Heart Specialist in Munich: Prof. Dr Sigmund Silber
- Prevention of cardiac arrest
- Cardiac diagnostics
- Heart catheters
- Stent implantation
Range of Diagnostic Services
- ECG, long-term ECG, event recorder
- Echocardiography (cardiac ultrasound)
- Stress echocardiography
- Transesophageal echocardiography (TEE, "swallowing echo")
- Cardiac CT (calculus scoring, noninvasive coronary angiography)
- Cardiac MRI
- Cardiac scintigraphy = SPECT (using physical or pharmacological stress)
- Vitality diagnostics
- Bypass check
- Heart attack risk check
- Heart catheters
Range of Therapeutic Services
- Angina pectoris
- Cardiac arrhythmia (palpitations, skipped heartbeat, atrial fibrillation)
- Status post a heart attack
- Heart valve diseases
- Balloon dilation
- Stent implantation
- Cardiac insufficiency
- Pacemakers of all kinds
About Prof. Dr Silber – Cardiologist in Munich
Prof. Dr Sigmund Silber is a proven specialist in cardiology plus interventional cardiology and maintains a cardiology practice in the heart of Munich. Prof. Silber offers the entire range of preventive care, diagnostics and treatment for cardiac diseases. The renowned specialist is lucky to rely on the latest generation of high-tech equipment which he has available at his Munich practice. Of course, detailed information and intensive discussions with patients belong to the range of services as well. Prof. Silber has many years of experience and achieved a high level of expertise in cardiology. The recognised cardiologist is a member of numerous expert committees and specialist commissions. He is in demand as a top-notch scientific reviewer for various professional journals. The cardiologist has also gained recognition beyond national borders through his research and involvement in numerous studies.
Cardiology Specialist Prof. Silber: Competent Diagnostics and Therapy of Heart Disease in Munich
The renowned cardiologist entails comprehensive expertise in all areas of cardiology. His particular focus is placed on prevention of cardiac arrest and on cardiac diagnostics. However, his areas of specialisation also include examinations using cardiac catheters and catheter-assisted implantation of stents.
Preventing Heart Attacks Can Save Lives
Prof. Silver pays particular attention to preventing cardiac arrest and preventing cardiovascular accidents. This is not happening for nothing. Coronary Heart Disease (CHD) is and remains the leading cause of death in Germany. Prof. Silver’s goal is to prevent sudden and unexpected cardiac death in as many potentially endangered patients as possible. This includes a reliable risk analysis allowing hazards to be detected when very first warning signs appear. In most cases, patients with small deposits in the coronary vessels initially remain symptom-free and thus clinically inconspicuous.
The experienced cardiologist is aware that the reliable assessment of the individual heart attack risk with traditional methods is difficult. Every patient bears different risk factors, whose effects in combination are difficult to evaluate. In such cases, conventional risk assessment measures are often insufficient to identify every high-risk patient in advance and to take appropriate preventive measures in a timely manner.
Innovative Procedure for Heart Attack Prevention – Coronary Calcium Scoring
The cardiologist Prof. Silber uses a special examination procedure ensuring a higher degree of certainty when predicting cardiovascular events. With the so-called coronary calcium scoring technique, coronary vessels can be imaged in a high resolution. The calcium content in the coronary arteries is measured with a special cardio CT scan without a contrast medium. Also initially inconspicuous, seemingly harmless calcium deposits in the coronary vessels, which nevertheless indicate a hazard, can be recognized using this procedure. Another advantage of Coronary Calcium Scoring: Radiation exposure is low. It is only about a third of conventional coronary angiography, or about the same as a long-haul flight.
Heart Diagnostics Expert in Munich - a Prerequisite for Any Successful Therapy
The more precise and unambiguous the diagnosis, the better the treatment options. For this reason, cardiac diagnostics play an important role in Prof. Silber's medical work. The heart as the central organ and engine of our organism requires special attention. With precise diagnostics, Prof. Silber can detect patterns of illness at an early stage – even before they cause discomfort to the patient and manifest in clinical symptoms. However, even previously unexplained heart problems can be classified by appropriate diagnostic means and treated accordingly. Sometimes it is also important to recognise the severity of the heart disease in order to adapt the therapeutic measures to be initiated.
In addition to classical examination methods such as ECG and echocardiography, cardiac imaging is becoming increasingly important in modern medicine. It is now a common and indispensable procedure within cardiac diagnostics. This includes in particular the cardio MRI (magnetic resonance imaging), cardiac CT (computed tomography), and cardiac scintigraphy. But the heart catheter is also a valuable diagnostic method allowing simultaneous therapeutic intervention on the heart.
Cardiac Catheter Munich
The modern cardiac catheter offers a wide variety of possibilities within invasive cardiology – be it in the area of diagnostics or therapy. The cardiologist Prof. Silber brings a great deal of expertise and experience to procedures involving cardiac catheterisation. His specialist skills in minimally invasive cardiac catheter therapy also enable the renowned specialist to perform complex procedures requiring a lot of dexterity. Modern medicine allows conventional cardiac catheters to be combined with other advanced imaging techniques. As a result, even more precision in implementation can be achieved. Implantation of stents is also possible as part of cardiac catheterisation in the cardiology centre in Munich.
Stent Implantation Munich
A stent is a kind of support for a vessel expanding any constrictions in the coronary vessels caused by calcification or other deposits, and permanently keeps these blockages open. This ensures renewed blood flow to closed sections of the vessel. The heart muscle is once again supplied with enough blood, thus with oxygen – therefore, the patient's quality of life increases.
The stent usually consists of the finest metal mesh, which is inserted into the afflicted vessel in a folded state via the cardiac catheter. Once it is positioned precisely at its intended destination, the stent is widened by a balloon. The cardiologist pulls the balloon back, and the stent remains as a support in the coronary vessel, which is now functional again. In many cases, stent implantation helps to avoid open heart bypass surgery.
Avoidance of Unnecessary Cardiac Catheterisation and Superfluous Stent Implantation
In Germany, significantly more cardiac catheter interventions and percutaneous coronary surgeries (PCI) with stable coronary heart disease (CAD) are performed than in comparable countries. The number of cardiac catheterisation laboratories in Germany is increasing constantly. Certain economic incentives in the German healthcare system, which make it possible to run a hospital economically by operating a catheter laboratory in the first place, cannot be dismissed as possible causes for this circumstance. A stent can be life-saving on the one hand, but on the other hand it also carries a residual risk. For example, in about one percent of cases a so-called stent thrombosis occurs, meaning the vascular support closes up all of a sudden and thus triggers a heart attack - which is exactly what was supposed to be avoided. Therefore, a physician should always analyse very carefully whether a constriction ("stenosis") really needs to be supplied with a stent or whether this can be dispensed with for the benefit of the patient. By using latest state-of-the-art imaging techniques (as above) this is well possible.
Renowned Cardiologist in Munich – You and Your Heart Take Centre Stage
Personal interaction with his patients is very important to Prof. Silber. The expert knows that behind every heart disease exists a person with his or her own personal story. Precise diagnostics and individual therapy concepts pave the road for his patients’ fastest possible recovery. With Prof. Silber, you are always in best hands if you have heart disease.
|1968–1974||Medical studies at the Ludwig Maximilian University of Munich (LMU), state medical licensing examination|
|1975||Dissertation at the Pharmacological Institute of the University of Munich|
|1975||License to practise medicine from the Bavarian State Ministry of the Interior|
|1975–1982||Assistant Physician at the German Heart Centre in Munich|
|1981||Specialist vocational studies in Nuclear Cardiology at the Bavarian Medical Council|
|1982–1986||Fixed-post Academic Advisor at the City Centre Medical Clinic of the Ludwig Maximilian University of Munich (LMU)|
|1984||Internal Nedicine (qualification in this specialist field) and Cardiology (qualification in this area of focus)|
|1986||Habilitation at the Ludwig Maximilian University of Munich|
|1987–1989||Associate Professor, Department of Medicine, Division of Cardiology, University of Alabama at Birmingham (UAB), USA|
|1998||Appointment as Professor of Medicine at the Ludwig Maximilian University of Munich (LMU)|
|1990 – present||Registered practice as a panel doctor in the Cardiological Group Practice, Tal 21 (city centre), 80331 Munich|
|Munich Central Railway Station||3 km|
|Munich Airport||38 km|