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Alternative Techniken der Tachykardiebehandlung

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Technik in der Kardiologie

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Zusammenfassung

Elektrotherapeutische Verfahren haben die Prognose bei Patienten mit tachykar-den Rhythmusstörungen massgeblich verbessert. Trotzdem stellt die Defibrillation sowohl aus medizinischer als auch aus ökonomischer Sicht noch keine zufriedenstellende Lösung dar, da die Therapie nur die Symptome kompensiert, nicht aber die Ursachen bekämpft. Zunehmende Erfahrungen mit invasiver Elektrokardiographie und Stimulation sowie die gewonnenen pathogenetischen Kenntnisse rückten daher die Katheterabiation in den Vordergrund. Medikamentös refraktäre supraventrikuläre Tachykardien (Vorhofflimmern und Vorhofflattern) wurden durch Katheterabiation des His’schen Bündels mit Gleichstromschocks bereits sehr früh erfolgreich behandelt [9, 41]. Ziel derartiger Ablationen ist es, bestimmte Areale des Myokards bewusst zu zerstören, um den der Tachykardie zugrunde liegende Reentry-Kreis zu unterbrechen. Weitere Erfahrungen wurden bei der Ablation akzessorischer Fasern und ventrikulärer Tachykardien gesammelt.

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Authors and Affiliations

  1. Institut für Biomedizinische Technik, Universität Karlsruhe, Kaiserstraße 12, Karlsruhe, 76131, Deutschland

    Professor Dr. rer. nat. Armin Bolz

  2. Mohldorfer Straße, Greiz-Raasdorf, 07973, Deutschland

    Professor Dr. med. Wilhelm Urbaszek

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  1. Professor Dr. rer. nat. Armin Bolz
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© 2002 Springer-Verlag Berlin Heidelberg

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Bolz, A., Urbaszek, W. (2002). Alternative Techniken der Tachykardiebehandlung. In: Technik in der Kardiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56230-3_15

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  • DOI: https://doi.org/10.1007/978-3-642-56230-3_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62704-0

  • Online ISBN: 978-3-642-56230-3

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