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Cardiology: Atrioventricular block (AV-Block) — Type Mobitz 2 and 3 — Pacemaker implantation. Treatment

Academic Hospital Sachsenhausen Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

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. The specialists of the department rely not only on expert knowledge and modern medical technologies, but also assign an important role to clinical experience and caring attitude towards patients.

Include:
people Interpreter up to 10 hours
list Translation up to 8 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases. Here, more than 3,500 coronary angiography procedures, over 1,400 coronary dilatation procedures, 750 electrophysiological examinations and 300 implantations of a pacemaker and defibrillator are performed annually.

University Hospital Rechts der Isar Munich

10/10
location_onGermany, Munich

Department of Cardiology, Angiology and Pulmonology

The Department of Cardiology, Angiology and Pulmonology offers the full range of services in these medical fields. The department specializes in performing all kinds of cardiovascular interventions, modern diagnostics and comprehensive treatment of diseases of the arteries, veins and lymphatic vessels, all pathologies of the respiratory system. The doctors of the department prefer an individual approach, the use of modern therapeutic methods, which guarantee the optimal result.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Cardiology

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. The range of treatments covers diagnostic and therapeutic methods of cardiology and angiology, including interventional catheter treatment options for heart and vessels.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Cardiology and Angiology

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. In addition, there are available modern invasive/interventional treatment procedures. Such clinical pictures as heart rhythm disorders, heart failure, cardiac valve disorders, hypertension, etc. can be treated on the outpatient basis. 

Academic Hospital Neuperlach Munich

9.8/10
location_onGermany, Munich

Department of Cardiology, Pneumology and Internal Intensive Care

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. Also The patients with hypertension, lung or vein thrombosis due to narrowed arteries body are also treated here.

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

Department of Cardiology

The Department of Cardiology offers the full range of services in this medical focus. The department specializes in the treatment of heart failure, heart rhythm disorders, heart valve diseases and other heart pathologies. For the provision of emergency medical care, the department has a Chest Pain Unit. The department is equipped with the state-of-the-art diagnostic equipment for conducting various cardiac examinations: ECG, echocardiography, transesophageal echocardiography, spiroergometry, cardiac MRI, CT, cardiac catheterization, etc.

Vivantes Humboldt Hospital Berlin

9.7/10
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

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. Approximately 5,000 inpatients are treated annually in the department, and about 1600 patients receive medical care in the intensive care unit.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10
location_onGermany, Hamburg

Department of Cardiology

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. Also, the scope of the department’s tasks includes the implantation of pacemakers and defibrillators.

Academic Hospital Bogenhausen Munich

9.2/10
location_onGermany, Munich

Department of Cardiology and Internal Intensive Medicine

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. Cardiac arrhythmias are diagnosed and treated with modern techniques such as electrophysiological examination.

Academic Hospital Schwabing Munich

8.5/10
location_onGermany, Munich

Department of Cardiology, Pneumology and Internal Intensive Medicine

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs. The medical services of the hospital focus on internal medicine intensive care for patients after resuscitation, with metabolic disorders and acute renal failure, the thrombolytic therapy for patients in the acute stroke, renal replacement therapy and a special resuscitation management with hypothermia and early rehabilitation.

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Cardiology, Angiology and Internal Intensive Care

The Department of Cardiology, Angiology and Internal Intensive Care offers the full range of modern conservative and interventional cardiology. One of the specialization areas is the treatment of coronary heart disease. All modern invasive therapeutic methods are offered for the treatment of the disease, including directed atherectomy, cava filter implantation and implantation of modern stents with and without drug coating.

Vivantes Neukölln Hospital Berlin

10/10
location_onGermany, Berlin

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

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. The medical team consists of highly qualified specialists with many years of experience.

Tel Aviv Sourasky Medical Center

9.9/10
location_onIsrael, Tel Aviv

Department of Cardiology

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. Using state-of-the-art equipment and providing comprehensive, high quality and personalized medical care, the Department has been recognized as one of the top cardiology centers both in Israel and abroad.

Samsung Medical Center Seoul

9.8/10
location_onSouth Korea, Seoul

Department of Cardiology

The Department of Cardiology offers the full range of services in this medical field. It provides comprehensive treatment of ischemic heart disease, heart failure, heart valve diseases, arrhythmia, hypertension, aortic diseases, diseases of the peripheral vessels and other pathologies. In addition, the department has an advanced Imaging Center, which provides accurate diagnosis of all cardiac pathologies.

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of Cardiology

The Department of Cardiology offers the whole range of modern cardiology, ranging from corrective diagnostics and restoration of coronary vessel patency up to the implantation of artificial heart valves. For the treatment of cardiological problems, here are available advanced, proven catheterization methods (for example, TAVI, Mitra-Clip and others).

Atrioventricular block is a violation in the cardiac conduction system upon which the passage of electrical impulses from the atria to the ventricles slows or stops. This abnormality prevails among patients already suffering from any cardiovascular disease. The atrioventricular block is treated only in the presence of its manifestations.

Classification and Causes

According to severity of violations, there are 3 degrees of pathology:

  1. Degree I. The pulse transfer is slowing, but not interrupted. Clinically, this form is not recognized and does not require treatment, but over time can develop into a block of a higher degree. The usual cause of this condition is inflammatory diseases of the myocardium, or administration of certain cardiovascular drugs.
  2. Degree II. The pulses are not conducted periodically. This pathology often results from poisoning by drugs, congenital heart disease, and certain autoimmune diseases. Like degree I block, this form can be transformed into a full block.
  3. Degree III. The pulses are not conducted at all. As a result, the atria and the ventricles begin to contract independently from each other. The disease can be caused by structural abnormalities of the heart, myocardium inflammation or autoimmune conflict.

Symptoms 

The clinical picture of atrioventricular block is very diverse and ranges from asymptomatic forms to development of severe conditions. The complaints may include:

  • bouts of severe weakness,
  • fainting,
  • chest pain,
  • occasionally perceived "fading" of the heart,
  • dyspnea,
  • episodes of bradycardia (slow heart rate).

Diagnostics

The diagnosis is confirmed on the basis of clinical examination and ECG findings. To assess the severity of the disease and identify its causes, the following tests are further prescribed:

  • ECG monitoring,
  • echocardiography,
  • heart MRI.

Treatment Methods

Patients with asymptomatic forms of block do not need treatment, however, must be monitored by a cardiologist regularly.

In other cases, the treatment tactics depends on the cause of disease:

  • the toxic effects of drugs are corrected by their withdrawal or dose reduction,
  • organic heart disease and heart failure are treated with drugs.

For life-threatening conditions, the patients are recommended to have a pacemaker installed.




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