Rhythmology Lübeck (Schleswig-Holstein): Heart Specialist Univ.-Prof. Dr Tilz
- Catheter ablation for cardiac arrhythmias
- Implantation of pacemakers and defibrillators (ICD)
- Probe-less pacemaker "capsule pacemaker."
- Subcutaneous defibrillator (S-ICD)
- Cardiac Resynchronization Therapy (CRT) incl. "Conduction System Pacing."
- Extraction of pacemaker and defibrillator probes
- Atrial appendage closure
- Electrocardioversion for atrial fibrillation
- Syncope consultation
Range of Diagnostic Services
- MRI, CT
- Stress tests (ergometry, stress echocardiography, stress MRI)
- Transesophageal echocardiography
- Clarification of circulatory regulation disorders (Schellong's test, carotid sinus test, 24h blood pressure profile, tilt table examination)
- Long-term ECG
- Implantable event recorder
- "ECG patch" for up to 2 weeks
- Pacemaker and defibrillator outpatient clinic
Range of Therapeutic Services
- Catheter ablation of atrial fibrillation
- Ablation of ventricular tachycardias (VTs, endocardial and epicardial)
- Ablation of ventricular extrasystoles
- Cardioversion treatment
- Implantation of cardioverter defibrillators (ICD)
- Cardiac resynchronization therapy (CRT)
- Cardiac Contract Ligation Modulation (CCM)
- Subcutaneous defibrillator system (S-ICD)
- Probe-less pacemaker "capsule pacemaker
- Extraction of pacemaker or defibrillator probes
- Atrial appendage closure
About Univ.-Prof. Dr Roland Richard Tilz
Univ.-Prof. Dr Roland Richard Tilz is a specialist in rhythmology and director of the Department of Rhythmology at the University Hospital Schleswig-Holstein, Lübeck Campus.
The team around Prof. Tilz, specializing in diagnosing and treating complex cardiac arrhythmias, offers comprehensive clarification, consultation, and treatment following the latest research findings and with the most innovative treatment methods. In addition to the regular rhythm and pacemaker consultation hours, special consultation hours for familial cardiac arrhythmias and interdisciplinary syncope consultation hours are offered for the best possible advisory service.
Highest Expertise in the Treatment of Cardiac Arrhythmias, Pacemaker and Device Therapy, Stroke Prevention
As an experienced cardiologist with further specialization in electrophysiology and rhythmology, Prof. Dr Tilz offers rhythm consultation hours in Lübeck, where he sees patients to clarify and treat cardiac arrhythmias. During these consultation hours, a detailed medical history is taken in a patient interview. In addition, any previous findings are reviewed to gain a comprehensive insight into the diagnostics already carried out. If necessary, any required examinations such as long-term ECG, "ECG patch," cardiac ultrasound, and ergometry will be repeated or initiated for the first time.
After a reliable diagnosis, an individual therapy concept is developed in close cooperation with the patient. This includes choosing the optimal treatment, drug therapy options, and interventional procedures such as catheter ablation, atrial appendage closure, implantation, and extraction of pacemakers and defibrillators.
Department for Rhythmology in Schleswig-Holstein: Latest Technology in Catheter Ablation
Catheter ablation is an interventional, catheter-based therapy option for cardiac arrhythmias. In this procedure, the bundle of conductors that transmits the cardiac excitation incorrectly and is therefore responsible for the arrhythmia is identified and obliterated either by heating using radiofrequency and laser energy or freezing using cryotechnology. In addition to these ablation methods, the Department for Rhythmology also offers the latest technology, the electroporation or pulsed field ablation (PFA) method. As a result, the selectively scarred tissue no longer disrupts the heart's action so that the atria and ventricles can again contract in a coordinated way.
Catheter ablations are associated with a short, two-day inpatient stay. The intervention takes 30 minutes to 2 hours and is carried out under short-acting anesthesia. Through access in the inguinal vein, the catheter probe is advanced to the right atrium, and through the atrial septum, the pulmonary vein at the left atrium can be reached. This is where the faulty electrical impulses that lead to atrial fibrillation usually originate.
Implantation and Extraction of Pacemakers and Defibrillators
At the University Heart Center Lübeck, more than 600 devices are implanted each year to provide pacemakers and defibrillators to patients whose heart rhythm is too fast or slow, following guidelines so that sudden cardiac death can be effectively prevented. The majority of these implants include devices with a cardiac resynchronization function. These are used in particular patients with a time-delayed, asynchronous contraction of the two halves of the heart due to a complete left ventricular block and impaired pumping function of the left ventricle.
Effective resynchronization of both halves of the heart can significantly increase the left ventricular ejection fraction, i.e., the ejected stroke volume in relation to the filling volume. In the vast majority of patients treated, these lead, on average, to a clinical improvement in heart failure symptoms by one class of the NYHA classification. This not only reduces hospitalization rates and mortality but also subjectively improves patients' exercise tolerance and quality of life.
The most innovative treatment methods, such as the "probe-less pacemaker," the subcutaneous defibrillator, and the "conduction system pacing," complete the range of services.
Atrial Appendage Closure Instead of Blood Thinners
For stroke prevention, Prof. Dr Roland Richard Tilz in Lübeck also offers the method of atrial appendage closure. The atrial tube is a non-functional bulge in the upper left atrium in which thrombi, i.e., blood clots, can develop, especially during cardiac arrhythmias such as atrial fibrillation. In the most unfavorable case, these reach the aorta with the ejected blood and block a brain-supplying artery over time.
To prevent such a stroke, the atrial appendage can be closed in a catheter-assisted procedure either from the inside with an umbrella or a loop that is placed around the atrial appendage on the outside of the heart and closes it with a suture. This essentially eliminates the risk of thrombus development so that, in most cases, it can be abstained from using blood-thinning medication.
|since March 2022
|Director of the Department of Rhythmology (UKSH Lübeck)
|Since April 2018
|Head of the Electrophysiology Section of the Medical Department II (UKSH Lübeck)
|April 2018 –
|Head of the Rhythmology Section of the Medical Department II of the University of Lübeck
|October 2017 – October 2018
|Representative Acting Director of the Medical Department II, University of Lübeck (Director Associate Professor Dr Ingo Eitel)
|Since October 2016
|W2 Professorship for Invasive Electrophysiology in the Field of Cardiology of the Medical Department II, University of Lübeck
|Since July 2015
|Head of Electrophysiology, Head of Advanced Training for the Additional Qualification in Special Rhythmology "Invasive Electrophysiology and Active Cardiac Rhythm Implants" at the Medical Department II (Director Prof. Holger Thiele), University Hospital Schleswig Holstein, Lübeck Campus
|Habilitation "Catheter Ablation of Atrial Fibrillation: Acute Complications and Long-Term Outcomes" and Venia Legendi in Internal Medicine and Cardiology, University Hospital Hamburg Eppendorf
|2013 – 2015
|Senior Physician Cardiology, Asklepios Hospital St. Georg
|2010 – 2012
|Acting Senior Physician Cardiology, Asklepios Hospital St. Georg
– Head of Atrial Fibrillation outpatient clinic
– Head of Electrophysiology Laboratory for Robotic Navigation
|Specialist in Cardiology
|Specialist in Internal Medicine
|August 2006 – February 2010
|Assistant Physician, Asklepios Hospital St. Georg, Hamburg
– Cardiology/EPU Laboratory, Prof. Karl-Heinz Kuck
|February 2004 –
|Assistant Physician, (6 Months First Year Resident), Klinikum Bayreuth, Bayreuth
– Gastroenterology, Associate Professor Dr Mühldorfer (Six Months)
– Medical Intensive Care Unit with Focus on Cardiology, Associate Physician Dr M. Höher (13 Months)
– Cardiology, PD Dr M. Höher (Four Months)
– Geriatrics, Dr A. Schramm (Six Months)
|February 2003 – January 2004
|PRHO Rotation (Equivalent to the German First Year Resident) Awarded by the University of Cambridge
Addenbrookes Hospital, Cambridge (UK)
– Urology, Mr. J. Kelly (Four Months)
Bedford Hospital, Bedford (UK)
– Vascular Surgery, Mr. P. Tisi (Four Months)
– Cardiology, Dr J. Cooper (Four Months)
|1997 – 2002
|Karl Franzens University, Graz (Austria) Doctorate in Medicine (Doktor Medicinae Universae)
– Clinical Traineeship at Chelsea & Westminster Hospital London, Imperial College, Department of Gastrointestinal Surgery
– Oncology Research at University College, London, Department of Oncology
– ERASMUS Student in Lyon (France; Four Months)
|Academic Gymnasium, Graz, Abitur
- PD Dr Christian-Hendrik Heeger
Representative Director, Head: Electrophysiology
- Dr Julia Vogler
Senior Physician in Charge, Head: Heart Failure and Device Therapy
- Prof. Dr Charlotte Eitel
Senior Physician, Electrophysiology
- Prof. Dr Dr h. c. Karl-Heinz Kuck
Senior Consultant Electrophysiology
|Lübeck Main Station
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Univ.-Prof. Dr Roland Richard Tilz
University Hospital Schleswig-Holstein, Lübeck Campus
Department for Rhythmology
Ratzeburger Allee 160, D-23538 Lübeck
T: +49 451 9295 3063
F: +49 451 500 44548
Monday - Friday
8:00 AM - 12:00 AM
and by appointment