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Cardiology: Atrial flutter (fibrillation) — electro convulsive therapy. Treatment

Atrial fibrillation (AF), which includes fibrilloflutter, is the most common heart rhythm disorder. It accounts for approximately 1/20 of all hospital admissions in the cardiology department. This disease prevails among people over 60 years old. The treatment choice depends on the AF type, severity of its course and patient’s general condition.

Conservative Methods

Typically, the first step in the fight against pathology becomes a drug therapy. Its goal is to eliminate the main symptoms of arrhythmia, to maintain a stable heart rate and to prevent the development of complications.

Upon a chronic AF form, the patients are recommended to take cardiac glycosides, beta-blockers or calcium antagonists. Regularly taking the recommended drugs, the patient subjectively feels good and can lead a normal life.

The paroxysmal atrial flutter or flicker is treated differently. To relieve the attacks (paroxysms), a variety of antiarrhythmic drugs is used: 

  • quinidine, 
  • disopyramide, 
  • procainamide,
  • cardiac glycosides.

In the absence of effect, the cardioversion or transesophageal stimulation is used. The patient is treated by an emergency team or hospital physicians.

Continuous drug therapy for paroxysmal AF is prescribed only when the attacks occur more often 2 to 3 times a month. A set of drugs is selected individually, taking into account the patient's heart rate.

Active contraction of the atria leads to blood stagnation and threatens the formation of blood clots, so it is recommended that all patients received anticoagulants.

Surgical Methods

Upon frequent paroxysms, the issue of the need for surgical treatment is addressed. Two types of interventions are practiced:

  1. RF isolation of pulmonary veins. Penetrating into the mouth of pulmonary veins, the physician "cauterizes" the focus of abnormal excitation. Consequently, the pulses from it are blocked and a normal heart rhythm is restored.
  2. Radiofrequency ablation followed by pacemaker implantation. The physician applies a high-frequency current to the atrioventricular node through a thin catheter. Then, a device taking over the function of the pacemaker is implanted under the skin into the right atrium of the patient.

After surgery, the patient requires periodic cardiac monitoring.

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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Cardiology, Angiology and Intensive Care Medicine

Electroconvulsive therapy for atrial fibrillation (flutter) #336354

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


location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

Department of Cardiology, Angiology and Pulmonology

Electroconvulsive therapy for atrial fibrillation (flutter) #178449

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


location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Electroconvulsive therapy for atrial fibrillation (flutter) #78353

According to the Focus magazine rating, the Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine at the University Hospital Cologne ranks among the top German departments specializing in the treatment of cardiovascular diseases! The department provides the entire ra...


location_onCountry: Germany
location_searchingCity: Cologne
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Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

Department of Cardiology, Gastroenterology and Sleep Medicine

Electroconvulsive therapy for atrial fibrillation (flutter) #334158

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.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Muenster

9.8/10 from 78 Votes

Department of Cardiology

Electroconvulsive therapy for atrial fibrillation (flutter) #137557

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.


location_onCountry: Germany
location_searchingCity: Muenster
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University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiology and Angiology

Electroconvulsive therapy for atrial fibrillation (flutter) #76505

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.


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

Electroconvulsive therapy for atrial fibrillation (flutter) #144179

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.


location_onCountry: Germany
location_searchingCity: Munich
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Electroconvulsive therapy for atrial fibrillation (flutter) #337803

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.


location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Cardiology

Electroconvulsive therapy for atrial fibrillation (flutter) #356860

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.


location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiology and Internal Intensive Medicine

Electroconvulsive therapy for atrial fibrillation (flutter) #68669

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.


location_onCountry: Germany
location_searchingCity: Munich
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PAN Clinic Cologne

9/10 from 14 Votes

Department of Internal Medicine and Cardiology

Electroconvulsive therapy for atrial fibrillation (flutter) #36779

The Department of Internal Medicine and Cardiology at the PAN Clinic on Neumarkt covers the whole range of general, conservative and interventional cardiology, as well as internal medicine.


location_onCountry: Germany
location_searchingCity: Cologne
certificate

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Cardiology, Pneumology and Internal Intensive Medicine

Electroconvulsive therapy for atrial fibrillation (flutter) #140343

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


location_onCountry: Germany
location_searchingCity: Munich
certificate

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Electroconvulsive therapy for atrial fibrillation (flutter) #358188

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.


location_onCountry: Germany
location_searchingCity: Berlin

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Cardiology

Electroconvulsive therapy for atrial fibrillation (flutter) #329892

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.


location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Electroconvulsive therapy for atrial fibrillation (flutter) #247053

The Department of Cardiology and Angiology at the Hannover Medical School specializes in treatment of acute myocardial infarction, chronic heart failure, arteriosclerosis and cardiac arrhythmias. An interdisciplinary focus is on cardiomyopathy in pregnancy, especially on the peripartum cardiomyopathy.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiology

Electroconvulsive therapy for atrial fibrillation (flutter) #328362

The Department of Cardiology at Rambam Health Care Campus deals with the diagnosis and treatment of the entire spectrum of heart diseases. With 37 beds, the department is the largest of its kind in Northern Israel. The medical team consists of 22 cardiology specialists and 9 physicians.


location_onCountry: Israel
location_searchingCity: Haifa




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