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Cardiology: Sick-Sinus-Syndrome (sss) — Pacemaker implantation. Treatment abroad

Sick sinus syndrome most commonly affects the elderly. According to different authors, the disease prevalence rate among them reaches 1 to 2%. Failure of the sinus node to perform its functions normally results in slowing of the heart rate and development of different kinds of arrhythmias. Implantation of a pacemaker allows many patients to get back to normal life.

What Is It?

Pacemaker is a device generating the electronic pulses. After installation in the heart chamber, it takes over the functions of the failed sinus. The pulses start arriving to the heart muscle continuously at a preset rate. Some models (frequency-adaptive) are able to correct the heart rhythm based on the patient's physical activity.

Indications

The device installation is recommended for the following conditions:

  • availability of pronounced SSS manifestations (dizziness, dyspnea, fatigue)
  • bradycardia less than 40 beats per min.
  • frequent pauses in the heart work,
  • heart failure developed in the background of SSS.

Contraindications

The surgery is not performed:

  • for asymptomatic forms of the disease, 
  • when SSS is caused by drugs,
  • during the periods of acute infection or acute exacerbation of chronic pathologies
  • when the patient suffers from the other serious cardiopathies.

Implantation

The procedure is performed under local anesthesia. The surgeon pierces a vein under the collarbone and inserts a plastic tube with electrodes through it. Under the X-ray monitoring, the electrodes are brought to the heart and attached to its wall.

Both single-chamber (the electrodes are installed only in one atrium or ventricle) and two-chamber (the electrodes are installed simultaneously into the right ventricle and right atrium) pacemaker models are used for SSS. The physician determines which device is right for the patient during the surgery planning stage.

After electrode installation, they are connected to the main unit, which is sewn under the skin. All manipulations take 1.5 to 2 hours.

Rehabilitation

Pain may be felt at the implant site for a few days. To reduce the same, the patient is recommended to take analgesics. Also, the antibiotics are prescribed as required.

Adapting to the device and return to the normal lifestyle takes 1 to 2 months. The patient must periodically visit the cardiac surgeon to evaluate the device operation.

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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

Department of Cardiosurgery

Pacemaker implantation to treat sick-sinus-syndrome (sss) #50009

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

Price 9707.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine

Pacemaker implantation to treat sick-sinus-syndrome (sss) #78371

The Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine of the University Hospital Cologne is part of the Heart Center Cologne. The Department offers its patients treatment at the highest level with the use of all innovations for treating coronary artery stenosis, arrhythmias and hypertension.


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

Price 12064.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Department of Cardiology, Angiology and Pulmonology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #178467

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 11649.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiosurgery

Pacemaker implantation to treat sick-sinus-syndrome (sss) #106255

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

Price 11527.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiology, Angiology and Nephrology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #76523

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 13836.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiology and Angiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #106845

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
certificate

Price 16520.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Pacemaker implantation to treat sick-sinus-syndrome (sss) #100973

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
certificate

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Pacemaker implantation to treat sick-sinus-syndrome (sss) #227423

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

Price 11703.00

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 sick-sinus-syndrome (sss) #52863

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 9734.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #247071

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
certificate

Price 11753.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Department of Cardiology, Pneumology and Internal Intensive Care

Pacemaker implantation to treat sick-sinus-syndrome (sss) #144197

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

Price 10642.00

Marienhaus Klinikum St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of Internal Medicine (Cardiology / Rhythmology)

Pacemaker implantation to treat sick-sinus-syndrome (sss) #292617

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

Price 10902.00

Preventicum Hospital

9.8/10 from 1 Votes

Department of Cardiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #117529

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 12023.00

Waldbrol District Hospital of the Klinikum Oberberg

9.7/10 from 23 Votes

Department of Cardiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #286718

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

Price 9805.00

Schlosspark Academic Teaching Hospital

9.7/10 from 23 Votes

Department of Internal Medicine (Gastroenterology and Cardiology)

Pacemaker implantation to treat sick-sinus-syndrome (sss) #281362

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 11922.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Cardiology and Angiology (Department of Internal Medicine III)

Pacemaker implantation to treat sick-sinus-syndrome (sss) #250239

The Department of Internal Medicine III at the University Hospital of Halle (Saale) offers the entire range of medical services of the modern cardiology and angiology, including interventional cardiology (e. g.


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

Price 11575.00