Pacemaker implantation for carotid sinus hypersensitivity (CSH) (program ID: 328369)
Rambam Health Care Campus Haifa
Lior GepsteinSpecialized in: cardiology
Department of Cardiology
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- thyroid function test (TSH-basal, fT3, fT4)
- mineral metabolism analysis (Na, K, Ca, Mg)
- lipid metabolism (HDL/LDL, cholesterol, triglycerides,
- iron content (ferritin, iron)
- blood coagulation analysis (aPTT, PT, INR)
- metabolic status (uric acid, total glucose, HbA1c)
- inflammatory parameters (CRP, ESR)
- cardiovascular disease risk markers
- vascular system assessment
- lung function test (Spirometry)
- resting and exercise ECG
- vessel elasticity measurement
- Holter monitoring (24h)
- body fat and water examination
- color doppler echocardiography
- color doppler sonography of cerebral vessels
- preparation according to preoperative standard
- pacemaker implantation
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
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About the department
The Department of Cardiology at the Rambam Health Care Campus Haifa offers all the options of modern medicine for the high-precision diagnostics and effective treatment of heart diseases. The department has 37 beds and is the largest facility of this kind in northern Israel. The team of doctors consists of 22 qualified specialists in the field of cardiology and 9 physicians. The department's nursing staff undergoes special training for cardiological intensive care. All diagnostic and therapeutic procedures are performed in accordance with modern standards of world cardiology. The Chief Physician of the department is Prof. Dr. med. Lior Gepstein.
The department's structure includes several highly specialized units, such as Intensive Cardiac Care Unit, the Section of Interventional Cardiology, the Section of Non-Invasive Cardiology, the Section of Electrophysiology, the Section for Heart Failure, the Section for Pericardial Diseases, the Section of General Cardiology, the Section for Pregnant Women with Heart Diseases and others.
The Intensive Cardiac Care Unit offers all conditions for emergency care of severe cardiac pathologies. With the help of the cutting-edge technologies, the highly qualified medical staff carries out round-the-clock monitoring of vital functions of the patient. Such life threatening conditions as acute coronary syndrome (acute myocardial infarction and unstable angina pectoris), rhythm and cardiac conduction disorders, acute heart failure and cardiogenic shock are among the most commonly treated conditions. The Intensive Cardiac Care Unit is equipped with the state-of-art medical technology, which allows the doctors to achieve the best treatment results.
The specialists of the Section of Invasive Cardiology carry out catheter diagnostics and treatment of heart pathologies. It annually performs about 3,600 cardiac catheterization procedures, half of which are invasive procedures for the restoration of coronary patency using balloon and follow-up stent implantation. The section also carries out the diagnostics and assessment of the severity of valvular heart disease, the preparation of patients for coronary artery bypass grafting, as well as the diagnostics and treatment of congenital anomalies and other heart diseases. The patients who come to the section with acute myocardial infarction undergo emergency coronary angioplasty around the clock. It serves to restore blood flow to the cardiac muscle. The section has three rooms with innovative equipment for cardiac catheterization, including the equipment, which provides 3D images, monitoring devices and medical instruments of the highest level. The cardiac catheterization procedures involve the use of the very latest medications.
The scope of tasks of the Section of Electrophysiology includes the diagnostics and treatment of all types of heart rhythm disorders (arrhythmias). It carries out the treatment of patients with bradycardia (heart rate deceleration), which requires the implantation of a pacemaker, and tachycardia (rapid heart rate). The section implants all types of pacemakers, including intracardiac defibrillators and biventricular pacemakers. In addition, the doctors of the section have vast experience in the use of the Carto Merge device, which allows them to obtain 3D images of the heart during the diagnostics and treatment of various types of arrhythmias, including atrial fibrillation.
The Section of Non-Invasive Cardiology is responsible for the diagnostics of heart pathologies using cardiac ultrasound, echocardiography and myocardial scintigraphy.
The diagnostic options of the department include:
- Early diagnostics of heart diseases
- Computed tomography (CT) of the heart and coronary arteries
- Myocardial scintigraphy
- Cardiac echocardiography
- Cardiac magnetic resonance imaging (MRI)
- Diagnostics using ECG loop recorder
- Holter monitoring
- Other diagnostic tests
The department specializes in the treatment of the following diseases:
- Angina pectoris
- Drug therapy
- Coronary angioplasty with balloon insertion and stent implantation
- Myocardial infarction
- Drug therapy and lifestyle modification
- Coronary catheterization and stent implantation
- Coronary artery bypass grafting
- Mitral valve diseases (stenosis, deficiency, prolapse)
- Aortic valve diseases
- Heart failure
- Drug therapy
- Other cardiac diseases
Prof. Lior Gepstein is the Chief Physician of the Department of Cardiology at the Rambam Health Care Campus Haifa.
Prof. Gepstein graduated from the Rappaport Faculty of Medicine, Technion (Israel Institute of Technology), and conducted his PhD studies at the same institute. During this period he was involved in the development of a three-dimensional electroanatomical mapping technique (CARTO system), which became the state-of-the-art method for the treatment of complex cardiac arrhythmias. He completed his internship and residency in Internal Medicine, as well as his fellowship in Cardiology at the Rambam Health Care Campus Haifa. This was followed by a two-year fellowship in Cardiac Electrophysiology at the University of California San Francisco (UCSF). Currently, he holds the position of Professor of Physiology and Medicine (Cardiology) at the Technion’s Faculty of Medicine and holds the Edna and Jonathan Sohnis Chair in Tissue Engineering and Regenerative Medicine. He also serves as an Attending Electrophysiologist Specialist at Rambam.
Prof. Gepstein's research activities focus on basic and clinical cardiac electrophysiology, stem cell biology, inherited cardiac disorders, establishment of novel gene and cell-based strategies for the treatment of different cardiac disorders. Prof. Gepstein’s research group was among the pioneers in developing unique cardiomyocyte differentiation strategies from human embryonic stem cells and human induced pluripotent stem cells.
Prof. Gepstein has received a number of prestigious awards for his achievements in cardiology, including the Douglas P. Zipes Distinguished Young Scientist Award of the American College of Cardiology, the Outstanding Research Achievement Award of the European Society of Cardiology and the Mirowski Award from the Israel Cardiology Society. He was recently elected to the Israeli Young Academy of Science.
Photo of the doctor: (c) Rambam Health Care Campus Haifa
Accommodation in hospital
- Program [Description]
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
- Hospital: Rambam Health Care Campus Haifa
- access_time Duration:
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