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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. 

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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

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...


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

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

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

University Hospital Frankfurt

9.5/10 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.


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

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 treats patients with cardiac and angiological diseases. Located at the Campus Charite Mitte, the department provides functional diagnosis services, cardiac catheterization, electrophysiology, sleep medicine and telemedicine. .


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

University Hospital 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

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

DRK Altenkirchen-Hachenburg Hospital

10/10 from 23 Votes

Department of Internal Medicine (Gastroenterology, Cardiology, Pulmonology, Oncology, Diabetology, Intensive Care Medicine)

Pacemaker implantation to treat atrial fibrillation (flutter) #322122

The Department of Internal Medicine offers treatment not only for patients of the Altenkirchen region, but also for those from other countries. The department employs highly qualified medical specialists, which allows to achieve the best results in patient care.


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

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.


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

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Pacemaker implantation to treat atrial fibrillation (flutter) #247063

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.


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

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

Rambam Health Care Campus

9.8/10 from 23 Votes

Department of Cardiology

Pacemaker implantation to treat atrial fibrillation (flutter) #328367

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.


Duration: 6 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

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

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

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




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