{"id":4492,"date":"2020-10-22T16:43:35","date_gmt":"2020-10-22T13:43:35","guid":{"rendered":"https:\/\/groupflorence.com\/ro\/?page_id=4492"},"modified":"2021-03-05T15:54:32","modified_gmt":"2021-03-05T12:54:32","slug":"interventional-cardiology","status":"publish","type":"page","link":"https:\/\/groupflorence.com\/ro\/centers-treatments\/heart-center\/interventional-cardiology\/","title":{"rendered":"Cardiologie Interventionala"},"content":{"rendered":"<section id=\"bt_section69eb85626b8ef\"  class=\"boldSection gutter\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-4 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSpaced noBorder\" ><hr><\/div><div class=\"btCustomMenu treatment-sidebar\" ><div class=\"menu-heart-center-container\"><ul id=\"menu-heart-center\" class=\"menu\"><li id=\"menu-item-4478\" class=\"menu-item 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><\/div><\/div><\/div>\r\n\t\t\t\t\t<div class=\"captionPane\">\r\n\t\t\t\t\t\t<div class=\"captionTable\">\r\n\t\t\t\t\t\t\t<div class=\"captionCell\">\r\n\t\t\t\t\t\t\t\t<div class=\"captionTxt\"><\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div><\/div><div class=\"btClear btSeparator topSmallSpaced bottomSmallSpaced border\" ><hr><\/div><a href=\"https:\/\/groupflorence.com\/ro\/contact-us\/\" class=\"btBtn btBtn btnFilledStyle btnAccentColor btnBig btnNormalWidth btnLeftPosition btnNoIcon\" ><span class=\"btnInnerText\">Ask A Question<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"rowItem col-md-8 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium btDash bottomDash  btAccentDash\" ><div class=\"dash\"><h3><span class=\"headline\"><b class=\"animate\">Cardiologie Interventionala<\/b><\/span><\/h3><\/div><\/header><div class=\"btClear btSeparator topExtraSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" ><\/p>\n<p><em><strong>Cardiologia interven\u021bional\u0103<\/strong><\/em> este o ramur\u0103 a cardiologiei care se ocup\u0103 \u00een mod specific de tratamentul pe baz\u0103 de cateter al bolilor cardiace structurale. Procedurile sunt efectuate de c\u0103tre cardiolog special instruit. Deoarece nu exist\u0103 nici o interven\u021bie chirurgical\u0103, medicii de conducere nu sunt chirurgi cardiovasculari, ci cardiologi.<\/p>\n<h3><strong>Ce proceduri sunt incluse \u00een contextul Cardiologie Interven\u021bional\u0103?<\/strong><\/h3>\n<ul>\n<li>Cateterizarea inimii st\u00e2nga-dreapta,<\/li>\n<li>Angiografie coronarian\u0103,<\/li>\n<li>Angioplastie coronarian\u0103 (PTCA),<\/li>\n<li>Proceduri de stent (balon \u0219i stent; Stenturi de eludare de droguri; stenturi topite)<br \/>\nValva mitral\u0103, Valvotomie cu balon,<\/li>\n<li>Valv\u0103 pulmonar\u0103, valvotomie cu balon,<\/li>\n<li>\u00cenlocuirea valvei aortice percutane (TAVI),<\/li>\n<li>Denervarea renal\u0103 \u00een hipertensiune arterial\u0103,<\/li>\n<li>\u00cenchiderea PDA \u0219i TSA la copii,<\/li>\n<li>Interven\u021bia coronarian\u0103 percutanat\u0103 (PIG) \u00een infarctul miocardic acut (PCI),<\/li>\n<\/ul>\n<p>De asemenea, implantarea stimulatorului cardiac este o procedur\u0103 de cardiologie invaziv\u0103 efectuat\u0103 \u00een mod obi\u0219nuit la Laboratorul de Electrofiziologie Pacemaker al Centrului nostru.<\/p>\n<p><strong>Lucr\u0103rile cardiace electrofiziologice sunt;<\/strong><\/p>\n<ul>\n<li>Implantarea stimulatorului cardiac,<\/li>\n<li>Implantarea stimulatorului cardiac \u00een insuficien\u021ba cardiac\u0103,<\/li>\n<li>Extrac\u021bia plumbului<\/li>\n<li>Plasarea \u00eenregistratorului de bucl\u0103,<\/li>\n<li>Studii electrofiziologice (EFS) \u00een aritmii,<\/li>\n<li>Abla\u021bie (\u00een aritmii).<\/li>\n<\/ul>\n<h2><strong>Procedurile efectuate \u00een mod obi\u0219nuit de echipa noastr\u0103 Heart Center<\/strong><strong>:<\/strong><\/h2>\n<ul>\n<li>\n<h3>Cateterizarea cardiac\u0103 \u0219i angiografia<\/h3>\n<\/li>\n<\/ul>\n<p>Navele care furnizeaz\u0103 \u021besutul muscular al inimii sunt numite \u201evase coronariene\u201d. Ateroscleroza este formarea de pl\u0103gi (produs\u0103 prin acumularea de gr\u0103simi \u0219i calcifiere) \u00een peretele vasului de s\u00e2nge. Aceste pl\u0103gi pot duce la obstruc\u021bia sau stenoza vaselor. Stenoza sau obstruc\u0163ia arterelor coronare poate provoca dureri \u00een piept \u015fi atac de cord (infarct miocardic) la pacient.<br \/>\nPrincipiul de baz\u0103 pentru prevenirea stenozei arterelor coronare este \u00eembun\u0103t\u0103\u021birea factorilor de risc.<\/p>\n<p>M\u0103surile sunt esen\u021biale pentru tratament, de exemplu, controalele periodice ale diabetului zaharat, pierderea \u00een greutate, tratamentul hipertensiunii arteriale, \u00eembun\u0103t\u0103\u021birea valorilor ridicate ale colesterolului \u0219i trigliceridelor, \u00eencetarea fumatului \u0219i exerci\u021bii regulate.<\/p>\n<ul>\n<li>\n<h3>Angiografia coronarian\u0103 \u0219i cateterizarea cardiac\u0103<\/h3>\n<\/li>\n<\/ul>\n<p>\u00cen ciuda m\u0103surilor preventive luate, dac\u0103 exist\u0103 pl\u00e2ngeri care sugereaz\u0103 stenoza arterelor coronare, sau dac\u0103 sunt detectate anomalii prin pre-teste (de exemplu, testul de efort, testul de taliu etc.), cateterizarea cardiac\u0103 \u0219i angiografia coronarian\u0103 sunt efectuate pentru a identifica localizarea \u0219i dimensiunea acestei stenoze. \u00cen cazul \u00een care stenoza este critic\u0103, op\u021biunile de tratament pot fi angioplastie cu balon &#8211; stent sau opera\u021bie de by-pass. Ambele op\u021biuni de tratament sunt efectuate \u00een siguran\u021b\u0103 \u00een zilele noastre.<\/p>\n<p>Cateterizarea cardiac\u0103 este o metod\u0103 de diagnosticare care a fost utilizat\u0103 pentru oameni din anii 1930 \u0219i a fost utilizat\u0103 pe scar\u0103 larg\u0103 din 1953. \u00cen prezent, artera femural\u0103 este adesea folosit\u0103 \u00een timp ce vasele bra\u021bului sunt rareori utilizate. Cateterizarea cardiac\u0103 \u0219i angiografia coronarian\u0103 sunt metode de diagnosticare nu tratament. Se bazeaz\u0103 pe imagistica cavit\u0103\u021bilor cardiace \u0219i a arterelor coronare cu injec\u021bie de material de contrast \u0219i, de asemenea, m\u0103surarea presiunii cavit\u0103\u021bilor cardiace \u0219i a vaselor asociate.<\/p>\n<p>Pacientul este livrat un tranchilizant \u0219i transferat la laboratorul cateterului dup\u0103 semnarea formularului de consim\u021b\u0103m\u00e2nt informat. Sec\u0163iunea femural\u0103 sau bra\u0163 este anesteziat\u0103 pentru a plasa o canul\u0103 \u00een vas. Cateterul sub\u021bire din material plastic este ghidat prin cavit\u0103\u021bile cardiace mai \u00eent\u00e2i pentru a \u00eenregistra presiunea, apoi materialul de contrast este injectat pentru a face fotografii. Apoi arterele coronare sunt afi\u0219ate \u0219i \u00eenregistrate. Aceast\u0103 procedur\u0103 dureaz\u0103 aproximativ 15 -30 de minute.<\/p>\n<ul>\n<li>\n<h3>Valvuloplastie cu balon mitral percutanat<\/h3>\n<\/li>\n<\/ul>\n<p>Valva mitral\u0103 este situat\u0103 \u00eentre atriul st\u00e2ng \u0219i ventriculul st\u00e2ng. Are dou\u0103 pliante. <strong>Stenoza mitral\u0103<\/strong> apare atunci c\u00e2nd dou\u0103 pliante ale supapei se \u00eengroa\u0219\u0103 \u0219i se ata\u0219eaz\u0103 unul la cel\u0103lalt \u0219i se caracterizeaz\u0103 prin supap\u0103 \u00eengust\u0103 ca urmare a mu\u0219chilor \u0219i fibrelor \u00eengro\u0219ate \u0219i care de\u021bin valva mitral\u0103. <strong>Stenoza mitral\u0103<\/strong> este o boal\u0103 a valvei cardiace dezvoltat\u0103 asociat\u0103 cu febra reumatic\u0103 acut\u0103 suferit\u0103 \u00een copil\u0103rie.<\/p>\n<p><strong>Stenoza mitral\u0103<\/strong> \u00eempiedic\u0103 s\u00e2ngele oxigenat care provine din pl\u0103m\u00e2ni s\u0103 treac\u0103 de la atriul st\u00e2ng la ventriculul st\u00e2ng. Prin urmare, atriul st\u00e2ng este primul care se m\u0103reasc\u0103, apoi s\u00e2ngele \u00eencepe s\u0103 se acumuleze \u00een pl\u0103m\u00e2ni. Presiunea intrapulmonic\u0103 este crescut\u0103 de s\u00e2ngele acumulat \u00een pl\u0103m\u00e2ni, iar pacien\u021bii vor avea pl\u00e2ngeri de dificult\u0103\u021bi de respira\u021bie, tuse, inim\u0103, \u0219i \u00een stadiile avansate pot ap\u0103rea hemoptizie (edem pulmonar sau congestie pulmonar\u0103).<\/p>\n<p>Tratamentul <strong>stenozei mitrale<\/strong> variaz\u0103 \u00een func\u021bie de severitatea stenozei. Farmacoterapia trebuie s\u0103 fie suficient\u0103 pentru stenoz\u0103 u\u0219oar\u0103. Diureticele vor fi utile pentru a preveni acumularea \u00een pl\u0103m\u00e2ni, iar beta-blocantele vor fi utile pentru inim\u0103. Cu stenoza progresat\u0103, se efectueaz\u0103 <strong>valvuloplastia cu balon mitral percutanat (PMBV)<\/strong> sau <strong>interven\u021bia chirurgical\u0103 pe cord deschis<\/strong> (repararea chirurgical\u0103 sau \u00eenlocuirea valvei mitrale).<\/p>\n<p>Valvuloplastia cu balon mitral\u0103 este utilizat\u0103 pentru a m\u0103ri valva mitral\u0103 \u00eengust\u0103 cu un balon. C\u00e2nd se efectueaz\u0103 pe pacien\u021bi adecva\u021bi, valvuloplastia cu balon mitral are multe avantaje fa\u021b\u0103 de chirurgia pe cord deschis.<\/p>\n<p>Cel mai important avantaj este c\u0103 pacientul nu prime\u0219te anestezie general\u0103, iar cutia toracic\u0103 nu este deschis\u0103. Astfel, pacientul este con\u0219tient \u00een timpul procedurii \u0219i nu necesit\u0103 terapie intensiv\u0103 dup\u0103 procedur\u0103.<\/p>\n<p>\u00cen plus, pacien\u021bii sunt capabili s\u0103 se recupereze \u00een timp scurt \u0219i mai ales evacua\u021bi \u00een ziua urm\u0103toare.<\/p>\n<p>Un alt avantaj important este faptul c\u0103 un num\u0103r mare de pacien\u021bi, care au primit o valvuloplastie cu balon mitral\u0103, nu este necesar s\u0103 se utilizeze medicamente anticoagulante \u00een cazul \u00een care nu exist\u0103 aritmie, \u00een timp ce pacien\u021bii care au suferit o interven\u021bie chirurgical\u0103 pe cord deschis \u0219i implantat artificiale (protez\u0103) supap\u0103, trebuie s\u0103 utilizeze anticoagulant medicamente (coumadin-warfarin\u0103) pentru o via\u021b\u0103.<\/p>\n<h4><strong>Cum efectu\u0103m valvuloplastia cu balon mitral?<\/strong><\/h4>\n<p>Procedura de valvuloplastie cu balon mitral este efectuat\u0103 de cardiologi interven\u021bionali la laboratorul de angiografie.<\/p>\n<ul>\n<li>Regiunea inghinal\u0103 este cur\u0103\u021bat\u0103 cu o solu\u021bie antiseptic\u0103 pentru a aplica un anestezic local \u00eenainte de procedur\u0103.<\/li>\n<li>O canul\u0103 este plasat\u0103 \u00een artera inghinal\u0103 \u0219i ven\u0103 \u0219i ghidat\u0103 \u00een atriul drept al inimii printr-un cateter, apoi peretele dintre atriul drept \u0219i cel st\u00e2ng al inimii este perforat de un ac specific pentru a ajunge \u00een atriul st\u00e2ng.<\/li>\n<li>Cateterul cu balon este ghidat de la atriul st\u00e2ng la ventriculul st\u00e2ng printr-un fir specific, apoi umflat la valva mitral\u0103 pentru a m\u0103ri valva c\u00e2t mai mult posibil.<\/li>\n<li>S\u00e2rma \u0219i cateterul cu balon sunt \u00eendep\u0103rtate dup\u0103 procedur\u0103 \u0219i se aplic\u0103 un bandaj pe regiunea inghinal\u0103.<\/li>\n<li>Pacientului i se recomand\u0103 s\u0103 se odihneasc\u0103 \u00een pat \u015fi s\u0103 fie externat a doua zi dac\u0103 nu apare nicio problem\u0103 \u00een timpul urm\u0103ririi.<\/li>\n<li>Rata de succes a valvuloplastiei cu balon mitral este mai mare de 90%.<\/li>\n<li>Majoritatea pacien\u021bilor vor avea o bun\u0103stare timp de aproximativ 20 de ani.<\/li>\n<li>Procedura de valvuloplastie cu balon mitral poate fi repetat\u0103, dac\u0103 este necesar, c\u00e2nd valva mitral\u0103 devine \u00eengust\u0103 din nou.<\/li>\n<\/ul>\n<p><strong>Procedura de valvuloplastie a balonului mitral a fost efectuat\u0103 de ani de zile la spitalul nostru. Suntem cel mai important spital cu o grav\u0103 de 1200 de cazuri \u00een lume \u0219i \u00een \u021bar\u0103. Realiz\u0103m valvuloplastia cu balon mitral \u00een siguran\u021b\u0103.<\/strong><\/p>\n<h2><strong>Cum efectu\u0103m TAVI?<\/strong><\/h2>\n<ul>\n<li>Transcatheter valva aortica implantare (TAVI) a fost dezvoltat pentru pacien\u021bii v\u00e2rstnici cu stenoza aortica asociate cu uzura, iar pacien\u021bii cu risc ridicat din cauza bolilor coexistente \u0219i pentru care o interven\u021bie chirurgical\u0103 pe cord deschis este considerat\u0103 riscant\u0103 \u0219i a \u00eenceput s\u0103 utilizeze pe scar\u0103 larg\u0103 \u00een lume dup\u0103 2005.<\/li>\n<li>Supapa utilizat\u0103 \u00een conformitate cu tehnologia dezvoltat\u0103, iar aplicarea sistemului de implant devine mai u\u0219oar\u0103 \u00een fiecare an.<\/li>\n<li>Acesta este \u00een prezent aplicat pe peste 10.000 de pacien\u021bi din \u00eentreaga lume.<\/li>\n<li>Exist\u0103 dou\u0103 supape utilizate \u00een principal prin cateter, Sapien XT (Edwards) \u0219i Corevalve (Medtronic). Aceste supape sunt similare cu valvele de bioprotez\u0103 care sunt implantate chirurgical.<\/li>\n<li>Procedura TAVI se efectueaz\u0103 \u00een laboratorul cateterului prin munca \u00een echip\u0103 a cardiologiei invazive, chirurgiei cardiovasculare, ecocardiogramei \u0219i personalului anesteziei.<\/li>\n<li>Regiunea inghinal\u0103 este accesat\u0103 \u00een cea mai mare parte atunci c\u00e2nd pacientul este sub anestezie. Inima este atins\u0103 prin aorta \u0219i valva aortic\u0103 calcificat\u0103 este m\u0103rit\u0103 cu un balon, apoi este implantat\u0103 valva protezei biologice.<\/li>\n<li>\u00centreaga procedur\u0103 este monitorizat\u0103 prin ecocardiografie prin esofag, astfel \u00eenc\u00e2t s\u0103 poat\u0103 fi furnizate m\u0103sur\u0103tori precise.<\/li>\n<\/ul>\n<p>Bazat pe o experien\u021b\u0103 de peste 30 de ani \u00een fiecare domeniu de cardiologie \u0219i interven\u021bii cardiologice, <strong>Grupul Florence Nightingale Spitale, echipa Heart Center<\/strong> abordeaz\u0103 cu u\u0219urin\u021b\u0103 \u0219i eficient problemele cardiace de la diferite niveluri de severitate.<\/p>\n<h2><strong>Ce este un stimulator cardiac?<\/strong><\/h2>\n<p>Un <strong>stimulator cardiac cardiac<\/strong> este un dispozitiv electronic implantat \u00een organism pentru a corecta tulbur\u0103rile de ritm cardiac \u0219i sistemul de transmisie.<\/p>\n<p>Este vital s\u0103 se corecteze tulbur\u0103rile sistemului de transmisie, \u00een special bradicardia. Un dispozitiv numit stimulator cardiac este implantat \u00een organism pentru a corecta bradicardia \u0219i pentru o mai bun\u0103 performan\u021b\u0103 a activit\u0103\u021bilor zilnice. Un stimulator cardiac este un dispozitiv electronic cu dou\u0103 p\u0103r\u021bi.<\/p>\n<p><strong>Generator de impulsuri:<\/strong> partea produc\u0103toare de stimuli<\/p>\n<p><strong>Plumb sau electrod: <\/strong>Partea care transmite<\/p>\n<p>Generatorul de impulsuri const\u0103 dintr-o baterie \u0219i un circuit electronic. Bateria este de obicei litiu. Circuitul electronic este un computer miniatural cu diverse programe instalate. Programele pot fi modificate atunci c\u00e2nd este necesar de un magnet. Puterea bateriei este transformat\u0103 \u00een impulsuri electronice mici \u0219i transmis\u0103 inimii prin plumb. Circuitul electronic controleaz\u0103 calendarul \u0219i intensitatea stimulilor electrici transmi\u0219i inimii.<\/p>\n<p>Plumbul (electrodul) asigur\u0103 transmisia \u00eentre inim\u0103 \u0219i generatorul de impulsuri. De obicei, este un fir izolat din poliuretan.<\/p>\n<h3><strong>Un stimulator cardiac are dou\u0103 func\u021bii importante<\/strong><strong>:<\/strong><\/h3>\n<ul>\n<li><strong>Stimulare:<\/strong>Producerea unui stimul la o rat\u0103 necesar\u0103 atunci c\u00e2nd inima nu produce unul sau c\u00e2nd este lent,<\/li>\n<li><strong>Detectarea sau senza\u021bia: D<\/strong>etecteaz\u0103 \u0219i monitorizeaz\u0103 activitatea natural\u0103 a inimii; produc\u00e2nd un stimul atunci c\u00e2nd este necesar. Deci, un generator de impulsuri nu va produce un stimul atunci c\u00e2nd inima are ritmul s\u0103u.<\/li>\n<\/ul>\n<h3><strong>Cum este implantat un stimulator cardiac?<\/strong><\/h3>\n<p>Exist\u0103 dou\u0103 tipuri de stimulator cardiac.<\/p>\n<ul>\n<li><strong>Pacemaker cardiac temporar: <\/strong>\u00cen unele cazuri, pot ap\u0103rea blocuri temporare sau bradicardie \u00een inim\u0103. Astfel de cazuri se vor recupera \u00een mod natural. Cu toate acestea, un stimulator cardiac temporar este implantat pentru a men\u021bine ritmul pacientului \u0219i via\u021ba p\u00e2n\u0103 c\u00e2nd revine la normal.<\/li>\n<\/ul>\n<p>Se compune dintr-o cutie de stimulator cardiac \u0219i plumb special. Plumbul este plasat \u00een interiorul inimii printr-un acces vascular (de la g\u00e2t, bra\u021b sau \u00eenghi\u021bit). Cel\u0103lalt cap\u0103t al firului este conectat la cutia stimulatorului cardiac. Astfel de stimulatoare cardiace implantate temporar sunt u\u0219or de \u00eendep\u0103rtat atunci c\u00e2nd pacientul se recupereaz\u0103.<\/p>\n<ul>\n<li><strong>Pacemaker permanent:<\/strong>Implantat \u00een organism permanent.<\/li>\n<\/ul>\n<p>Exist\u0103 dou\u0103 metode de implantare:<\/p>\n<ul>\n<li><strong>Metoda endocardic\u0103:<\/strong>Electrodul este ghidat printr-un vas de s\u00e2nge care urmeaz\u0103 s\u0103 fie plasat \u00een inim\u0103. Procedura a necesitat anestezie local\u0103.<\/li>\n<li><strong>Metoda epicardic\u0103:<\/strong>Electrodul este cusut direct pe mu\u0219chiul inimii. Aceast\u0103 procedur\u0103 necesit\u0103 anestezie general\u0103. Este rar \u00een cazurile \u00een care este imposibil s\u0103 se efectueze metoda endocardic\u0103.<\/li>\n<\/ul>\n<h4><u>Implantarea endocardic\u0103 a stimulatorului cardiac permanent<\/u><\/h4>\n<p>Aceast\u0103 procedur\u0103 se efectueaz\u0103 \u00eentr-un laborator special de cateter cu un dispozitiv de radioscopie \u0219i sub sterilizare complet\u0103, administrarea anesteziei locale. \u00cen timpul procedurii, chirurgul \u0219i personalul auxiliar vor purta o rochie steril\u0103, o capot\u0103 \u0219i o masc\u0103 ca \u00een sala de opera\u021bie. Partea din fa\u021b\u0103 a pieptului este cur\u0103\u021bat\u0103 cu o solu\u021bie special\u0103 \u0219i acoperit\u0103 cu o p\u0103tur\u0103 steril\u0103. Stimulatorul cardiac este de obicei implantat \u00een pieptul st\u00e2ng (poate fi \u00een partea dreapt\u0103) sub clavicul\u0103.<\/p>\n<p>Site-ul este incizat \u00een 8-10 cm. \u00cen func\u021bie de tipul de stimulator cardiac implantat 1-2-3 conduce sunt ghidate prin vasele expuse prin incizie care urmeaz\u0103 s\u0103 fie plasate \u00een cavitatea necesar\u0103 a inimii. M\u0103sur\u0103torile pe care le numim m\u0103surarea pragului sunt efectuate pentru a vedea starea plumbului pentru a detecta \u0219i produce un stimul. Conductorii sunt apoi ata\u0219a\u021bi la \u021besuturi \u0219i vas la locul inciziei. Cel\u0103lalt cap\u0103t al plumbului este conectat la generatorul de impulsuri care este plasat \u00een buzunarul special preg\u0103tit sub piele, iar pielea este suturat\u0103.<\/p>\n<p>\u00cen func\u021bie de starea inimii, camera inimii care trebuie stimulat\u0103 trebuie determinat\u0103 \u00eenainte.<\/p>\n<ul>\n<li><strong>Stimularea cu o singur\u0103 camer\u0103: <\/strong>Atriul drept \u0219i ventriculul drept sunt selectate pentru aceast\u0103 stimulare. Se folose\u0219te doar un singur plumb.<\/li>\n<li><strong>Stimularea cu dou\u0103 camere: <\/strong>At\u00e2t atriul drept, c\u00e2t \u0219i ventriculul drept al inimii sunt stimulate. Dou\u0103 conductori sunt plasate \u00een atriul drept \u0219i \u00een ventriculul drept.<\/li>\n<li><strong>Stimularea bi-ventricular\u0103 cu trei camere: <\/strong>Un tip special de stimulare utilizat \u00een insuficien\u021ba cardiac\u0103. Trei conductori sunt plasa\u021bi \u00een atriul drept, ventriculul drept \u0219i sinusul coronarian. \u00cen acest caz, atriul drept, ventriculul drept \u0219i ventriculul st\u00e2ng vor fi stimulate.<\/li>\n<\/ul>\n<p>Procedura dureaz\u0103 de obicei 1-2 ore pentru implantarea unui stimulator cardiac permanent. \u00cen implantarea stimulatoarelor cardiace cu trei camere, poate dura timp pentru a g\u0103si sinusul coronarian \u0219i implantarea plumbului, rezult\u00e2nd un timp prelungit pentru procedura de aproximativ 3-4 ore.<\/p>\n<p><em>Prin completarea formularului de <\/em><strong><em>contact <\/em><\/strong> de<em>mai jos, pute\u021bi pune \u00eentreb\u0103ri \u0219i\/sau solicita mai multe informa\u021bii de la exper\u021bii no\u0219tri despre Cardiologie Interven\u021bional\u0103 la Grupul Florence Nightingale Spitalelor.<\/em><\/p>\n<p>\n<\/div><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><div class=\"boldRow boldInnerRow  \" ><div class=\"rowItem rowInnerItem col-md-6  btTextCenter inherit btNoPadding\" style=\"background-color: rgba(241, 241, 241, 1);\" ><div class=\"rowItemContent\"><\/div><\/div><div class=\"rowItem rowInnerItem col-md-6  btTextCenter inherit btNoPadding\" style=\"background-color: rgba(241, 241, 241, 1);\" ><div class=\"rowItemContent\"><\/div><\/div><\/div><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium btDash bottomDash  btAccentDash\" ><div class=\"dash\"><h3><span class=\"headline\"><em>Contact Us Now<\/em><\/span><\/h3><\/div><\/header><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" >\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2891-o1\" lang=\"tr-TR\" dir=\"ltr\" data-wpcf7-id=\"2891\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ro\/wp-json\/wp\/v2\/pages\/4492#wpcf7-f2891-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"\u0130leti\u015fim Formu\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2891\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2891-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p style=\"margin-bottom:30px !important;\">\u00cen timp ce completa\u021bi formularul de contact de mai jos, pute\u021bi, de asemenea, s\u0103 ne trimite\u021bi fi\u0219ierele medicale ale pacientului\/dumneavoastr\u0103 prin <strong>transfer<\/strong>. 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