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Cardiology: Atrial flutter (fibrillation) — Pacemaker implantation. Treatment

Atrial fibrillation and flutter are the most common types of arrhythmias. According to the global statistics, they are diagnosed in about 10% cardiac patients. The treatment strategy is determined by the form of the disease and general state of the patient. In some cases, implantation of a pacemaker allows achieving positive results.

Surgery Objectives 

Device installation is indicated to patients with chronic atrial fibrillation (AF), showing a slowed rate of ventricular contractions (bradysystole). The device is implanted in the heart chamber and, sending additional pulses to the myocardium, helps to increase the heart rate to normal. 

Due to surgery, the development of severe bradycardia and associated asystole (pauses in the heart work) is prevented. Atrial fibrillation itself is not cured thereby, but the patient begins to feel subjectively better. Besides, the physician now is able to use more effective dosages of antiarrhythmic drugs.

The pacemakers of two kinds can be implanted:

  1. working in the "on demand" mode. These devices continuously monitor the ventricular performance and send electrical pulses only when the frequency of their rate falls below the norm.
  2. permanent. They generate electrical pulses continuously at the programmed frequency. Installation of these devices requires the prior destruction of the atrioventricular node using radiofrequency ablation.

A suitable pacing option is selected by the attending physician.

Procedure

The surgery is performed under local anesthesia. In the upper part of the chest, the physician makes an incision up to 7 cm long, and then brings the pacemaker electrodes through the subclavian vein to the heart chambers. S/he forms a "pocket" under the skin, into which s/he inserts the device. All manipulations are carried out under continuous supervision of the ECG. The interference duration ranges from 1.5 to 3 hours.

There remains a small scar and appears an elevation (due to the device) at the implantation site. The life of different pacemakers can be 5 to 10 years. To monitor the device operation, the patient should regularly visit the cardiac surgeon. 

Read more
 

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Cardiology, Angiology and Intensive Care Medicine

Pacemaker implantation to treat atrial fibrillation (flutter) #336359

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

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Pacemaker implantation to treat atrial fibrillation (flutter) #50005

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


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

Pacemaker implantation to treat atrial fibrillation (flutter) #178459

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 Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Pacemaker implantation to treat atrial fibrillation (flutter) #361487

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.


location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Pacemaker implantation to treat atrial fibrillation (flutter) #78363

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

Pacemaker implantation to treat atrial fibrillation (flutter) #334163

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

Pacemaker implantation to treat atrial fibrillation (flutter) #137567

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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HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Cardiovascular Surgery

Pacemaker implantation to treat atrial fibrillation (flutter) #383014

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.


location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiology and Angiology

Pacemaker implantation to treat atrial fibrillation (flutter) #76515

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

Pacemaker implantation to treat atrial fibrillation (flutter) #144189

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
certificate

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Pacemaker implantation to treat atrial fibrillation (flutter) #337808

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

Pacemaker implantation to treat atrial fibrillation (flutter) #356865

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

Pacemaker implantation to treat atrial fibrillation (flutter) #68679

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
certificate

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Cardiology, Pneumology and Internal Intensive Medicine

Pacemaker implantation to treat atrial fibrillation (flutter) #140353

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

Pacemaker implantation to treat atrial fibrillation (flutter) #358193

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

Pacemaker implantation to treat atrial fibrillation (flutter) #329897

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




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