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Prof. Dr. med. Martin Spiecker image

Department of cardiology and intensive care

Prof. Dr. med. Martin Spiecker

About the department

The department of cardiology and intensive care is the leading department at Marien Hospital Marl, with 66 beds. Since 1983, invasive cardiac diagnostics and heart catheter examinations have been carried out here. The department of cardiology covers a wide range of cardiac conditions. For patients who have a heart attack or suffering from the acute coronary syndrome, the department has organised a 24-hour emergency cardiac catheterisation service. The department also operates a Chest Pain Center, in which chest pain is examined and treated following international recommendations. In 2020, the German Society of Cardiology certified the Chest Pain Centre. Improving diagnosis and therapy is a significant and ongoing challenge for the department. A high level of medicine is possible thanks to continuous professional development and close cooperation with attending physicians and other specialised departments. The department also includes an intensive care unit, which conducts extensive observation and treatment of seriously ill patients.

The department treats mainly patients with violations of the elementary functions of the human body, with severe clinical picture (pneumonia, heart attack, stroke), and extensive surgical interventions. The comprehensive cardiological examination is another focal point of the department.

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Treatment and diagnostic focus of the department


  • Pneumonia
  • Stroke
  • Heart attack 
  • Heart failure
  • Acute coronary syndrome
  • Cardiogenic shock
  • Acute liver failure
  • Acute pancreatitis
  • Gastrointestinal bleeding
  • Blood infections (sepsis)
  • Arterial hypertension
  • Acute renal failure

Diagnostics procedures:

  • Laboratory tests (troponin I and T)
  • ECG
  • Echocardiography
  • Blood pressure measurement
  • Respiratory rate measurement, oxygen saturation
  • X-rays. MRI or CT
  • Angiography
  • Diagnostic catheterization

Treatment options:

  • Resuscitation team with the appropriate equipment
  • Drug and infusion therapy
  • Mild hypothermia after сardiopulmonary resuscitation
  • Installation of temporary pacemakers for slow heart arrhythmias
  • Intra-aortic counterpulsation with a balloon pump (today only indicated in very select cases)
  • Intermittent hemodialysis
  • Continuous venovenous hemofiltration (CVVH)
  • Other treatment procedures
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