Department of arrhythmology

An arrhythmologist is a cardiologist who is engaged in the diagnosis and treatment, prevention of cardiac arrhythmias (arrhythmias). Our center employs highly qualified arrhythmologists who conduct active scientific and practical activities.

The Department of arrhythmology has been operating since February 2004. Since 2012, the department has been expanded to 28 beds with two X-ray operating rooms to provide specialized treatment and diagnostic care to patients with complex heart rhythm disorders in the conditions of planned and emergency hospitalization.

Arrhythmology is one of the most complex branches of Clinical Cardiology due to various arrhythmias, the complexity of their diagnosis and treatment, as well as the possibility of developing serious complications such as thrombosis, myocardial infarction, stroke, heart failure, etc. Sudden arrhythmias often require urgent intervention to restore normal heart function and then maintain it. An important factor in the effectiveness of patient treatment is timely consultation, diagnosis and treatment.

Cardiac disorders can be independent or be a complication of diseases of the cardiovascular system or other organ systems. 80% of patients with coronary heart disease - razlich recorded arrhythmias of various nature. Of these, about 65% are life-threatening. The increase in cardiac arrhythmias as we age is due to the changes that have occurred in the myocardium and the conduction of the heart during the aging process. Myocytes are replaced by fibrous tissue and "sclerodegenerative" changes occur.

Arrhythmia may not occur for a long time and be clinically silent, and the patient may not be aware of it until it is detected by doctors during the examination.

The most common symptoms of arrhythmia:

  • Cardiac arrhythmia or vice versa-tachycardia or "trembling"of the heart;
  • Very fast or slow heartbeat;
  • Dizziness;
  • Breathing;
  • Air shortage;
  • Feeling of "failure", "freezing";
  • Nausea and / or vomiting (especially when switching to normal arrhythmias and / or vice versa);
  • Loss of consciousness.

These different manifestations of arrhythmia do not always indicate the complexity of the arrhythmia. People with minor arrhythmias can faint, while patients with life-threatening arrhythmias have no complaints. Everything can be very individual! However, arrhythmia treatment is very dangerous! Arrhythmia should be treated by a doctor after a special examination and determination of the type of arrhythmia, taking into account its location and Genesis.

Technical equipment:

The department is equipped with the most modern equipment, including patient monitoring systems, defibrillators, electrocardiographs, as well as a wide range of medical equipment. The operating room is equipped according to international standards, operations are carried out in the system for monitoring and analyzing the electrophysiological parameters of cardiolab.produced by the United States and at the electrophysiological station "Pwork". The CARTO electrophysiological station from Cordis Webster was introduced, the CARTO 3 navigation electrophysiological nephluroscopic station and the Abbot navigation electrophysiological station "EnSite X" were installed, which allows you to get an image of the heart in 3D format, the Navix navigation electrophysiological station from St was installed. Cryoconsole from Jude Medical, and Medtronic and Boston Scientific to perform ball cryoablation to isolate the mouth of pulmonary veins, where more than 100 operations are performed per year.

The department employs 9 doctors, including 4 certified X-ray surgeons who provide the entire range of arrhythmology procedures. Every year, about 1,500 patients are treated in the Department, of which 1,200 perform diagnostic and surgical interventions.

The Department's specialists actively cooperate with leading clinics in Europe, Russia and the United States, conduct scientific seminars, consultations and joint intervention procedures, master classes, and assist in the development of arrhythmology in the regions.

 In accordance with the main tasks, the department conducts examination and treatment of patients:

1. Atrial fibrillation and tremors;

2. Supraventricular tachycardia;

3. Ventricular tachycardia;

4. WPW syndrome;

5. Atrioventricular blockages of II-III degrees;

6. Sinus node weakness syndrome;

7. Cardiomyopathies;

8. Chronic heart failure.

Operations are performed on:

1. Implantation of one-and two-chamber electrocardiostimulants more than 300 devices per year;

2. Implantation of two-chamber electrocardiostimulants, which stimulate more than 40 devices per year;

3. Implantation of cardioverter defibrillators (ICD) more than 80 devices per year;

4.Cardioresynchronous device implantation (CRT-D) more than 100 devices per year;

5. Electrophysiological examination of the heart and radio frequency ablation:

  • supraventricular tachycardia-more than 200 patients per year;
  • WPW syndrome-more than 120 patients per year;
  • ventricular tachycardia of coronary and non-coronary genesis-more than 100 patients per year;
  • ventricular extrasystoles-more than 100 patients per year;
  • isolation of the mouth of the pulmonary veins in atrial fibrillation-more than 250 patients per year.

Outpatient reception

In the Department of arrhythmology, an outpatient appointment is carried out. You can consult an arrhythmologist on any questions of interest to you and complete the entire range of laboratory and instrumental studies, including pathohistological and microbiological studies.

Research and procedures carried out on an outpatient basis

  • multichannel electrocardiography,
  • Echocardiography,
  • холтер-контроль-канал 12,
  • study, diagnosis and programming of the work of stimulants, iCVD and devices that synchronize the work of the heart,
  • exercise tests (treadmill test),
  • blood pressure control,
  • outpatient and on-site arrhythmological consultations;
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Казахстан, г.Астана, пр. Абылайхана 42

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national_clinic@nnmc.kz

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