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Cardiology: Heart failure — Cardioverter -defibrillator implantation. Treatment

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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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Cardiology, Angiology and Intensive Care Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #336371

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.


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

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #78125

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


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

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

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

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #361495

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


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

Sachsenhausen Hospital Frankfurt am Main

10/10 from 23 Votes

Department of Cardiology, Gastroenterology and Sleep Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #334175

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.


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

University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Cardiology, Pneumology, Angiology and Internal Intensive Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #105395

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


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

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #74711

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


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

Academic Hospital Neuperlach Munich

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

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiology and Internal Intensive Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #68703

The Department of Cardiology and Intensive Care Medicine at the Academic Hospital Bogenhausen offers all modern diagnostic and therapeutic methods for heart and circulatory diseases. The medical emphases are on the non-invasive and invasive diagnosis and treatment of heart disease and cardiac arrhythmias.


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

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Cardiology, Pneumology and Internal Intensive Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #140377

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.


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

University Hospital Muenster

8.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #139897

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


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

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

Department of Cardiology, Internal Medicine and Preventive Diagnostics

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #360350

The Department of Cardiology, Internal Medicine and Preventive Diagnostics specializes in high quality diagnostics and treatment of a wide range of cardiovascular diseases and diseases of the internal organs.


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

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

Department of Cardiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #356877

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.


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

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #358205

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.


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

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Cardiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #329909

The Department of Cardiology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of the entire spectrum of heart diseases starting from critical conditions up to chronic pathologies requiring ongoing monitoring or rehabilitation.


Duration: 6 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv




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