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Cardiology: Stokes-Adams attack — Pacemaker implantation. Treatment

Morgagni-Adams-Stokes (MAS) Syndrome is called the loss of consciousness due to acute cardiac conduction disturbance. During bouts, the patient receives CPR. To prevent recurrence, the physician may recommend implanting a pacemaker.

Indications and Contraindications

The basis for device installation is the presence of the patient's bradycardia caused by sinus or atrioventricular block of grade 2 to 3.

Surgeries are not carried out, if the patient was diagnosed with paroxysmal tachycardia or atrial tachyarrhythmia.

Why Do I Need a Pacemaker?

A pacemaker helps upon slow heart rate or pauses in the work of the heart. The device continuously monitors the heart muscle contractions. As soon as their frequency slows, it generates its own electronic pulses and sends the same to the myocardium. If there is no contraction at all, the device starts producing a continuous signal at a set frequency. This ensures the maintenance of normal heart activity. The brain is supplied with blood in the right amount, and it eliminates the repetition of MAS attacks.

Device Installation

Under local anesthesia, the surgeon makes an incision under the patient’s collarbone. Then, s/he brings electrodes through a vein to the chambers of the heart and implants them into the wall. The correctness of manipulations is monitored by radiography.

After verification of electrodes, they are connected to the main unit, which is sutured under the skin. The intervention takes 1.5 to 2 hours.

Rehabilitation 

After surgery, the patient is transported to the intensive care unit. Hospitalization duration can vary from 1 to 5 days in different cases. Initially, the patient feels the implant beneath the skin, but gradually this discomfort passes.

Full recovery may take 1 to 2 months. Periodically, the patient must undergo check-ups at the heart surgeon. During the visits, the expert verifies proper operation of the device and makes adjustments, when required. The check-ups are absolutely painless for the patient, since the information is read from the device remotely.

The service life of the pacemaker depends on how often it must generate the pulses, but on the average it is 5 to 10 years. The battery runs out for a few months, so the physician has enough time to replace it.

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St. Vincentius Clinic Karlsruhe

9.8/10 from23 Votes
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

Pacemaker implantation for Stokes-Adams attack #336364

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

Include:
people Interpreter up to 10 hours.
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book Insurance against increased costs in case of complications with a cover of 200,000 €

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from17 Votes
location_onGermany, Karlsruhe
certificate

Department of Cardiac Surgery

Pacemaker implantation to treat of Stokes-Adams attack #50011

On the basis of the Department of Cardiac Surgery, more than 650 pacemaker implantations are performed annually in patients with Stokes-Adams syndrome. The department’s "hybrid" operating room with the Laboratory for Catheter Diagnostics makes it possible to perform this technically complex intervention at the highest professional level. The department uses pacemakers of exceptionally high quality.

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University Hospital Rechts der Isar of the Munich Technical University

10/10 from70 Votes
location_onGermany, Munich
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Department of Cardiology, Angiology and Pulmonology

Pacemaker implantation for Stokes-Adams attack #178469

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

Charite University Hospital Berlin

9/10 from95 Votes
location_onGermany, Berlin
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Department of Cardiovascular Surgery

Pacemaker implantation to treat of Stokes-Adams attack #106737

The Department of Cardiovascular Surgery at the University Hospital Charite is located at the Campus Charite Mitte. It offers treatment of all congenital and acquired cardiovascular diseases.

University Hospital Oldenburg

10/10 from33 Votes
location_onGermany, Oldenburg

Department of Cardiac Surgery

Pacemaker implantation to treat of Stokes-Adams attack #361490

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.

University Hospital Muenster

9.8/10 from78 Votes
location_onGermany, Muenster
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Department of Cardiology

Pacemaker implantation for Stokes-Adams attack #137577

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.

University Hospital Frankfurt am Main

10/10 from97 Votes
location_onGermany, Frankfurt am Main
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Department of Cardiology and Angiology

Pacemaker implantation for Stokes-Adams attack #76525

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.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from23 Votes
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

Pacemaker implantation for Stokes-Adams attack #334168

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.

Academic Hospital Neuperlach Munich

9.8/10 from11 Votes
location_onGermany, Munich
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Department of Cardiology, Pneumology and Internal Intensive Care

Pacemaker implantation for Stokes-Adams attack #144199

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.

HELIOS Clinic Krefeld

9.7/10 from38 Votes
location_onGermany, Krefeld

Department of Cardiology

Pacemaker implantation for Stokes-Adams attack #388341

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.

Vivantes Humboldt Hospital Berlin

9.7/10 from23 Votes
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Pacemaker implantation for Stokes-Adams attack #337813

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.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from23 Votes
location_onGermany, Hamburg

Department of Cardiology

Pacemaker implantation for Stokes-Adams attack #356870

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.

Academic Hospital Bogenhausen Munich

9.2/10 from43 Votes
location_onGermany, Munich
certificate

Department of Cardiology and Internal Intensive Medicine

Pacemaker implantation for Stokes-Adams attack #68689

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.

Academic Hospital Schwabing Munich

8.5/10 from7 Votes
location_onGermany, Munich
certificate

Department of Cardiology, Pneumology and Internal Intensive Medicine

Pacemaker implantation for Stokes-Adams attack #140363

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

Vivantes Neukölln Hospital Berlin

10/10 from23 Votes
location_onGermany, Berlin

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Pacemaker implantation for Stokes-Adams attack #358198

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.

Tel Aviv Sourasky Medical Center

9.9/10 from23 Votes
location_onIsrael, Tel Aviv

Department of Cardiology

Pacemaker implantation for Stokes-Adams attack #329902

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.




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