Pacemaker implantation / Top clinic in Germany, Friedrichshafen

Pacemaker implantation

The specialists of the cardiac department of Friedrichshafen Clinic perform about 4 000 pacemaker and defibrillator implantations a year. Our team of doctors, headed by MD PD Detlev Jäger, enjoys many years of experience in surgical treatment of cardiac diseases.

Heart is an engine of a human organism. Disturbance of the natural heart rhythm is a serious danger and can be inherited, caused by aging, myocardial infarction consequences, infectious illnesses and other reasons. The symptoms of the wrong heart rhythm can be fatigue, dizziness, hindered attention focusing, rapid fatigability, dyspnea, intense heart beat and even faint condition.

In order to treat heart rhythm disorders, they implant a special medical device – pacemaker. It stimulates functioning of the cardiac muscle by electric impulses making it to contract. Implantation of this device is carried out in Germany for more than 50 years already, and it helps more than one million people to live a normal life.

Pacemaker is a small device in a hermetic container made of inert medical titanium alloy. A modern pacemaker has a size of a half of a matchbox (or like a common wristwatch) and is absolutely unnoticeable from the outside. The weight of the device varies from 40 to 200 grams, which makes it really easy to perform an implantation.

A pacemaker has a battery and microprocessor or impulse generator inside the container. The impulse generator implantation is usually performed in the chest area. The generator connects to the heart by electrodes that conduct electrical impulses from the generator to the heart and from the heart to the generator. Pacemaker can have one or two electrodes and even three for those people who suffer from heart insufficiency (accordingly, pacemaker can have one, two or three chambers).

Pacemaker measures the patient’s heart rhythm and sends electrical impulses if needed. The device can work permanently (in case when there is no heart activity or the rhythm is very weak) and “upon request” i.e. generating impulses only in case of heart activity disorder. The electric impulses, which are generated by it, are very weak and usually can’t be felt by a patient.

Modern pacemaker can take into account patient’s physical activity and accelerate or slow down the heart rhythm. It is a so called pacemaker with frequency adaptation function. Such device is equipped with different sensors, such as accelerometer, sensor that measures minute lungs ventilation or electrocardiogram parameters, etc. The pacemaker implantation streamlines the chronic cardiac insufficiency treatment process.

There are several methods of pacemaker implantation

  • Endocardiac pacemaker implantation – implantation in the subclavian area;
  • Myocardiac pacemaker implantation – implantation on the heart muscle in the abdominal cavity.

Pacemaker can register the heart activity information which will be analyzed by a doctor to determine if it needs additional adjustment. After the implantation, its settings can be painlessly adjusted by a doctor using a special programmer.

How much time the device will work after the implantation depends on the battery type, impulses application frequency, patient’s health condition and other factors. Modern pacemaker has a lithium battery and serves from 5 to 12 years. After the battery is flat, it needs to be replaced during a short surgical operation under local anaesthesia.

Currently pacemaker is a reliable device and its implantation allows a patient to refuse constant medicamental treatment of the heart rhythm disturbance. The average age of the patients who undergo the implantation procedure for the first time is 75 years.

Permanent pacemaker implantation is performed during a short surgical operation and does not require opening of the chest. Usually the device is implanted in the chest area under the collar bone. The procedure takes around 20-30 minutes. Most of the patients can be out of hospital only 24 hours after the pacemaker implantation.

Pacemaker is a modern medical device which essentially improves patient’s life quality. Only experienced doctors should perform this kind of heart surgery to achieve positive results. The Friedrichshafen clinic provides services in the field of cardiology from the competent specialists whose professionalism and individual approach to the patients as well as the newest technologies guarantee the most effective treatment. The doctors of the Tubingen clinic will select an appropriate pacemaker according to your diagnosis, and the implantation procedure will be performed professionally and under control of the specialists. The approximate cost of the pacemaker implantation (1 chamber) is about €12,000.

If you decided to have you hear treated in Germany, please call us for further information.

The list of the Friedrichshafen clinic’s services which are provided as a part of the invasive therapy of the heart rhythm disturbances

  • Implantation/replacement of pacemakers with one or two chambers and their postoperative control;
  • Implantation/replacement of automatic cardioverters-defibrillators (AICD = automatically implanted cardioverter-defibrillator) and their postoperative control (devices from all manufacturers);
  • Implantation/replacement of the so called biventricular systems (HRT - heart realignment therapy) and their postoperative control (devices from all manufacturers);
  • Medical ablation of the supraventricular and ventricular heart rhythm disturbances.

The personnel of our international department will consult you concerning the future cardiovascular treatment in Germany.

Pacemaker implantation

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Medical Staff

MD PD Detlev Jäger

MD PD Detlev Jäger
Head of the Cardiology Department at Friedrichshafen Clinic

MD Rudolf Schiele

MD Rudolf Schiele
Head physician assistant

MD A. Schaum

MD A. Schaum
Senior physician




Facts and Figures

  • 1272 inpatients
  • 7000 outpatient
  • 3000 echocardiographies
  • 1900 long-term ECG
  • 130 pacemaker surgeries
  • 310 bronchoscopies
  • 350 electrophysiological interventions
  • 70 radio frequency ablations

+49 163 59-51-511


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