Zusammenfassung
Störungen der Sinusknotenfunktion beruhen auf einer gestörten Impulsbildung im Sinusknoten und/oder der sinuatrialen Überleitung. Da die elektrische Aktivität des Sinusknotens durch die konventionelle EKG-Schreibung nicht erfaßt werden kann, lassen sich Funktionsstörungen der Sinusknotenautomatie und/oder der sinuatrialen Überleitung nur auf indirektem Weg nachweisen. Elektro-kardiographische Hinweise sind das Auftreten einer Sinusbradykardie, sinuatrialer Blockbilder oder eines Sinusarrests. Auf die elektrokardiographischen Merkmale dieser Rhythmusstörungen wird weiter unten einzugehen sein. Oft wird sich nicht entscheiden lassen, ob eine oder beide Teilfunktionen (Automatie und sinuatriale Leitung) des Sinusknotens gestört sind (Steinbeck u. Lüderitz 1977). Das elektrokardiographische Erscheinungsbild wird nicht selten kompliziert durch das Auftreten von Ersatzrhythmen (atrial, junktional oder ventrikulär) mit physiologischer Interferenz oder mit einer Rhythmenverknüpfung (s. unter F).
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Neuss, H. (1983). Bradykarde Rhythmusstörungen. In: Breithardt, G., et al. Herzrhythmusstörungen. Handbuch der inneren Medizin, vol 9 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68872-0_12
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