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Imaging techniques for arrhythmia

Echocardiography, magnetic resonance imaging (MRI) and, as circumstances require, computer- tomography (CT) examinations are important techniques for finding the root cause of arrhythmia. Today, many cardiac diagnostic rhythm centers are equipped with highly specialized technology for precise diagnostics without discomfort for the patient.

Modern cardiac imaging is capable of making detailed insights into the structure and function of the heart using gentle methods. 
This is particularly important pertaining to rhythmological questions since many arrhythmias result primarily from structural heart disease, changes in the coronary arteries, heart valves or heart muscle. Therefore, prior to deciding on any rhythmological treatment, numerous examinations are necessary to rule out a treatable cause of arrhythmia, such as those based on such structural heart disease.
 
Echokardiographie (TTE): Hochauflösender Herzultraschall  
A cardiac ultrasound examination is the most important imaging study for analysis and clarification of arrhythmia. Today it is possible to analyze the size of the heart chambers, especially of the atria, the nature and functionality of the heart muscle and heart valves by using the "echo". In the search for the root cause the echo usually delivers information that guides us to the correct answer. Stress echocardiography and especially the transesophageal echocardiogram (TEE) examination are important supplemental exams that are used very often in arrhythmia patients. Click here more for on echocardiography.
 
Echokardiography    
 
Imaging without X-rays of the atrium and pulmonary veins prior to ablation is now often possible but dependent upon certain prerequisites. When there is a suspicion of certain structural heart diseases, the MRI can be of significant use.
For heart muscle inflammation (myocarditis) and for certain storage diseases the MRT is the tool of first choice. 
In the diagnosis of Arrhythmogenic Right Ventricular Dysplasia (ARVD) the most important non-invasive examination technology is the MRI. Also in the follow-up care of ablation treatments, the cardio-MRI is now more commonly used.
Cardio-MRT (CMR)    
 
Cardiac CT is most useful for the visualization of pulmonary vein anatomy, atrial chamber anatomy and, when necessary, anatomic visualization before radio frequency ablation (RFA). This is where CT imaging has significant advantages over the MRI and echo visualization. In younger patients, when there is a suspicion of a circulatory disorder, a cardiac CT is useful for excluding a vascular anomaly or exclusion of coronary heart disease (e.g., prior to the initiation of a specific antiarrhythmic treatment). Also, when a malignant disease is suspected as the cause of arrhythmia, the CT exam can be helpful.
Cardop-CT    
  If there are indications that an arrhythmia is triggered by constrictions of the coronary arteries (coronary heart disease; CHD) a heart catheter examination is often useful. Prior to the provision of a defibrillator, a coronary angiography and, if necessary, PCI (percutaneous coronary intervention; e.g. stent treatment) is often necessary. A cardiac catheter examination is also wise in cases of diseases of the heart valves or a limited cardiac pumping function. 
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Cardiac Imaging in Heart Rhythm Disorders at the Isar Heart Center

The Cardiovascular Imaging is an area of major focus here at the Isar Heart Center. A staff of recognized experts is available to utilize the latest high-performance technology for cardiovascular imaging procedures. We have eliminated the standard dichotomy of cardiology and radiology imaging departments. At the Isar Heart Center you are examined and advised on all questions of rhythmology by a truly cooperative heart team.
 
For more complex problems, the medical specialists in the area of rhythmology are brought into the consultation at an early stage of the imaging. "Due to our long-term, cooperative collaboration by the management team in the fields of rhythmology and cardiac imaging, we have developed a special expertise. A recognized and acknowledged expert for each area of focus is integrated into the team at the Isar Heart Center, and each individual brings additional broad background from other areas, so we have very unique and goal-oriented discussions about each case.
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