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Tachykardien bei Kindern ohne und mit angeborenem Herzfehler

Medikamentöse vs. interventionelle Therapie

Tachycardia in children with and without congenital heart disease

Pharmacological vs. interventional treatment

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Zusammenfassung

Tachykardien werden entsprechend ihres Ursprungsortes in supraventrikuläre und ventrikuläre Formen eingeteilt. Das Verständnis der Tachykardiemechanismen sowie Fortschritte in der interventionellen bildgebenden Untersuchung und Therapie haben in den letzten Jahren zu besseren und sichereren katheterinterventionellen Behandlungsoptionen geführt. So können heute Tachykardien sowohl bei Kindern ohne kardiale Grunderkrankung als auch bei Kindern mit angeborenem Herzfehler mit hohen Erfolgsaussichten behandelt werden. Die Therapieentscheidung erfolgt in sorgsamer Nutzen-Risiko-Abwägung von Spontanverlauf, medikamentösen und interventionellen Therapieoptionen.

Abstract

Tachycardia can be subdivided into two categories depending on the origin: supraventricular and ventricular. In recent years, improved insights into the mechanisms of tachycardia as well as progress in interventional imaging methods and catheter ablation techniques led to a better and safer outcome in children with and without congenital heart disease. For optimal management it is necessary to carefully consider the natural history of the specific tachycardia, the benefits and the risks of spontaneous healing, medicinal and interventional treatment options.

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Authors and Affiliations

  1. Klinik für Kinderkardiologie, Schwerpunkt interventionelle Elektrophysiologie, Zentrum für angeborene Herzfehler, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland

    G. Kerst, M. B. Gonzalez y Gonzalez &  S. Ostermayer

  2. Klinik für Herzchirurgie angeborener Herzfehler, Uniklinik RWTH Aachen, Aachen, Deutschland

    J. Vázquez-Jiménez &  A. Maizza

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  1. G. Kerst
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  2. J. Vázquez-Jiménez
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  3. M. B. Gonzalez y Gonzalez
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  4. A. Maizza
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  5. S. Ostermayer
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Correspondence to G. Kerst.

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Interessenkonflikt

G. Kerst, J. Vázquez-Jiménez, M. B. Gonzalez y Gonzalez, A. Maizza und S. Ostermayer geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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F. Zepp, Mainz

D. Schranz, Gießen

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Kerst, G., Vázquez-Jiménez, J., Gonzalez y Gonzalez, M.B. et al. Tachykardien bei Kindern ohne und mit angeborenem Herzfehler. Monatsschr Kinderheilkd 165, 961–971 (2017). https://doi.org/10.1007/s00112-017-0378-x

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  • DOI: https://doi.org/10.1007/s00112-017-0378-x

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