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Cardiology: Bradycardia — Conservative treatment. Treatment

Bradyarrhythmia (BA) is a condition upon which the heart rate is slowed down to less than 50 beats per minute. Such a deceleration of rate can be observed in perfectly healthy individuals (such as athletes). However, in most patients the BA is abnormal, that is the evidence of any disease.

Classification and Causes

As regards nature of violations, 2 types of bradyarrhythmias are distinguish:

1. Sinus bradycardia (SB). It is due to a decrease in the ability of the sinus node to generate electrical impulses. Normally, it develops in the background of active physical training. Short rate decelerations are also observed in all human beings during sleep or when the body temperature is lowered.

The common reasons for abnormal SB are myocardial ischemia, hypoxia, vascular dystonia, increased intracranial pressure, hypothyroid and poisoning.

2. Atrioventricular block (AB). It is characterized by impaired impulse conduction through the atrioventricular node. It appears because of the toxic effects of drugs, upon increased tone of the parasympathetic nervous system or organic heart diseases (myocardial infarction, myocarditis and others).

Depending on the duration, bradyarrhythmias are subdivided into acute and chronic.

Clinical Picture

In some patients, BAs are asymptomatic. Others report:

  • weakness
  • dizziness,
  • fainting,
  • chest pain,
  • shortness of breath.

Diagnostics

Diagnosis is based on the patient's complaints, clinical examination and ECG findings. If no pulse deceleration was recorded at the time of the study, the patient is prescribed a 24h ECG monitoring.

To identify the causes of the condition, the following tests may also be carried out:

  • echocardiography,
  • heart ultrasound,
  • heart MRI,
  • veloergometry.

Treatment Methods

Asymptomatic forms of BA do not require treatment. In the presence of clinical signs and established cause of disorder, the underlying disease (myocarditis, neurosis, and so on) is treated.

BA symptoms are corrected by prescription of drugs stimulating the heart (caffeine, ginseng tincture, Siberian ginseng). Life-threatening conditions are an indication for pacemaker installation.

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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Cardiology, Angiology and Intensive Care Medicine

Bradycardia conservative treatment and holter monitoring #336356

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Bradycardia conservative treatment and holter monitoring #78357

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: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Cardiology, Angiology and Pulmonology

Bradycardia conservative treatment and holter monitoring #178453

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Sachsenhausen Hospital Frankfurt am Main

10/10 from 23 Votes

Department of Cardiology, Gastroenterology and Sleep Medicine

Bradycardia conservative treatment and holter monitoring #334160

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Muenster

9.4/10 from 78 Votes

Department of Cardiology

Bradycardia conservative treatment and holter monitoring #137561

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Cardiology and Angiology

Bradycardia conservative treatment and holter monitoring #76509

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

University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Cardiology, Pneumology, Angiology and Internal Intensive Medicine

Bradycardia conservative treatment and holter monitoring #105365

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
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Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

Department of Cardiology, Pneumology and Internal Intensive Care

Bradycardia conservative treatment and holter monitoring #144183

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: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiology and Internal Intensive Medicine

Bradycardia conservative treatment and holter monitoring #68673

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Cardiology, Pneumology and Internal Intensive Medicine

Bradycardia conservative treatment and holter monitoring #140347

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

Department of Cardiology, Internal Medicine and Preventive Diagnostics

Bradycardia conservative treatment and holter monitoring #360335

The Department of Cardiology, Internal Medicine and Preventive Diagnostics specializes in high quality diagnostics and treatment of a wide range of cardiovascular diseases and diseases of the internal organs.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

Department of Cardiology

Bradycardia conservative treatment and holter monitoring #356862

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hamburg

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Bradycardia conservative treatment and holter monitoring #358190

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiology

Bradycardia conservative treatment and holter monitoring #361844

The Department of Cardiology offers a full range of medical services and specializes in the diagnosis and treatment of all cardiovascular diseases. The Department of Cardiology has 59 beds and 6 beds in the intensive care unit.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Oldenburg

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Cardiology

Bradycardia conservative treatment and holter monitoring #329894

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: 3 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

Bradycardia conservative treatment and holter monitoring #247057

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: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
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