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Cardiology: Wolff–parkinson–white syndrome (wpw) — Closed ablation (laser, rf or catheter). Treatment

WPW syndrome is an inherent feature of the heart conduction system upon which the ventricles are excited ahead. The incidence rate of this anomaly is 0.1 to 3 per 1000 persons. It is diagnosed in men 1.5 times more frequently. To select an adequate treatment method, the patients need to consult a cardiologist-arrhythmologist.

Causes

Patients with WPW syndrome, between the atria and ventricles, have additional conductive fibers, in addition to the main ones, which cause premature pulse propagation. These fibers are called the "Kent bundle." Because of the detours in the heart conduction system, the circular excitation waves are formed, provoking the development of arrhythmias.

Clinical Picture

Patients complain of recurrent bouts of palpitations, arising spontaneously or in the background of increased stress. The frequency of bouts may vary widely, from daily to very rare (occurring 1 to 2 times a year). Often the condition is accompanied by shortness of breath, dizziness, and loss of consciousness.

Increased heart rate to 200-240 beats per minute threatens the ventricle fibrillation (chaotic reduction).

Diagnostics

The disease is diagnosed on the basis of complaints and research findings:

  • 12-lead ECG,
  • 24h ECG monitoring,
  • echocardiography.

When the picture remains unclear, a transesophageal stimulation is conducted. During the procedure, the electrode generating pulses with a certain frequency is fixed in the patient’s esophagus. Depending on the way the heart responds to external stimuli, the availability of additional pathways is detected.

The diagnosis of WPW syndrome is established only when the patient suffers from arrhythmia. Otherwise, the physicians speak about electrocardiographic WPW phenomenon, which does not require treatment.

Treatment Methods

The most effective treatment method is radiofrequency ablation. Through a special catheter, the surgeon affects the Kent bundle with electric shock, resulting in a blockade of pathological impulses. The procedure is performed under local anesthesia and features a small traumatism to tissues.

If the surgery is not possible, the patients are recommend to take antiarrhythmics. In the event of atrial fibrillation attacks, the physicians resort to electrical cardioversion (i.e. influence the heart with a powerful electric discharge).

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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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #336367

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 18 hours
list_alt Translation of medical documents up to 10 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich
certificatecertificatecertificate

Department of Cardiology, Angiology and Pulmonology

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #178475

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

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
certificatecertificatecertificatecertificate

Department of Cardiology

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #137583

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
certificate

Department of Cardiology and Angiology

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #76531

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #334171

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
certificatecertificate

Department of Cardiology, Pneumology and Internal Intensive Care

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #144205

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #388344

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #337816

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #356873

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #68695

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #140369

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #358201

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

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #329905

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.

Hannover Medical School

9.8/10 from 43 Votes
location_onGermany, Hannover
certificate

Department of Cardiology and Angiology

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #247079

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.

University Hospital Cologne

9.8/10 from 82 Votes
location_onGermany, Cologne
certificatecertificatecertificatecertificatecertificate

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #78379

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...

HELIOS University Hospital Wuppertal

9.8/10 from 42 Votes
location_onGermany, Wuppertal

Department of Cardiology

Laser, Rf or catheter ablation to treat of Wolff–Parkinson–White syndrome (wpw) #392027

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.




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