Das PMG Hospital hat mehr als 41.000 Patienten mit koronarer Herzkrankheit behandelt und verfügt über mehr als 30 Jahre Erfahrung. Das PMG Heart Center bietet die Implantation von Herzschrittmachern als Teil einer Versorgung an, die von der Diagnose bis zur kardialen Rehabilitation reicht. Zu den präoperativen Untersuchungen gehören EKG, Echokardiographie, Belastungs-EKG und Langzeit-EKG. Anschließend übernehmen Fachärzte die Überwachung im 24-Stunden-Critical-Care-Zentrum. Das Krankenhaus ist mit der Hospital Accreditation (HA) und der Global Healthcare Accreditation (GHA) akkreditiert.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":8350,"price_to":8350,"currency":"USD","id":64743},"operation":{"id":295,"name":"Herzschrittmacher-Implantation","alias":"installing-heart-pacemaker"}},{"prices":{"price_from":142.1034374668659,"price_to":142.1034374668659,"currency":"USD","id":56042},"diagnostic":{"id":468,"name":"Echokardiographie","alias":"echocardiography"}},{"prices":{"price_from":1184.4420709886717,"price_to":1776.6631064830078,"currency":"USD","id":56044},"diagnostic":{"id":168,"name":"Koronarangiographie","alias":"coronary-angiography"}}],"reviews":[],"clinic":{"id":7547,"alias":"pmg-hospital","name":"PMG Hospital","short_description":"PMG Hospital ist ein privates medizinisches Zentrum für verschiedene Fachgebiete in Bangkok, Thailand, das auf Kardiologie und Onkologie spezialisiert ist. Das Krankenhaus bietet fortschrittliche diagnostische und interventionelle Verfahren an, darunter Koronarangiographie und Karotisangioplastie mit Stenting. Das PMG Hospital behandelt ausschließlich Erwachsene und wird am häufigsten von Patienten aus Asien gewählt.
","images":[{"base_url":"clinic/6a7d3106271d0","title":"Außenansicht des PMG Hospital in Thailand mit Notdienst-Beschilderung"},{"base_url":"clinic/6a7d3143aa5eb","title":"Moderner Operationssaal mit fortschrittlicher Medizintechnik im PMG Hospital"},{"base_url":"clinic/6a7d332b95d9b","title":"Empfangstresen im PMG Hospital mit Logo und modernem Design"},{"base_url":"clinic/6ab32c4a1ca0b","title":"Privates Patientenzimmer im PMG Hospital mit modernen Annehmlichkeiten und Krankenhausbett"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Thailand","id":45,"alias":"thailand","iso_code":"TH"},"city":{"name":"Bangkok","id":75,"alias":"bangkok"},"address":"280 Rama II Rd, Samae Dam, Bang Khun Thian, Bangkok 10150, Thailand"},"rating":{"rating":5,"google":4.6,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":8,"year_foundation":1992},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d10bad3836ab.jpeg","name":"Global Healthcare Accreditation Programm","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Das Bumrungrad International Hospital ist ein führendes Zentrum für Herzmedizin mit spezialisierter Expertise bei der Implantation von Herzschrittmachern. Das Krankenhaus behandelt jährlich über 1 Million Patienten, darunter internationale Patienten aus über 190 Ländern. Es betreibt eines der größten privaten Kardiologieprogramme Südostasiens mit fortschrittlicher Technologie und speziellen Einrichtungen für Herzchirurgie.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":45,"price_to":90,"currency":"USD","id":15691},"diagnostic":{"id":172,"name":"Rücksprache mit einem Herzchirurgen","alias":"consultation-heart-surgeon"}},{"prices":{"price_from":15,"price_to":40,"currency":"USD","id":14054},"diagnostic":{"id":21,"name":"EKG","alias":"ecg"}}],"reviews":[],"clinic":{"id":250,"alias":"bumrungrad-international-hospital","name":"Bumrungrad International Hospital","short_description":"Das Bumrungrad International Hospital ist eine globale medizinische Einrichtung in Bangkok, Thailand, die sich auf O nkologie, O phthalmologie, Orthopädie, Neurowissenschaften, Herzchirurgie , Vorsorgeuntersuchungen usw. spezialisiert hat. Jährlich entscheiden sich über 1 Million Patienten für Bumrungrad. 50 % davon sind internationale aus über 190 Ländern.
\n\nDas Krankenhaus ist eines der größten privaten Zentren in Südostasien und eine der bedeutendsten ambulanten Kliniken weltweit. Bumrungrad International ist als TOP-10 der besten Krankenhäuser und TOP-30 der technologisch fortschrittlichsten Kliniken der Welt anerkannt.
\n","images":[{"base_url":"clinic/5ab24b3e51912","title":"Außenansicht von Bumrungrad International Hospital bei Nacht in Bangkok, Thailand"},{"base_url":"clinic/5ab24b3eaddb3","title":"Patientenlounge im Bumrungrad International Hospital, modernes Interieur in Bangkok"},{"base_url":"clinic/5ab24b3ee9fd9","title":"room"},{"base_url":"clinic/5ab24b3f4d8df","title":"Empfangs- und Wartebereich im Bumrungrad International Hospital, Bangkok"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Thailand","id":45,"alias":"thailand","iso_code":"TH"},"city":{"name":"Bangkok","id":75,"alias":"bangkok"},"address":"33 Sukhumvit Soi 3, Wattana Bangkok 10110 Thailand"},"rating":{"rating":4.6,"google":3.8,"percent_of_satisfied_clients":90},"statistics":{"number_of_reviews":131,"doctors_number":1300,"year_foundation":1980},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Internationale Organisation für Normung","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d10bad3836ab.jpeg","name":"Global Healthcare Accreditation Programm","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"Beste Krankenhäuser der Welt 2020 von Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Die besten Krankenhäuser der Welt 2021 von Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"Beste Smart Hospitals der Welt 2021 von Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Beste Krankenhäuser der Welt 2022 von Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Die weltweit besten Smart Hospitals 2023 von 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":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"Die Implantation eines Herzschrittmachers in Bangkok kostet in der Regel zwischen _op_295_city_75_price_from_ und _op_295_city_75_price_to_. Der Endpreis hängt vom Gerätetyp, der Klinikklasse und den spezifischen Honoraren des Kardiologen ab. Patienten sparen etwa _price_percent_discount_% im Vergleich zu den USA, wo dieser Eingriff durchschnittlich _price_compare_US_average_ kostet. Die Pakete decken in der Regel präoperative Untersuchungen, Anästhesie, chirurgische Gebühren und einen zweitägigen Krankenhausaufenthalt einschließlich intensivmedizinischer Überwachung ab.
\n\nExpertenmeinung von Bookimed: Bangkok ist Thailands wichtigstes Zentrum für komplexe kardiale Eingriffe. Die meisten internationalen Patienten wählen diese Stadt aufgrund der hohen Spezialisierungsdichte gegenüber regionalen Zentren. Das Bumrungrad International Hospital ist beispielsweise JCI-akkreditiert und von Newsweek ausgezeichnet. Es betreut jährlich über eine halbe Million ausländische Patienten. Die Wahl solcher Zentren mit hohem Patientenaufkommen stellt sicher, dass Zugang zu Spezialisten besteht, die mit verschiedenen internationalen Schrittmachertechnologien vertraut sind.
"}},"texts":{"txt_procedure_3_clinics":{"text":"Ein Herzschrittmacher (EC, Pacemaker) ist ein Gerät zur Aufrechterhaltung eines normalen Herzrhythmus. Zu seinen funktionellen Aufgaben gehört die Überwachung der Herztätigkeit. Bei Verletzungen des Herzschlags sendet das Gerät eine elektrische Entladung, um Muskelkontraktionen zu stimulieren.
Bis heute ist der Herzschrittmacher das wirksamste Werkzeug im Kampf gegen Herzrhythmusstörungen.Wie klinische Studien gezeigt haben, wird es im Laufe der Zeit immer schwieriger, Arrhythmien zu beseitigen. Daher sollte sofort mit der Behandlung begonnen werden. Wenn die Arrhythmie dauerhaft geworden ist und die medikamentöse Therapie Störungen des Herzrhythmus nicht beseitigt, empfehlen die Ärzte die Installation eines Herzschrittmachers. Das Gerät sorgt für eine ständige Aufrechterhaltung der Herzarbeit. Geräte der neuesten Generation sind in der Lage, Paroxysmen (schwere Attacken) zu erkennen und sofort zu blockieren, wodurch verhindert wird, dass sie die Arbeit des Herzens stören.
Herzschrittmacher werden danach klassifiziert , wie viele Abschnitte (Kammern) des Herzens sie stimulieren können – einen, zwei oder drei.
Einkammergeräte sind „klassische“ Herzschrittmacher, die früher als andere erschienen sind und 1 Elektrode haben. Sie sind in einer Kammer des Herzens installiert - dem Ventrikel.
Zweikammer - haben 2 Elektroden, die in den Ventrikel und das Atrium implantiert werden und deren synchronen Betrieb unterstützen. Eine „doppelte“ Stimulation ist für den Patienten effektiver. Bei Vorhofflimmern und -flattern des Patienten schalten Zweikammer-Schrittmacher automatisch in einen sicheren Betriebsmodus.
Dreikammer-Schrittmacher sind Hightech-Modelle mit drei Elektroden, die nach einer bestimmten Reihenfolge Kontraktionen von 3 Herzkammern stimulieren. Solche Geräte werden bei Patienten mit der gefährlichsten Art von Arrhythmie installiert.
Die Elektroden der Geräte werden nach Fixierung in aktive und passive Typen eingeteilt . Bei der aktiven Fixierung wird die Elektrode mit einem Korkenzieheraufsatz in das Herz implantiert. Passiv befestigte Elektroden werden mit speziellen Antennen befestigt.
Der Herzschrittmacher wird im Bereich des linken Schlüsselbeins unter dem Musculus pectoralis major fixiert . Durch eine Punktion in der Schlüsselbeinvene führt der Arzt die Elektroden zu den Herzkammern und befestigt das Gerät am Gewebe.
Die Implantation eines Herzschrittmachers erfolgt unter Röntgenkontrolle, die Dauer der Operation hängt von der Art des Herzschrittmachers ab:
Die Operation umfasst mehrere aufeinanderfolgende Phasen:
Patienten, die mit einem Herzschrittmacher ausgestattet wurden, haben gewisse Einschränkungen bei der körperlichen Aktivität und der Verwendung elektromagnetischer Geräte. Vor jeder diagnostischen Untersuchung sollte der Arzt auf das Vorhandensein eines Herzschrittmachers hingewiesen werden.
Einschränkungen für Patienten mit installiertem Herzschrittmacher:
Nach der Installation empfehlen Ärzte Spaziergänge und regelmäßige Gesundheitschecks.
Tag 1: Ankunft
Tag 2: Voroperation
Tag 3: Ablauf
Tag 4–7: Nach der Operation
Woche 1–6: Rehabilitation
Bitte beachten Sie, dass es sich hierbei um eine allgemeine Richtlinie handelt und im Einzelfall abweichen kann. Befolgen Sie immer den Rat Ihres medizinischen Teams.
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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":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=thailand/city=bangkok/procedure=ustanovka-kardiostimulyatora/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}