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Prof. Dr. med. Stephan Fichtlscherer image

Department of internal medicine (cardiology, angiology and nephrology (kidney disease))

Prof. Dr. med. Stephan Fichtlscherer
internal medicine, cardiology, angiology and nephrology

About the department

The department of internal medicine (cardiology, angiology and nephrology (kidney disease)) at University Hospital Frankfurt am Main of Goethe-University diagnoses and treats heart, vessels, or kidney disorders. The department is heavily equipped with modern technologies for additional medical care for patients with kidney diseases and high blood pressure and patients before, during, and after kidney transplants. The department's structure includes an outpatient clinic, emergency units such as the emergency room with a "Chest pain unit", intensive care and monitoring stations, two wards, and a day clinic. Additionally, three cardiac catheter stations are available in the department's cardiac catheter laboratory. Since August 17, 2004, the central laboratory of the department has been recognized for an implemented quality management system (QM system) following DIN EN ISO 15189 (accreditation of medical laboratories).

All standard and modern methods of invasive diagnostics of coronary heart disease, large vessels, myocardial diseases, heart valve diseases, or diseases of the kidneys are routine at the department. In addition, special invasive procedures such as intravascular ultrasound (IVUS), intracoronary Doppler flow, various dialyzes, and apheresis are available.

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Treatment and diagnostic focus of the department

Diagnosis:

  • Resting ECG
  • Stress ECG
  • Spirometry
  • Holter ECG
  • Long-term blood pressure measurement
  • Tilt Table Examination
  • Transesophageal echocardiography 
  • Magnetic resonance imaging, MRI
  • 64-line dual-source computed tomography, CT
  • Duplex sonography and CW Doppler sonography of all blood vessels
  • Pressure step oscillography
  • Treadmill ergometry
  • Microcirculation measurement 
  • Transcutaneous oxygen partial pressure measurement
  • Capillary microscopy
  • Laboratory diagnostics
  • Ultrasound diagnostics with the latest equipment
  • Kidney biopsies

Diseases treatment at the department:

  • Kidney diseases
  • Heart failure 
  • High blood pressure (arterial hypertension)
  • Coronary heart disease
  • Pericardial effusion
  • Cardiac arrhythmias
  • Heart valve diseases
  • Congenital and acquired heart defects

Treatment priorities:

  • Dialysis for acute or chronic kidney failure
  • Renal replacement therapy in intensive care units (CVVHD, CVVHDF)
  • Apheresis procedure (plasmapheresis/immunoadsorption)
  • Liver dialysis (Prometheus procedure) for liver failure
  • Installation of catheters for acute dialysis or plasmapheresis (Shaldon catheter)
  • Installation of permanent dialysis catheter (Demers catheter)
  • peritoneal dialysis
  • Training in peritoneal dialysis and home hemodialysis
  • Care of patients before, during, and after kidney transplantation, living kidney transplantation, and AB0-incompatible living donation.
  • Aftercare of pacemakers and implanted defibrillators
  • "Invasive telemonitoring", with a passive implant
  • "Classic telemonitoring"
  • Conservative drug prescription
  • Intensive care
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Doctor profile

Education

  • Human medicine studies, a doctorate in Erlangen and Freiburg
  • 2005 habilitation at the University Hospital Frankfurt am Main of Goethe-University
  • Additional qualification "Interventional Cardiology" (DGK)
  • Additional qualification "heart failure" (DGK)
  • Additional designation "emergency medicine"
  • Optional further training "Special internal intensive care medicine"

Experience

  • 1995 Assistant Physician at the Department of adult and pediatric cardiology, angiology and nephrology at University Hospital Frankfurt am Main of Goethe-University
  • 2001 Member of the Board of Directors of the Center for Internal Medicine at University Hospital Frankfurt am Main of Goethe-University
  • 2005 Senior physician at the Department of adult and pediatric cardiology, angiology and nephrology at University Hospital Frankfurt am Main of Goethe-University
  • 2007 Head of the intensive care unit at the Department of adult and pediatric cardiology, angiology and nephrology at University Hospital Frankfurt am Main of Goethe-University
  • 2009 Deputy Head of the Department of adult and pediatric cardiology, angiology and nephrology at University Hospital Frankfurt am Main of Goethe-University
  • 2018 Spokesman for the University Heart Center of the University Hospital Frankfurt am Main of Goethe-University
  • 2020 Head of the Cardiology Clinic at the Rotenburg Cardiovascular Center
  • 2021 Head of the Department of adult and pediatric cardiology, angiology and nephrology at University Hospital Frankfurt am Main of Goethe-University

Awards, memberships, publications

  • Author of 200 publications
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