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

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. 

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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

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.


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

Price 11722.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine

Pacemaker implantation to treat atrial fibrillation (flutter) #78363

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 14223.00

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 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.


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

Price 14369.00

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Pacemaker implantation to treat atrial fibrillation (flutter) #106251

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 13903.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiology, Angiology and Nephrology

Pacemaker implantation to treat atrial fibrillation (flutter) #76515

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 16318.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiology and Angiology

Pacemaker implantation to treat atrial fibrillation (flutter) #106837

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 20182.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Pacemaker implantation to treat atrial fibrillation (flutter) #100969

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

Pacemaker implantation to treat atrial fibrillation (flutter) #227419

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 14243.00

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

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

Pacemaker implantation to treat atrial fibrillation (flutter) #52855

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 11590.00

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Pacemaker implantation to treat atrial fibrillation (flutter) #247063

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 14105.00

Academic Hospital Neuperlach

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.


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

Price 12949.00

Marienhaus Klinikum St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of Internal Medicine (Cardiology / Rhythmology)

Pacemaker implantation to treat atrial fibrillation (flutter) #292613

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 12804.00

Multispecialty Medical Center Preventicum

9.8/10 from 1 Votes

Department of Cardiology

Pacemaker implantation to treat atrial fibrillation (flutter) #117521

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 13890.00

District Hospital Waldbröl Oberberg

9.7/10 from 23 Votes

Department of Cardiology

Pacemaker implantation to treat atrial fibrillation (flutter) #286714

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 11975.00

Academic Hospital Schlosspark

9.7/10 from 23 Votes

Department of Internal Medicine (Gastroenterology and Cardiology)

Pacemaker implantation to treat atrial fibrillation (flutter) #281358

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 13934.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

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

Pacemaker implantation to treat atrial fibrillation (flutter) #250231

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 14125.00

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