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

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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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

Pacemaker implantation to treat sick-sinus-syndrome (sss) #336363

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 15 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 from 17 Votes
location_onGermany, Karlsruhe
certificate

Department of Cardiac Surgery

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

On the basis of the Department of Cardiac Surgery, more than 580 pacemaker implantations are performed annually in patients with sick sinus 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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Hospital direct 11398 help
BookingHealth 8898
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich
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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.

Charite University Hospital Berlin

9/10 from 95 Votes
location_onGermany, Berlin
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Department of Cardiovascular Surgery

Pacemaker implantation to treat sick-sinus-syndrome (sss) #106735

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 from 33 Votes
location_onGermany, Oldenburg

Department of Cardiac Surgery

Pacemaker implantation to treat sick-sinus-syndrome (sss) #361489

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 from 78 Votes
location_onGermany, Muenster
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Department of Cardiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #137575

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 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Cardiology and Angiology

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

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 from 23 Votes
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

Pacemaker implantation to treat sick-sinus-syndrome (sss) #334167

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 from 11 Votes
location_onGermany, Munich
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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.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Cardiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #388340

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 from 23 Votes
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Pacemaker implantation to treat sick-sinus-syndrome (sss) #337812

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 from 23 Votes
location_onGermany, Hamburg

Department of Cardiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #356869

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 from 43 Votes
location_onGermany, Munich
certificate

Department of Cardiology and Internal Intensive Medicine

Pacemaker implantation to treat sick-sinus-syndrome (sss) #68687

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 from 7 Votes
location_onGermany, Munich
certificate

Department of Cardiology, Pneumology and Internal Intensive Medicine

Pacemaker implantation to treat sick-sinus-syndrome (sss) #140361

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 from 23 Votes
location_onGermany, Berlin

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Pacemaker implantation to treat sick-sinus-syndrome (sss) #358197

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 from 23 Votes
location_onIsrael, Tel Aviv

Department of Cardiology

Pacemaker implantation to treat sick-sinus-syndrome (sss) #329901

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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