Klinikum Bremen-Mitte memegang sertifikasi DIN EN ISO dan termasuk dalam jajaran 100 rumah sakit terbaik di Jerman. Pemasangan alat pacu jantung memerlukan biaya sekitar 20.000 EUR – yang biasanya mencakup diagnosis, operasi, rawat inap hingga 10 hari, dan transportasi penjemputan. Klinik ini merawat 250.000 pasien setiap tahun dengan pencitraan generasi terbaru untuk diagnosis yang akurat. Prof. Dr. med. Rainer Hambrecht memimpin departemen kardiologi dan spesialis dalam manajemen ritme jantung. Wisatawan medis mendapatkan koordinasi khusus melalui departemen internasional rumah sakit tersebut.
","text_type":"mt_wow_description","best_texts":{"techniques":"Implantasi alat pacu jantung","good_fit_for":"Pasien yang membutuhkan manajemen ritme jantung","why_its_ranked":"Bagian dari grup medis terbesar di Jerman dengan 250.000 pasien setiap tahunnya. Layanan mencakup diagnostik komprehensif seperti EKG dan pemantauan Holter. Menyediakan perawatan rawat inap penuh hingga 10 hari setelah prosedur."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":13000,"price_to":23000,"currency":"USD","id":4569},"operation":{"id":295,"name":"Memasang alat pacu jantung","alias":"installing-heart-pacemaker"}},{"prices":{"price_from":2500,"price_to":5000,"currency":"USD","id":9372},"diagnostic":{"id":418,"name":"Pemeriksaan jantung","alias":"heart-sheck-up"}},{"prices":{"price_from":250,"price_to":550,"currency":"USD","id":16278},"diagnostic":{"id":37,"name":"USG","alias":"u.s."}}],"reviews":[],"clinic":{"id":295,"alias":"clinic-bremen-nord","name":"Bremen-Mitte Clinic","short_description":"Klinikum Bremen-Mitte adalah rumah sakit multidisipliner yang termasuk dalam jaringan pusat medis Gesundheit Nord (Nord Klinik Allianz). Bremen-Mitte berspesialisasi dalam onkologi, ortopedi, bedah, neurologi, dan bedah saraf.
\nPada tahun 2015-2016, majalah Focus, edisi otoritatif asal Jerman, memasukkan rumah sakit ini dalam jajaran atas institusi medis terkemuka di Jerman. Peringkat ini berdasarkan ulasan pasien dan kualifikasi dokter.
\n40.000 pasien memilih Klinikum Bremen-Mitte untuk perawatan setiap tahun.
","images":[{"base_url":"clinic/5c87d11cc61c4","title":"Main entrance of Bremen-Mitte Clinic, modern glass facade in Bremen, Germany"},{"base_url":"clinic/5b869c5f7eb24","title":"Garden courtyard with benches at Bremen-Mitte Clinic, Germany"},{"base_url":"clinic/5b869c5d8c3f7","title":"Bremen-Mitte Clinic exterior view, modern hospital building in Bremen, Germany"},{"base_url":"clinic/5b869c5ea9030","title":"Main entrance of Bremen-Mitte Clinic modern glass facade in Bremen, Germany"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Jerman","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Bremem","id":352,"alias":"bremen"},"address":"Sankt-Jürgen-Straße 1, 28205 Bremen, Germany"},"rating":{"rating":4.3,"google":2.5,"percent_of_satisfied_clients":80},"statistics":{"number_of_reviews":41,"doctors_number":0,"year_foundation":1851},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Organisasi Internasional untuk Standardisasi","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"Rumah sakit TOP Jerman menurut peringkat Focus 2019","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Rumah Sakit Terbaik Dunia 2021 oleh Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Klinik Links der Weser memiliki spesialisasi dalam perawatan kardiovaskular dan dinobatkan sebagai salah satu dari 100 rumah sakit terbaik di Jerman oleh Focus. Dr. Rainer Hambrecht, Kepala Dokter Klinik Medis II di Pusat Jantung Bremen, memimpin tim kardiologi dengan kredensial luas termasuk memimpin kelompok kerja European Society of Cardiology dan menjabat di berbagai dewan penasihat ilmiah.
Klinikum Links der Weser adalah rumah sakit multi-spesialis di Bremen, yang merupakan bagian dari Gesundheit Nord. Spesialisasi utama rumah sakit ini adalah pengobatan pasien dengan penyakit kardiovaskular, pemantauan kehamilan, dan persalinan.
\nPada tahun 2015-2016, Rumah Sakit Links der Weser muncul sebagai salah satu dari 100 rumah sakit terkemuka di Jerman menurut Focus. Peringkat ini mencakup pusat-pusat medis dengan tingkat keberhasilan pengobatan terbaik dan ulasan pasien.
\nSetiap tahun, dokter di Links der Weser menerima 27.000 pasien untuk pengobatan.
","images":[{"base_url":"clinic/5b88081a9f593","title":"Main entrance of Links der Weser Clinic in Bremen, modern hospital exterior"},{"base_url":"clinic/5b8807611cac0","title":"Aerial view of Links der Weser Clinic building in Bremen, Germany"},{"base_url":"clinic/5b88076612b66","title":"Aerial view of Links der Weser Clinic building in Bremen, Germany"},{"base_url":"clinic/5b88075c32bb0","title":"Operating room at Links der Weser Clinic with surgical team and advanced equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Jerman","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Bremem","id":352,"alias":"bremen"},"address":"Senator-Weßling-Straße 1 28277 Bremen"},"rating":{"rating":0,"google":3.3,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1968},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Rumah Sakit Terbaik Dunia 2021 oleh Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":73},"doctors":{"doctors":[{"doctor":{"id":1158,"alias":"dieter-hammel","name":"Dieter Hammel","clinic_id":405,"photo":"doctor/5acf611bd0726","first_year_working":0,"created_at":"2017-10-23T13:41:12.000+00:00","short_description":"Dr. Dieter Hammel adalah ahli bedah jantung dan kepala departemen bedah jantung di Klinik Links der Weser di Bremen. Beliau melakukan penggantian katup jantung, bedah pintas arteri koroner (coronary artery bypass grafting), pemasangan stent koroner, dan pemasangan alat pacu jantung.
Beliau bekerja di Klinik Links der Weser, sebuah pusat kardiovaskular di Jerman dengan kapasitas hampir 500 tempat tidur. Fasilitas ini menangani 27.000 pasien setiap tahunnya dan termasuk dalam peringkat Rumah Sakit Terbaik Dunia versi Newsweek.
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":405,"alias":"links-der-weser-clinic","name":"Links der Weser Clinic","short_description":"Klinikum Links der Weser adalah rumah sakit multi-spesialis di Bremen, yang merupakan bagian dari Gesundheit Nord. Spesialisasi utama rumah sakit ini adalah pengobatan pasien dengan penyakit kardiovaskular, pemantauan kehamilan, dan persalinan.
\nPada tahun 2015-2016, Rumah Sakit Links der Weser muncul sebagai salah satu dari 100 rumah sakit terkemuka di Jerman menurut Focus. Peringkat ini mencakup pusat-pusat medis dengan tingkat keberhasilan pengobatan terbaik dan ulasan pasien.
\nSetiap tahun, dokter di Links der Weser menerima 27.000 pasien untuk pengobatan.
","images":[{"base_url":"clinic/5b88081a9f593","title":"Main entrance of Links der Weser Clinic in Bremen, modern hospital exterior"},{"base_url":"clinic/5b8807611cac0","title":"Aerial view of Links der Weser Clinic building in Bremen, Germany"},{"base_url":"clinic/5b88076612b66","title":"Aerial view of Links der Weser Clinic building in Bremen, Germany"},{"base_url":"clinic/5b88075c32bb0","title":"Operating room at Links der Weser Clinic with surgical team and advanced equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Jerman","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Bremem","id":352,"alias":"bremen"},"address":"Senator-Weßling-Straße 1 28277 Bremen"},"rating":{"rating":0,"google":3.3,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1968},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Rumah Sakit Terbaik Dunia 2021 oleh Newsweek","country_code":"US"}]}},{"doctor":{"id":660,"alias":"rainer-hambrecht","name":"Rainer Hambrecht","clinic_id":405,"photo":"doctor/5acf60a161821","first_year_working":0,"created_at":"2017-02-09T16:54:00.000+00:00","short_description":"Dokter ini berspesialisasi dalam kardiologi, angiologi, dan kedokteran perawatan intensif internal. Sebagai Kepala Dokter Klinik Medis II di Pusat Jantung Bremen, Klinikum Links der Weser, dokter ini telah menerima banyak penghargaan untuk penelitian dan pengajaran. Dokter ini menjabat sebagai Juru Bicara dan Ketua Kelompok Proyek Pencegahan dari Masyarakat Kardiologi Jerman dan merupakan anggota inti dari Kelompok Kerja Rehabilitasi Jantung dan Fisiologi Latihan dari Masyarakat Kardiologi Eropa. Selain itu, dokter ini adalah anggota ilmiah dari Asosiasi Kardiologi Preventif Eropa dan berkontribusi pada berbagai jurnal dan dewan ilmiah.<\\/p>
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c8e03900db.jpeg","name":"German Society of Cardiology"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c8e057d6cd.jpeg","name":"European Society of Cardiology"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c8e10a94c9.jpeg","name":"European Association of Preventive Cardiology"}]},"clinic":{"id":405,"alias":"links-der-weser-clinic","name":"Links der Weser Clinic","short_description":"Klinikum Links der Weser adalah rumah sakit multi-spesialis di Bremen, yang merupakan bagian dari Gesundheit Nord. Spesialisasi utama rumah sakit ini adalah pengobatan pasien dengan penyakit kardiovaskular, pemantauan kehamilan, dan persalinan.
\nPada tahun 2015-2016, Rumah Sakit Links der Weser muncul sebagai salah satu dari 100 rumah sakit terkemuka di Jerman menurut Focus. Peringkat ini mencakup pusat-pusat medis dengan tingkat keberhasilan pengobatan terbaik dan ulasan pasien.
\nSetiap tahun, dokter di Links der Weser menerima 27.000 pasien untuk pengobatan.
","images":[{"base_url":"clinic/5b88081a9f593","title":"Main entrance of Links der Weser Clinic in Bremen, modern hospital exterior"},{"base_url":"clinic/5b8807611cac0","title":"Aerial view of Links der Weser Clinic building in Bremen, Germany"},{"base_url":"clinic/5b88076612b66","title":"Aerial view of Links der Weser Clinic building in Bremen, Germany"},{"base_url":"clinic/5b88075c32bb0","title":"Operating room at Links der Weser Clinic with surgical team and advanced equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Jerman","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Bremem","id":352,"alias":"bremen"},"address":"Senator-Weßling-Straße 1 28277 Bremen"},"rating":{"rating":0,"google":3.3,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1968},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Rumah Sakit Terbaik Dunia 2021 oleh Newsweek","country_code":"US"}]}}],"meta":{"total_count":2,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"Jerman","alias":"germany","iso_code":"DE"},{"name":"Korea Selatan","alias":"republic-of-korea","iso_code":"KR"},{"name":"Lituania","alias":"lithuania","iso_code":"LT"},{"name":"Polandia","alias":"poland","iso_code":"PL"},{"name":"Rumania","alias":"romania","iso_code":"RO"},{"name":"Spanyol","alias":"spain","iso_code":"ES"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turki","alias":"turkey","iso_code":"TR"},{"name":"Ukraina","alias":"ukraine","iso_code":"UA"},{"name":"Yunani","alias":"greece","iso_code":"GR"}],"cities":[{"name":"Bremem","alias":"bremen"},{"name":"Frankfurt am Main","alias":"frankfurt-am-main"}],"operations":[{"name":"Penggantian Katup Jantung","alias":"heart-valve-replacement"},{"name":"Ablasi frekuensi radio","alias":"radiofrequency-ablation"},{"name":"Cangkok bypass arteri koroner","alias":"coronary-artery-bypass-grafting"},{"name":"Memasang alat pacu jantung","alias":"installing-heart-pacemaker"},{"name":"Pemasangan stent koroner","alias":"coronary-stenting"},{"name":"Operasi defek septum interventrikel","alias":"interventricular-septal-defect-surgery"},{"name":"Bedah jantung terbuka","alias":"open-heart-surgery"},{"name":"Operasi aneurisma aorta","alias":"aortic-aneurysm-surgery"},{"name":"Ablasi frekuensi radio dengan pemetaan 3D","alias":"radiofrequency-ablation-with-3d-mapping"},{"name":"Implantasi katup aorta transkateter","alias":"transcatheter-aortic-valve-implantation-tavi"},{"name":"Penggantian katup aorta","alias":"replacement-of-the-aortic-valve"},{"name":"Operasi plastik katup jantung","alias":"plastic-surgery-for-cardiac-valve"},{"name":"Krioblas jantung","alias":"heart-cryoablation"}],"diagnostics":[{"name":"Pemantauan Holter","alias":"holter-monitoring"},{"name":"EKG","alias":"ecg"},{"name":"USG","alias":"u.s."},{"name":"Hitung darah lengkap","alias":"total-blood"},{"name":"Konsultasi dengan ahli jantung","alias":"consulting-with-cardiologist"},{"name":"Angiografi koroner","alias":"coronary-angiography"},{"name":"Konsultasi dengan dokter bedah jantung","alias":"consultation-heart-surgeon"},{"name":"Diagnosis kardiovaskular komprehensif","alias":"heart-conditions-diagnosis"},{"name":"Pemeriksaan jantung","alias":"heart-sheck-up"},{"name":"Ultrasonografi jantung","alias":"heart-ultrasound"},{"name":"Ekokardiografi","alias":"echocardiography"},{"name":"Diagnosis Jantung sebelum OP","alias":"heart-diagnosis-before-op"},{"name":"Konsultasi dengan pembuatan rencana perawatan","alias":"consultation-with-creation-of-treatment-plan"}],"illnesses":[{"name":"Prolaps katup mitral","alias":"mitral-valve-prolapse"},{"name":"Insufisiensi katup aorta","alias":"aortic-valve-insufficiency"}],"illnessKinds":[{"name":"Operasi Jantung","alias":"heart-surgery"}],"illness_kinds":[{"name":"Operasi Jantung","alias":"heart-surgery"}]},"popularSearches":[{"name":"Ablasi frekuensi radio","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"Penggantian Katup Jantung","alias":"heart-valve-replacement","type":"operation","id":2},{"name":"Memasang alat pacu jantung","alias":"installing-heart-pacemaker","type":"operation","id":295},{"name":"Bedah jantung terbuka","alias":"open-heart-surgery","type":"operation","id":663},{"name":"Pemasangan stent koroner","alias":"coronary-stenting","type":"operation","id":554},{"name":"USG","alias":"u.s.","type":"diagnostic","id":37},{"name":"Konsultasi dengan pembuatan rencana perawatan","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Hitung darah lengkap","alias":"total-blood","type":"diagnostic","id":83},{"name":"Konsultasi dengan ahli jantung","alias":"consulting-with-cardiologist","type":"diagnostic","id":162},{"name":"EKG","alias":"ecg","type":"diagnostic","id":21},{"name":"Prolaps katup mitral","alias":"mitral-valve-prolapse","type":"illness","id":3224},{"name":"Insufisiensi katup aorta","alias":"aortic-valve-insufficiency","type":"illness","id":3225},{"name":"Sindrom kompresi arteri aorto-mesenterika","alias":"aorto-mesenteric-artery-compression-syndrome","type":"illness","id":3459}],"operationPrices":{"operation_prices":{"295":{"operation":{"name":"Memasang alat pacu jantung","alias":"installing-heart-pacemaker","use_for_listing":true},"country_price":{"US":{"amount":28000,"max_amount":48000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":12300,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":13000,"max_amount":20000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8400,"max_amount":19500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":14500,"max_amount":21500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":true,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true,"LT":true,"RO":true}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":3049}},"responsibleDoctor":{"id":1682,"alias":"hasim-ustunsoy","name":"Hasim Ustunsoy","photo":"doctor/699ed71d22e22","advisory_text":"Prof. Dr. Haşim Üstünsoy adalah seorang ahli bedah kardiovaskular yang berspesialisasi dalam bedah jantung robotik, perbaikan katup, dan operasi bypass arteri koroner. Beliau adalah pelopor dalam bedah jantung robotik menggunakan sistem Da Vinci di Turki.","linkedin":"","specialities":[{"id":"crl.003","name":"Cardiovascular surgeon","illness_kind_id":23}]},"direction":{"id":23,"name":"Operasi Jantung","alias":"heart-surgery"},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"For desk-based work after uncomplicated transvenous single- or dual-chamber pacemaker implantation; heavy manual work usually takes longer."},"complication_rate_pct":{"min":4,"max":10,"unit":"percent","qualifier":"Any acute complication within 90 days (hematoma, lead issue, pneumothorax, infection); serious ones about 1-3%"},"contraindications":["Active systemic infection or sepsis","Infection at the planned implant site","Blocked venous access on intended side (relative)","Uncorrected bleeding disorder or unmanageable anticoagulation (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Uncomplicated transvenous pacemaker implantation; many patients go home the same day or after one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light activity earlier; avoid raising implant-side arm above shoulder and strenuous exercise until lead stabilizes and clinician clears."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Rhythm support is immediate; leads stabilize over about 4-6 weeks, with final programming at first device check."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After stable device check, chest X-ray and wound review; later if pocket hematoma, pneumothorax or lead problem."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound inspection and, if needed, suture removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"First device interrogation and programming check."}}],"indications":["Symptomatic bradycardia due to sinus node dysfunction","Acquired high-grade or complete atrioventricular block","Symptomatic bradycardia with atrial fibrillation (slow ventricular response)","Recurrent syncope from conduction disease or selected reflex syncope"],"main_risks":["Pocket hematoma","Device or pocket infection","Pneumothorax","Lead dislodgement or malfunction requiring repositioning","Cardiac perforation or pericardial effusion (rare)","Venous thrombosis or vein stenosis","Tricuspid regurgitation related to the lead","Bleeding or reaction to anesthesia/medication"],"pain":"Mild to moderate discomfort at the incision/pocket site for a few days, usually managed with simple analgesics; the procedure itself is done under local anesthesia.","preparation":["Cardiology evaluation with ECG and rhythm documentation confirming pacing indication","Pre-procedure blood tests (blood count, coagulation, kidney function)","Review of current medications and allergies by the treating team","Fasting for several hours before the procedure as instructed","Skin preparation of the chest area and informed consent","Arrange transport and help at home after discharge"],"recovery_timeline":[{"phase":"Day 0-1","description":"Observation after implantation; chest X-ray and device check are common before discharge.","restrictions":["No driving on the day of the procedure","Keep the wound dry"]},{"phase":"Week 1-2","description":"Wound healing; discomfort settles; wound check.","restrictions":["No car driving for about one week","Keep the wound dry","Avoid lifting heavy objects with the implant-side arm","Avoid raising the arm above shoulder level vigorously"]},{"phase":"Week 4-6","description":"Leads stabilize; gradual return to full activity per clinician guidance.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Long term","description":"Regular device checks and battery monitoring.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated transvenous implantation; no formal rehabilitation program is usually needed."},"result_longevity":"Device battery typically lasts several years (often around 7-12 years depending on device type and pacing use), after which the generator is replaced; leads often last longer.","revision_rate_pct":{"min":2,"max":5,"unit":"percent","qualifier":"Lead repositioning or reintervention within first year, mostly lead dislodgement; excludes routine battery replacement"},"scars":"A small linear scar of a few centimeters below the collarbone, usually fading over time; a visible bulge from the device may be noticeable in thin patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single implantation procedure."},"stages":[{"code":"implantation","label":"Pacemaker generator and lead implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one procedure on the day of treatment."}}],"qualifier":"Standard single-stage transvenous implantation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Successful lead implantation with symptom relief","value":97,"unit":"percent","horizon":"At implantation and first device check","population":"Adults with symptomatic bradycardia or AV block receiving transvenous pacemaker","evidence_status":"limited"},"techniques":[{"name":"Transvenous single-chamber pacemaker","suits_whom":"Patients needing ventricular pacing only, such as permanent atrial fibrillation with slow ventricular rate.","recovery":"Similar short recovery; return to light activity within days."},{"name":"Transvenous dual-chamber pacemaker","suits_whom":"Patients with sinus node dysfunction or AV block who benefit from atrioventricular synchrony.","recovery":"Similar short recovery; arm-movement precautions for several weeks."},{"name":"Leadless pacemaker","suits_whom":"Selected patients with limited venous access or high infection risk who need single-chamber ventricular pacing.","recovery":"No chest pocket or lead; recovery often quicker with fewer arm restrictions."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single standard transvenous single- or dual-chamber pacemaker implantation; longer for more complex cases."},"initial_assessment_documents":["12-lead ECG tracing","24-hour Holter monitor report","Echocardiogram report","Cardiology discharge summary or recent clinic letter","List of blood thinners","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single implantation; stay 3-7 days for first wound review and chest X-ray. Later checks can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask which pacemaker type is best for you","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"What kind of pacemaker is best for me?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask what other treatment options you have besides a pacemaker","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"What other treatment options do I have?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask for the benefits and risks of a pacemaker before deciding","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"What are the benefits and risks of a pacemaker?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask how long the pacemaker will last","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"How long will the pacemaker last?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pacemaker offered with no prior discussion of your options with a doctor","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"Before deciding to get a pacemaker, discuss your options with your doctor.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Overseas team does not let you ask questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Wound becoming more swollen, tender or redder","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/pacemaker-implantation/recovery","host":"nhs.uk","quote":"your wound gets more swollen, tender or redder – redness may be difficult to see on brown or black skin","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe difficulty breathing, gasping or choking","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/pacemaker-implantation/recovery","host":"nhs.uk","quote":"you have severe difficulty breathing – you're gasping, choking or not able to get words out","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Very high temperature or shivery feeling","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/pacemaker-implantation/recovery","host":"nhs.uk","quote":"your temperature is very high, or you feel hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives device details for clinicians who treat you later","document":"pacemaker id card","source":{"url":"https://my.clevelandclinic.org/health/articles/permanent-pacemaker","host":"my.clevelandclinic.org","quote":"Before you go home, you’ll get a card to carry with details about your device.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Summarises treatment and future care needs for your home doctor","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your slow heart rate is caused by a medicine you take","name":"Medication dose adjustment","source":{"url":"https://www.healthline.com/symptom/slow-heart-rate","host":"healthline.com","quote":"If a slow heart rate is due to the effect of a medication, it's possible that your doctor may adjust your medication dosage.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"An underlying condition is contributing to your slow heart rate","name":"Treating the underlying condition","source":{"url":"https://www.healthline.com/symptom/slow-heart-rate","host":"healthline.com","quote":"Similarly, if an underlying condition is contributing to your bradycardia, your doctor will work to address that condition.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"transvenous-single-chamber","name":"Transvenous single-chamber pacemaker","how_it_works":{"text":"A single wire attaches to one chamber of the heart","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"This uses a single wire that attaches to one chamber of your heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"days","label":"2–4 days","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"You can most likely get back to your normal routine a few days after pacemaker surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"transvenous-dual-chamber","name":"Transvenous dual-chamber pacemaker","how_it_works":{"text":"Two wires attach to two chambers of the heart","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"This uses two wires that attach to two chambers of your heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"days","label":"2–4 days","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"You can most likely get back to your normal routine a few days after pacemaker surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"leadless-pacemaker","name":"Leadless pacemaker","how_it_works":{"text":"A one-piece device is implanted into the heart through a vein","source":{"url":"https://my.clevelandclinic.org/health/treatments/17166-leadless-pacemaker","host":"my.clevelandclinic.org","quote":"A leadless pacemaker is a one-piece device a provider implants into your heart by way of a vein.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":2,"unit":"weeks","label":"2 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17166-leadless-pacemaker","host":"my.clevelandclinic.org","quote":"You can go back to everyday activities two weeks after receiving a leadless pacemaker.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=bremen/procedure=ustanovka-kardiostimulyatora/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":14},"manualSeo":[],"updatedAt":"2026-11-07T09:57:33.000Z","activeCountries":["DE","TR","AT","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}