Medical SpherePrevention & Diagnostics
Bürgerspital WertheimWertheim · DEMedical SphereFreedom of Movement
Lipo DoctorsDortmund · DEMedical SphereFeel-Good Weight
Weight Doctors®Dortmund · DEMedical SphereSkin & Hair
Hair DoctorsDortmund · DELincuraNuremberg · DEMedisch Centrum WaalreWaalre · NLMedical Sphere
Prevention & Modern DiagnosticsHeart & CirculationNerves & BrainAirways & LungsSafety Around the ClockMedical Sphere
Innovative TherapiesMedication-Based Weight ManagementIncision-Free ProceduresTissue-Sparing SurgeryRobotics & RegenerationMedical Sphere
Freedom of Movement & Pain-Free PostureSpine & PostureJoints & MobilityBones & InjuriesPain & ResilienceLipoedemaVeins & Blood FlowMedical Sphere
Balance in Digestion, Stomach and GutGut & DigestionLiver, Gallbladder & Abdominal OrgansAbdominal Wall & HerniasMedical Sphere
Feel-Good Weight & Healthy MetabolismWeight Loss without SurgeryObesity SurgeryBody Shape after Weight LossMedical Sphere
Clear Skin & Full HairHair & Hair LossScalp & Hair HealthSkin & Skin HealthComplexion & Youthful SkinMedical Sphere
Harmony in Aesthetics & FunctionBreast Health & Breast ShapeFacial HarmonyBody ContouringFunctional & Aesthetic RhinoplastyIntimate TreatmentOverview
All seven Medical Spheres ›Ambulatory monitoring records your blood pressure over 24 hours, including while you sleep. A pacemaker check reads out an implanted device and tests the battery, leads and settings. Neither requires surgery.
5,888 reviews on ProvenExpert
Guide values from the German Hypertension League and cardiology guidelines. Your personal intervals are set by your doctor.
The checks
A single blood pressure reading at the doctor’s often says little. Nervousness can push it up – this is known as white coat hypertension. Conversely, raised blood pressure in everyday life can hide behind normal readings at the practice. Ambulatory blood pressure monitoring clarifies both: a small device on your belt inflates a cuff on your upper arm at fixed intervals, day and night, and stores every reading.
The evaluation looks at the average values over 24 hours, while awake and during sleep. According to the recommendations of the European Society of Hypertension, which the German Hypertension League has adopted, a 24-hour average of 130/80 mmHg or more indicates high blood pressure, as does an average of 135/85 or more while awake or 120/70 mmHg or more during sleep. Normally, blood pressure falls by at least ten per cent at night. If this dip does not occur, that is a finding in its own right.
A pacemaker gives the heart an impulse as soon as its own rhythm becomes too slow or stops. The device, about five centimetres in size, usually sits below the collarbone and is connected to the heart by one or more leads. It works on its own for years. But to make sure the battery, leads and settings continue to meet the heart’s needs, it requires regular checks.
During the check, a programmer reads out the data wirelessly, usually via a programming head placed on the skin over the device. It checks the battery level, the condition of the leads and the stimulation threshold – the smallest amount of energy that still reliably stimulates the heart. Stored events such as episodes of atrial fibrillation are analysed. After the first check in the weeks following implantation, appointments usually follow every six to twelve months, and more often towards the end of the battery’s life. Many systems can also be monitored remotely. Implanted defibrillators are checked on the same principle, often at shorter intervals.
The checks
The 24-hour curve distinguishes persistently raised blood pressure from readings that only go up at the doctor’s, and shows whether the pressure falls at night.
If you take medication for high blood pressure, the measurement shows whether its effect lasts until the next morning or whether treatment should be adjusted.
The pacemaker check measures the battery and leads, analyses stored heart rhythm events and adjusts the settings if necessary.
The procedure
The blood pressure measurement runs for a day alongside your normal routine. The pacemaker check is a short appointment.
The cuff goes on the upper arm you use less in daily life, the monitor on your belt. A test reading checks that it fits properly.
You follow your normal daily routine. During a reading, keep your arm still and relaxed; showering and bathing are off the agenda that day.
You note when you sleep, when you take medication and when symptoms occur. This makes it possible to interpret individual readings correctly.
After 24 hours, the device is removed and read out. If too few readings are valid – for example because the cuff came loose – the measurement is repeated.
Bring your pacemaker ID card to the pacemaker check. The programmer reads out the data, the leads are tested and the settings are changed if needed.
The results are discussed, treatment is adjusted if needed and the next check-up is scheduled.
Insurance
Statutory health insurance
German statutory health insurance pays for 24-hour blood pressure monitoring and pacemaker checks when there is a medical reason, such as suspected high blood pressure or an implanted device.
In Wertheim, patients with statutory insurance have their checks at the Bürgerspital, during a hospital stay or by appointment.
Private insurance or self-pay
Private health insurance and Beihilfe (the German civil service healthcare allowance) pay for the checks according to the terms of your plan. The Main-Tauber-Klinik in the same building explicitly lists 24-hour blood pressure monitoring as well as pacemaker and defibrillator checks among its services.
Specialists
In Wertheim, 24-hour monitoring and device checks are carried out by the department of internal medicine and its cardiology team. Listed here is the internal medicine specialist from the cardiology team.
Locations
Each clinic shows on its own website how the treatment works there.
Germany
The Bürgerspital, a hospital with a public healthcare mandate and its own department of internal medicine, schedules check-ups at the hospital or together with cardiologists in private practice; for privately insured and self-pay patients, there is also the Main-Tauber-Klinik in the same building.
Frequently asked questions
Yes – the night-time readings are an essential part of it. The cuff inflating may briefly wake you, but many people quickly get used to it. Place the device beside you so that the tube does not kink.
This is the term for readings that are raised only at the doctor’s but not in everyday life. Masked hypertension is the opposite: readings at the practice are normal, everyday readings too high. The 24-hour measurement reveals both, and both should continue to be monitored by a doctor.
Usually yes, as normal, so that the measurement reflects everyday life on treatment. The only exception is if your doctor has explicitly agreed something different with you.
You will not notice the data being read out. While the stimulation threshold is being tested, your heartbeat may briefly feel different, sometimes with slight dizziness; this stops when the test ends. The check is usually over quickly.
Many years. Exactly how many depends on the device and on how often it has to step in. Every check measures the battery level; when it is running low, replacement of the device is planned in good time. The leads usually stay in the body.
Keep your mobile phone 15 to 20 centimetres away from the device and hold it to the ear on the opposite side when making calls. Do not lean over the hob of an induction cooker, and show your pacemaker ID card at security gates. An MRI scan is possible with many newer systems under certain conditions, but only after the device has been checked and reprogrammed.
If dizziness, fainting or a very slow pulse come back, if the skin over the device swells, turns red or weeps, if you have a fever with no obvious cause, or if your muscles twitch in time with your heartbeat. For loss of consciousness, shortness of breath or chest pain, call the emergency number 112.
Consultation
Describe your request – the right clinic will get back to you.
Reviews
CGCE GroupVerified
5,888 reviews on ProvenExpert
This was the best decision I have ever taken for myself. The whole experience has changed my life for the better. From the first consultation I felt welcomed and treated very well. I did not feel alone during the journey because the team were just a WhatsApp away and they made regular check-ups on me. Thank you for everyone at the hospital from the staff to the doctors, you are all amazing.
Weight Doctors South AfricaWow, was für ein erster Eindruck! Dr. Frank Gruner, dessen Professionalität von jahrelanger Erfahrung zeugt, war äußerst verständlich und menschlich (was mir sehr wichtig war). Er verstand meine Bedürfnisse, und seine Erklärungen und Anweisungen entsprachen genau meinen Vorstellungen. Die Patientenberaterin Jennifer war mit ihrem Charme ebenfalls eine große Hilfe und erklärte mir alles Notwendige und den weiteren Ablauf. Auch die Mitarbeiter am Empfang waren sehr höflich und freundlich. Ich melde mich nach der Operation mit meinen Eindrücken zurück. Vielen Dank an alle!
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in GermanIch habe eine Unterlidstraffung machen lassen und bin mit dem Ergebnis sehr zufrieden. Mein Dank geht vor allem an Frau Dr. Simidjiiska für ihre Fürsorge, Kompetenz und Empathie. Aber auch das gesamte Team der Klinik macht einen hervorragenden Job!
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in GermanIch bin rundum begeistert von meiner Erfahrung in dieser Haartransplantationsklinik. Von der ersten Kontaktaufnahme bis zur Nachsorge war alles hervorragend organisiert und professionell. Das gesamte Team war unglaublich freundlich, hilfsbereit und zuvorkommend. Man hat sich jederzeit gut aufgehoben und ernst genommen gefühlt. Besonders positiv fand ich, dass sich alle Mitarbeiter ausreichend Zeit genommen haben, um meine Fragen zu beantworten und jeden Schritt verständlich zu erklären. Auch der Service war erstklassig. Die Organisation, die Betreuung vor und nach dem Eingriff sowie die Kommunikation waren wirklich hervorragend. Das gesamte Team hat einen sehr kompetenten und gleichzeitig menschlichen Eindruck gemacht. Die Klinik selbst ist modern, sauber und sehr gut ausgestattet. Während der Behandlung wurde äußerst sorgfältig und professionell gearbeitet, und ich hatte zu jedem Zeitpunkt das Gefühl, in guten Händen zu sein. Ein großes Dankeschön an das gesamte Team für die tolle Betreuung und den freundlichen Umgang! Ich kann die Klinik absolut weiterempfehlen und bin mit meiner bisherigen Erfahrung sehr zufrieden. Wer Wert auf Professionalität, Qualität und einen hervorragenden Service legt, ist hier meiner Meinung nach bestens aufgehoben.
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in GermanBisher war es nur ein Beratungsgespräch aber es war sehr gut.
Weight Doctors Group · Original in GermanIch fand, dass der Arzt gut und verständlich erklärt hat. Ich habe diese Woche noch einen Termin in einer anderen Klinik, da ich mich gründlich informieren möchte; auch der Preis wird dabei eine Rolle spielen – darüber bin ich ganz offen.
QUOLE Medisch Centrum · Original in GermanHervorragende Behandlung. Von der ersten Beratung bis zur Nachsorge hat mir Dr. Koch stets ein sehr gutes Gefühl vermittelt. Ich litt jahrelang unter einer echten Gynäkomastie, nach der OP kann sich das Ergebnis sehen lassen, mein Selbstbewusstsein ist endlich zurückgekehrt. Ich kann die Alster Klinik jedem empfehlen, der schon lange mit dem Gedanken spielt sich operieren zu lassen.
Alster-Klinik Hamburg · Original in GermanDr. Schubert gab mir das Gefühl, in genau der richtigen Praxis zu sein für mein Anliegen. Ich habe mich beim Beratungsgespräch sehr wohl gefühlt und verstanden gefühlt.
Alster-Klinik Hamburg · Original in GermanÜber die ehrliche Einschätzung
Alster-Klinik Hamburg · Original in GermanIch habe mich sehr wohl geführt, das Gespräch war sehr gut, die Ärztin hat mir sehr ausführlich alles erklärt und bin mit einem sehr guten Gefühl nach Hause gegangen.
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in GermanIch bin eine sehr ängstliche Person. Bei Herrn Dr. Neis habe ich mich sofort wohlgefühlt. Behandlungsgespräche, Umgang, Freundlichkeit – es passt alles. Ich kann ihn ohne Bedenken und Einschränkung nur weiter empfehlen. Dankeschön Herr Dr. Neis für die tolle Arbeit.
CGCE Group · Original in GermanDr. Klarner ist sehr nett, hat mich sehr gut beraten und aufgeklärt. Ich hab mich gut aufgehoben gefühlt, vielen Dank!
Alster-Klinik Hamburg · Original in GermanChoose a location
Germany
Austria
The Netherlands
United Kingdom
South Africa
Namibia
Request advice
Press, careers or partnerships? Contact the group
Abdul Kader Obeid