PD Dr. med. Horst Neubauer

Priv.-Doz. Dr. med. Horst Neubauer heads the cardiology department at Medical Clinic II at Prosper Hospital in Recklinghausen. The clinic brings together the specialist areas of cardiology, pulmonology and angiology and offers patients with cardiovascular diseases a wide range of modern diagnostic and therapeutic options.

A particular focus of cardiological care is on the diagnosis and treatment of coronary heart disease (CHD), in which narrowing of the coronary arteries impairs blood flow to the heart muscle. Both non-invasive examination procedures and modern cardiac catheterisation are available to investigate such symptoms.

The clinic has a state-of-the-art left heart catheterisation laboratory. Depending on the clinical situation, cardiac catheterisation procedures can be performed via the radial artery or the femoral artery. Where appropriate, diagnostic procedures can also be carried out on an outpatient basis.

Furthermore, the Cardiology Department at Prosper Hospital participates in the catheterisation on-call service for the emergency care of patients with acute heart attacks in the Recklinghausen district. This means the clinic is integrated into the regional care network for acute cardiological emergencies.

Precise cardiac diagnostics as the basis for personalised treatment

A reliable diagnosis forms the basis of any successful cardiological treatment. Medical Clinic II has a comprehensive range of technical equipment at its disposal for this purpose, enabling detailed investigation of heart function, blood flow to the heart muscle and any potential cardiac arrhythmias.

The diagnostic range includes transthoracic echocardiography, transoesophageal echocardiography, stress and long-term ECG examinations, as well as telemetric monitoring of heart rhythm.

Where coronary heart disease is suspected, stress echocardiography may be used as a supplementary investigation, and, in collaboration with the Department of Radiology, further investigations such as cardiac CT, myocardial scintigraphy or cardiac perfusion MRI may be carried out.

These various procedures enable a diagnostic approach tailored to the individual patient’s specific needs. In particular, for suitable patients, a non-invasive examination can be carried out initially before a decision is made on the necessity of a cardiac catheterisation.

Specialised treatment of cardiac arrhythmias and heart failure

Another important area of cardiological care at Prosper Hospital is the treatment of cardiac arrhythmias. These may manifest, for example, as palpitations, an unusually slow pulse, dizziness or temporary loss of consciousness.

Modern telemetric techniques are available for diagnostic assessment and monitoring. Where medically indicated, various pacemaker and defibrillator systems can be implanted.

The range of treatments includes single-, dual- and triple-chamber pacemakers, as well as implantable cardioverter-defibrillators (ICDs). In addition, event recorders or loop recorders are used for long-term monitoring of the heart rhythm.

For certain forms of heart failure, particularly where there is impaired pumping function and electrical conduction disturbances, cardiac resynchronisation therapy (CRT) can be an important treatment option. The aim of this therapy is to improve the coordination between the heart chambers and thereby have a positive effect on cardiac output.

Interdisciplinary care for patients with complex conditions

Cardiovascular diseases frequently occur alongside other internal medical conditions. In particular, diabetes mellitus, kidney disease and other metabolic disorders can influence the course of heart disease and necessitate comprehensive medical care.

A key advantage of Prosper Hospital Recklinghausen is therefore the close collaboration between the various specialist internal medicine departments. By bringing together cardiology, pulmonology, angiology, nephrology, diabetology and other medical disciplines, even complex clinical pictures can be assessed and treated in an interdisciplinary manner.

Medical Clinic II has 60 beds and modern, well-equipped treatment areas. As part of the PROSELIS Foundation Hospital and an academic teaching hospital affiliated with Ruhr University Bochum, it is integrated into a comprehensive medical care network.

For patients, this means receiving care that does not merely focus on individual symptoms, but also takes into account any potential comorbidities and individual health circumstances.