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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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Price 11925.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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 16684.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Price 14458.00

University Hospital Frankfurt

7.5/10 from 97 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Pacemaker implantation to treat atrial fibrillation (flutter)

The Department of Cardiology and Angioly 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

Price 20349.00

University Hospital Heidelberg

9/10 from 57 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

University Hospital of Würzburg

9.2/10 from 38 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Price 13897.00

Alfried Krupp Hospital in Essen-Ruettenscheid

9.9/10 from 42 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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 11890.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Price 14105.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Price 12958.00

Preventicum Hospital

9.8/10 from 1 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Schlosspark-Klinik

9.7/10 from 23 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

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

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders (hematology / Department of Internal Medicine II).


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

Price 11517.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

The Department of Cardiology, Pneumology and Angiology at the University Hospital Dusseldorf  provides treatment for the whole range of diseases in the field of cardiovascular medicine.


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

Price 16687.00

St. Anna Hospital Herne

9.5/10 from 7 Votes

Pacemaker implantation to treat atrial fibrillation (flutter)

The Department of Internal Medicine specializes in: Diagnosis and treatment of diseases of the internal organs, especially treatment of the heart, blood vessels, lungs and kidneys ECG, ultrasound, body plethysmography Long-term measurement of blood pressure in the treatment of hypertension Im...


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

Price 12707.00