


Dilated cardiomyopathy Treatment in San Donato Hospital
About the clinic
Treatment for dilated cardiomyopathy at IRCCS Policlinico San Donato in Milan helps restore heart function through advanced medical and surgical care. Diagnostic options may cost around $40 for an ECG, $100–$200 for Holter monitoring, and $1,100–$1,800 for a heart diagnosis before surgery. The clinic is known for a 97% success rate in cardiac surgeries and performs over 9,000 heart operations every year.
Expert care for heart failure
Prof. Massimo Piepoli leads the cardiology unit and treats patients with dilated cardiomyopathy and heart failure. Prof. Massimo Piepoli is a world expert in heart failure and authored international guidelines for its diagnosis and treatment. As a full professor at the University of Milan, Prof. Massimo Piepoli focuses on personalized therapies that improve heart function based on the specific needs of each patient.
Diagnostic services
The clinic uses detailed testing to assess the size and pumping ability of the heart. These tests help the medical team choose between medication or surgical intervention. Available diagnostics include:
- ECG and Holter monitoring. These tests track heart rhythm over 24 hours or more. Costs for Holter monitoring may be around $100–$200.
- Doppler sonography. This ultrasound method checks blood flow through the vessels and costs around $120–$220.
- Heart MRI. A detailed imaging scan that typically costs around $500–$800.
- Cardiopulmonary stress test. This evaluates how the heart and lungs respond to physical activity.
- Transthoracic echocardiogram. This provides a clear image of the heart chambers and valves.
Treatment options
Treatment plans follow international guidelines to manage symptoms and prevent complications. The clinic offers both traditional and research-based options for patients.
- Personalized medical therapy. This approach uses pharmacotherapy to improve how the heart pumps. The plan includes the initial diagnosis, consultation, and follow-up visits.
- Surgical treatment. For advanced heart failure, surgeons perform ventricular remodeling. This surgery helps the left ventricle return to a more natural shape and size. The procedure includes pre-operative tests, the surgery itself, and about 10 days of hospital stay.
- Clinical trial participation. Patients may get access to investigational therapies through active research studies. This includes specific monitoring and study-related treatments.
Clinic features and accreditation
IRCCS Policlinico San Donato holds ISO 9001:2015 certification and IRCCS accreditation for its research and care quality. The facility uses telepresence robots to assist in patient care and includes a hotel on the grounds for international visitors. The medical team also participates in international projects to treat congenital heart defects and complex cardiac conditions. You can request a consultation for dilated cardiomyopathy through the Bookimed platform.
Highlights
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Treatments prices in the clinic
| diagnostics | Price | |
|---|---|---|
| Doppler sonography (ultrasonography, duplex angioscanning) vessels | $120 - $220 | |
| ECG | $40 - $70 | |
| Heart MRI | $450 - $750 | |
| Heart Diagnosis before OP | $1100 - $1800 | |
| Holter monitoring | $100 - $200 |
How are we doing?
hospital accreditations of quality
San Donato Hospital: more details about the clinic
Policlinico San Donato was founded in 1969. It is a part of Gruppo Ospedale San Donato, which accepts over 4 million patients every year.
San Donato Hospital establishes international projects for congenital heart defects treatment. Medical team of the hospital has operated more than 3,000 children around the world under these projects.
Advantages of Policlinico San Donato
- Top Italian doctors. The best Italian cardiologists and cardiac surgeons work at San Donato. Prof. Lorenzo Menicanti — ex-president of the Italian Society of Cardiac and Vascular Surgery, Prof. Carlo Pappone — the world's leading specialist in arrhythmology with over 130,000 radiofrequency ablation (RFA) performed, are among them.
- The best treatment results in Europe. The success rate of cardiac surgeries in San Donato Clinic is 97%. It is one of the highest results among European medical centers.
- 10 modern operating rooms (OR). All OR have the latest medical technologies for open and endovascular (through a catheter) interventions. The Operating Unit is equipped with telepresence robots connecting a patient and a doctor at any time.
San Donato Hospital in figures
Cardiac Surgery Center
San Donato Heart Surgery Unit is No.1 in Italy because of the amount of operations performed. Since its establishment doctors have been conducting more than 50,000 interventions. Every year 17,000 patients undergo treatment here.
The Center of Cardiac Surgery employs 140 physicians: surgeons, cardiologists, arrhythmologists, anesthesiologists and radiologists.
Medical team of the center has performed:
- 1,800 surgeries for ischemic cardiomyopathy treatment
- 20,000 coronary artery bypass surgeries
- 20,000 heart valve operations.

Operation room, Clinica San Donato Milan
Interventional Cardiology Department
San Donato cardiologists specialize in endovascular operations for the treatment of heart and vessel diseases. Surgeons perform them using a thin and long catheter without skin incisions. The recovery period after such a procedure is much easier compared with open surgeries and lasts only 1-2 days.
Coronary angioplasty
Angioplasty is a procedure to treat narrowed or obstructed arteries of the heart. There are 2 types of angioplasty — balloon surgery and stenting.
Cardiologists perform balloon operation with a small balloon placed in the vessel to increase the amount of blood flowing through the artery. After the procedure doctors put out the balloon.
Stenting is performed with a metal or plastic tube called a stent to increase artery permeability. A stent stays in the vessels for at least 10 years.
Transcatheter aortic valve implantation (TAVI)
This is a minimally invasive procedure to replace a heart valve. Usually, doctors carry out a sternotomy (chest opening) to implant a new valve, but TAVI can be done with a small puncture or incision.
Cardiologists insert a catheter with an artificial valve in a vessel. Doctors open the implant like an “umbrella” near the flaps of the old valve and fixate it there. It is an image-guided operation allowing doctors precisely to control the valve movement through the vessels.
Arrhythmology Department
According to the San Donato data, the Arrhythmology Department is the best in Europe to treat cardiac arrhythmia.
There are 45 hospital beds and 12 twenty-four-hour ECG monitoring devices with telemedicine in the department. ECG allows to connect patients with their physicians at any time.
3 operating rooms are equipped with modern devices including the latest X-ray systems. They produce less X-ray emission than previous models and are safer for patients.
Doctors specialize in the following procedures:
- radiofrequency catheter ablation
- pacemaker insertion
- defibrillator implantation
- cardiac resynchronization therapy to manage heart failure.

Telepresence robot, I.R.C.C.S. Policlinico San Donato
Accommodation in San Donato Policlinico
Inpatients can stay in general or VIP wards. All rooms are equipped with TV, Internet, call buttons.
There is a hotel on the premises of the clinic, the accommodation there is paid additionally.
Additional services
Requirements for admission
Patient reviews
View 55 reviewsLiliya Karachentseva • Aortic aneurysm surgery Ukraine
Thanks to the consultation of Dr
Salwa • Consultation with a heart surgeon Canada
So, he was very knowledgeable, very genius and expertise
Раушан • Herniated disk Italy
I want to express my gratitude to Bookimed for their help in finding the doctor we needed
Anonymous • Consultation with a dermatologist Italy
Piazza Edmondo Malan, 2, 20097 San Donato Milanese MI, Italy
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