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #100985

The Department of Cardiac Surgery at the Heidelberg University Hospital offers an excellent university medicine. The Department provides treatment and aftercare to more than 2,500 patients every year.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg
certificate

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #227435

The Department of Thoracic and Cardiovascular Surgery offers surgical treatment of all congenital and acquired heart and lung diseases in adulthood.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 30707.00

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of Internal Medicine I (Gastroenterology, Hematology, Onkology, Cardiology, Pulmology, Sport Medicine)

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #52879

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 18225.00

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #247087

The main focus of the cardiology and angiology clinic is clinical treatment, as well as experimental and clinical studies of acute myocardial infarction, chronic heart failure, arteriosclerosis and heart rhythm abnormalities.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 22068.00

Academic Hospital Neuperlach

9.8/10 from 11 Votes

Department of Cardiology, Pneumology and Internal Intensive Care

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #144213

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 20414.00

Marienhaus Klinikum St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of Internal Medicine (Cardiology / Rhythmology)

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #292625

The Department of Invasive Cardiology / Rhythmology at the Marienhaus Klinikum St. Elisabeth Neuwied deals with the treatment all diseases of the cardiovascular system. Cardiology covers the full range of diagnosis and non-surgical treatment of heart diseases.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Neuwied

Price 20376.00

Multispecialty Medical Center Preventicum

9.8/10 from 1 Votes

Department of Cardiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #117545

Basis of an optimum medical advice in the Department of Cardiology is the precise, reliable diagnosis of all possible risk factors and diseases. With the ultrasound examination, soft tissue can be well judged.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 22136.00

District Hospital Waldbröl Oberberg

9.7/10 from 23 Votes

Department of Cardiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #286726

The Department of Cardiology (Medical Department I) at the District Hospital of Waldbröl offers the entire spectrum of cardiologic services at the latest scientific level. One of the main focuses is diagnosis and treatment of coronary arteries (over 3,000 examinations a year).


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Waldbrоl

Price 18502.00

Academic Hospital Schlosspark

9.7/10 from 23 Votes

Department of Internal Medicine (Gastroenterology and Cardiology)

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #281370

The Department of Internal Medicine I at the Schlosspark-Klinik provides the whole range of services in the field of modern diagnosis and treatment of diseases of the internal organs.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 22052.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Cardiology and Angiology (Department of Internal Medicine III)

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #250255

The Department of Internal Medicine III at the University Hospital of Halle (Saale) offers the entire range of medical services of the modern cardiology and angiology, including interventional cardiology (e. g.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle

Price 22356.00

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