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Cardiology: Heart failure — Cardioverter -defibrillator implantation. Treatment

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

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.

Include:
people Interpreter up to 20 hours
list Translation of medical documents up to 10 pages
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book Insurance against increased costs in case of complications with a cover of 200,000 €

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes
location_onGermany, Karlsruhe
certificate

Department of Cardiac Surgery

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

On the basis of the Department of Cardiac Surgery, more than 410 cardioverter-defibrillator implantations are performed anually in patients with acute heart failure. The department’s "hybrid" operating room with the Laboratory for Catheter Diagnostics makes it possible to perform this technically complex intervention even in acute situations and at the highest professional level. The department has more than 15 years of experience in performing such surgical procedures.

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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich
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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.

Charite University Hospital Berlin

9/10 from 95 Votes
location_onGermany, Berlin
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Department of Cardiac Surgery

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #106747

The Department of Cardiac Surgery at the University Hospital Charite is located at the Campus Charite Mitte. It offers treatment of all congenital and acquired cardiovascular diseases.

University Hospital Oldenburg

10/10 from 33 Votes
location_onGermany, Oldenburg

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.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Cardiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #137591

The Department of Cardiology is part of the Center for Heart and Vascular Medicine at the University Hospital Muenster (UHM). The patients with all diseases of the heart, circulatory and vascular system are treated here.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
certificate

Department of Cardiology and Angiology

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

According to the Focus magazine rating of 2017, the Department of Cardiology and Angiology ranks among the top German departments in the treatment of heart diseases! The department offers the full range of services in the field of diagnosis and treatment of cardiological and angiologic disorders.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes
location_onGermany, Frankfurt am Main

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.

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes
location_onGermany, Munich
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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.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Cardiology

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #388348

The Department of Cardiology offers the full range of services in this medical focus. The department specializes in the treatment of heart failure, heart rhythm disorders, heart valve diseases and other heart pathologies. For the provision of emergency medical care, the department has a Chest Pain Unit.

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Implantation of cardioverter- defibrillator in patients with cardiac insufficiency #337820

The Department of Internal Medicine, Cardiology and Conservative Intensive Medicine offers the full range of treatment of internal diseases. Diseases of the heart, lungs and pathologies associated with circulatory disorders are treated here.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes
location_onGermany, Hamburg

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.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich
certificate

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.

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes
location_onGermany, Munich
certificate

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.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

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.

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes
location_onIsrael, Tel Aviv

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.

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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