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Hämodynamik nach Schrittmacherimplantation

  • J. Nitsch

Zusammenfassung

Die Therapiekontrolle nach Schrittmacherimplantation bei bradykarden Rhythmusstörungen hat zum Ziel, die Stimulations- bzw. Detektionsfunktion und die hämodynamischen Auswirkungen der Schrittmachertherapie zu überprüfen und Schrittmacher-induzierte Tachyarrhythmien zu erfassen. Daraus ergeben sich differentialdiagnostische Gesichtspunkte für Patienten mit persistierenden oder neu aufgetretenen Symptomen nach Schrittma-cherimplantation, wie Schwindel, Palpitationen und Synkopen. Im Einzelfall läßt sich die Indikation für eine Änderung des Stimulationsmodus bzw. der Schrittmacherprogrammierung ableiten.

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Literatur

  1. Adolph RJ, Holmes JC, Fukusumi H (1968) Hemodynamic studies in patients with chronically implanted pacemakers. Am Heart J 6: 829Google Scholar
  2. Akhtar M (1981) Retrograde conduction in man. PACE 4: 548PubMedGoogle Scholar
  3. Alicandri C, Fouad FM, Tarazi RC, Castle L, Morant V (1978) Three cases of hypotension and syncope with ventricular pacing; possible role of atrial reflexes. Am J Cardio 142:127Google Scholar
  4. Arndt JO, Brambring R, Hindorf K (1974) The afferent discharge pattern of atrial mechanoreceptors in the cat during sinusoidal stretch of atrial strings in situ. J Physiol 240: 33PubMedGoogle Scholar
  5. Askenazi J, Alexander JH, Koenigsberg DI, Belic N, Lesch M (1984) Alteration of left ventricular performance by left bundle branch block simulated with atrioventricular sequential pacing. Am J Cardiol 53: 99PubMedGoogle Scholar
  6. Badeer HS, Feisal KA (1965) Effect of atrial and ventricular tachycardia on cardiac oxygen consumption. Circ Res 17: 330PubMedGoogle Scholar
  7. Baller D, Wolpers HG, Zipfel I, Hoeft A, Hellige G (1981) Unfavourable effects of ventricular pacing on myocardial energetics. Basic Res Cardiol 76: 115PubMedGoogle Scholar
  8. Baller D, Hoeft A, Korb H, Wolpers HG (1981) Basic physiological studies on cardiac pacing with special reference to the optimal mode and rate after cardiac surgery. Thorac cardiovasc surg 29: 168PubMedGoogle Scholar
  9. Been M, DeBono DP, Miller HC, Hillis WS (1984) Effect of afterload reduction in patients with ventricular and physiological pacing. Br Heart J 51: 292PubMedGoogle Scholar
  10. Benchimol A, Ellis JG, Diamond EG (1965) Hemodynamic consequences of atrial and ventricular pacing in patients with normal and abnormal hearts. Effect of exercise as a fixed atrial and ventricular rate. Am J Med 39: 911PubMedGoogle Scholar
  11. Benchimol A, Duenas A, Ligget MS, Diamon EG (1965) Contribution of atrial systole to the cardiac function at a variable ventricular rate. Am J Cardiol 16: 11PubMedGoogle Scholar
  12. Benchimol A, Ligget MS (1966) Cardiac hemodynamics during stimulation of the right atrium, right ventricle, and left ventricle in normal and abnormal hearts. Circ 33: 933Google Scholar
  13. Bergbauer M, Nebel W, Sabin G (1982) Der Einfluß der Vorhofkontraktion auf echokardiographisch bestimmte systolische Zeitintervalle bei Schrittmacherpatienten. Herz/ Kreislauf 6: 325Google Scholar
  14. Bergbauer M, Sabin G (1983) Hämodynamische Langzeitresultate der bifokalen Schritt-macherstimulation. Dtsch Med Wschr 108: 545PubMedGoogle Scholar
  15. Berkovits BV, Castellanos A, Lehmberg L (1969) Bifocal demand pacing. Circ 39: 44Google Scholar
  16. Bibra von H, Ebner U, Busch U, Klein G, Alt E, Wirtzfeld A (1984) Echokardiographische Untersuchung zur Optimierung der Therapie mit physiologischen Herzschrittmachern — Relevanz der Mitralklappenbewegung. Z Kardiol 73: 460Google Scholar
  17. Botvinick E, Dunn R, Frais M, O’Conell WO, Shosa D, Herfkens R, Scheinman M (1982) The phase imaging: its relationship to patterns of contraction and conduction. Circ 65 3: 551Google Scholar
  18. Bowditch HP (1871) Über die Eigenthümlichkeiten der Reizbarkeit, welche die Muskelfasern des Herzens zeigen. Beitr. d. k. sächs Ges d Wiss 23: 652Google Scholar
  19. Boucher CA, Pohost GM, Okada RD, Levine FH, Strauss HW, Harthorne JW (1983) Effect of ventricular pacing on left ventricular function assessed by radionuclide angiography. Am Heart J 106: 1105PubMedGoogle Scholar
  20. Brandt D, Passath A, Goebel R (1985) Die Einstellung physiologischer Herzschrittmacher mit Hilfe einer Szintillationsmeßsonde. Herz/Kreislauf 3: 135Google Scholar
  21. Bristow JD, VanZee BE, Judkins MP (1970) Systolic and diastolic abnormalities of the left ventricle in coronary artery disease. Studies in patients with little or no enlargement of ventricular volume. Circ 42: 219Google Scholar
  22. Brockman SK (1963) Dynamic function of atrial contraction in regulation of cardiac performance. Am J Physiol 204: 597PubMedGoogle Scholar
  23. Chamberlain DA, Leinbach RC, Vassaux CE (1970) Sequential atrioventricular pacing in heart block complicating acute myocardial infarction. New Engl J Med 282: 577PubMedGoogle Scholar
  24. Cohen SI, Frank HA (1982) Preservation of active atrial transport. An important clinical consideration in cardiac pacing. Chest 81: 51PubMedGoogle Scholar
  25. Coskey RL, Feit TS, Plaia R, Zicari T (1983) AV pacing and LV performance. PACE 6: 631PubMedGoogle Scholar
  26. Das G (1984) Pacemaker headaches. PACE 7: 802PubMedGoogle Scholar
  27. De Maria AN, Kaiyama T, Peng CL (1973) Alterations of left ventricular function and myocardial contractility indices induced by ventricular asynchrony. Clin Res 21: 414Google Scholar
  28. Den Dulk K, Lindemans FW, Bär FW (1982) Pacemaker-related tachycardias. PACE 5: 476Google Scholar
  29. Erbel R, Belz G (1977) Untersuchungen zur McBmethode der systolischen Zeitintervalle. Z Kardio 166: 433Google Scholar
  30. Folkmann MJ, Watkins E (1957) An artificial conduction system for the management of experimental complete heart block. Surg Forum 8: 331Google Scholar
  31. Furman S, Fischer JD (1982) Endless loop tachycardia in an AV universal ( DDD) pacemaker. PACE 5: 486PubMedGoogle Scholar
  32. Gavelle P, Guerinon J, Grivaux M, Laurens P, Maurice P (1977) Dysfonctionnement tricuspidien provoque par les sondes de stimulation cardiaque endocavitaire permanente, ä. propos de quatre observations. Ann Cardiol Angio 126: 357Google Scholar
  33. Geddes JS (1983) Physiological pacing. Br Heart J 50: 109PubMedGoogle Scholar
  34. Gesell RA (1911) Auricular systole and its relation to ventricular output. Am J Physio 129:32Google Scholar
  35. Gillespie WJ, Greene DG, Karatzas NB, Lee GJ (1967) Effect of atrial systole on right ventricular stroke output in complete heart block. Br Med J 1: 75PubMedGoogle Scholar
  36. Gilmore JP, Sarnoff SJ, Mitchell JH, Linden RJ (1962) Synchronicity of ventricular contraction: observations comparing hemodynamic effects of atrial and ventricular pacing. Br Heart J 25: 299Google Scholar
  37. Gibson TG, Davidson RC, DeSilvey DL (1980) Presumptive tricuspid valve malfunction induced by a pacemaker lead: a case report and review of the literature. PACE 3: 88PubMedGoogle Scholar
  38. Goldreyer BN, Bigger J (1970) Ventriculo-atrial conduction in man. Circ 61: 935Google Scholar
  39. Goldreyer BN (1982) Physiologic pacing: the role of AV synchrony. PACE 5: 613PubMedGoogle Scholar
  40. Greenberg B, Chatterjee K, Parmley WW, Werner JA, Holly AN (1979) The influence of left ventricular filling pressure on atrial contribution to cardiac output. Am Heart J 98: 742PubMedGoogle Scholar
  41. Grover M, Glantz SA (1983) Endocardial pacing site affects left ventricular enddiastolic volume and performance in the intact anesthetized dog. Circ Res 53: 72PubMedGoogle Scholar
  42. Grube E, Hanisch H, Zywietz M, Neumann G, Herzog H (1984) Rechnergestiltzte Bestimmung linksventrikulärer Kontraktionsanomalien mittels zweidimensionaler Echokardiographie. I. Analyse verschiedener Untersuchungsmethoden and Normalwertbestimmung. Z Kardiol 73: 41PubMedGoogle Scholar
  43. Grube E, Backs B, Hanisch H, Zywietz M, Neumann G (1984) Quantitative rechnergestützte Bestimmung linksventrikulärer Kontraktionsanomalien im zweidimensionalen Echokar-diogramm. Z Kardio 173:71Google Scholar
  44. Haas JM, Strait GB (1974) Pacemaker-induced cardiovascular failure. Hemodynamic and angiographic observation. Am J Cardiol 33: 295PubMedGoogle Scholar
  45. Hamby RI, Noble WJ, Murphy DH, Hoffman I (1983) Atrial transport function in coronary artery disease: Relation to left ventricular function. J Am Coll Cardiol 14: 1011Google Scholar
  46. Hamer AW, Zaher CA, Rubin SA, Peter T, Mandel WJ (1985) Hemodynamic benefits of synchronized 1:1 atrial pacing during sustained ventricular tachycardia with severely de-pressed ventricular function in coronary heart disease. Am J Cardiol 55: 990PubMedGoogle Scholar
  47. Harken DE (1983) Bifocal demand pacing. Chest 63: 783Google Scholar
  48. Hartzler GO, Maloney JD, Curtis JJ, Barnhorst DA (1977) Hemodynamic benefits of atrioventricular sequential pacing after cardiac surgery. Amer J Cardiol 40: 232PubMedGoogle Scholar
  49. Hayes D, Furman S (1983) Atrioventricular and ventriculoatrial conduction times in patients undergoing pacemaker implantation. PACE 6: 38PubMedGoogle Scholar
  50. Hung J, Kelly DT, Hutton BF, Uther JB, Baird DK (1981) Influence of heart rate and atrial transport on left ventricular volume and function: relation to hemodynamic changes by supraventricular arrhythmias. Am J Cardiol 48: 632PubMedGoogle Scholar
  51. Jochim K (1938) The contribution of the auricles to ventricular filling in complete heart block. Am J Physiol 122: 639Google Scholar
  52. Johnson AD, Larken SL, Engler RL (1978) Hemodynamic compromise associated with ventriculoatrial conduction following transvenous pacemaker placement. Am J Med 65: 75PubMedGoogle Scholar
  53. Judge RD, Wilson WS, Siegel JH (1964) Hemodynamic studies in patients with implanted cardiac pacemakers. New Engl J Med 270: 1391PubMedGoogle Scholar
  54. Kahl FR, Flint JF, Szidon JP (1974) Influence of left atrial distention on renal vasomotor tone, Am J Physiol 226: 240PubMedGoogle Scholar
  55. Kappenberger L, Gloor HO, Babotai I, Steinbrunn W, Turina M (1982) Hemodynamic effects of atrial synchronization in acute and long-term ventricular pacing. PACE 5: 639PubMedGoogle Scholar
  56. Karlöf I (1975) Hemodynamic effect of atrial triggered versus fixed rate pacing at rest and during exercise in complete heart block. Acta Med Scand 197: 195PubMedGoogle Scholar
  57. Kers ES, Kronfield SJ, Unger A (1975) Autonomic insufficiency in uremia as a cause of hemodialysis-induced hypotension. New Engl J Med 190: 650Google Scholar
  58. Kosowsky BD, Sherlag BJ, Damato AN (1968) Reevaluation of the atrial contribution to ventricular function. Am J Cardiol 21: 518PubMedGoogle Scholar
  59. Kruse IB, Ryden L (1981) Comparison of physical work capacity and systolic time intervals with ventricular inhibited and atrial synchronous ventricular inhibited pacing. Br Heart J 46: 129PubMedGoogle Scholar
  60. Kruse IB, Arman K, Conradson TB, Ryden L (1982) A comparison of the acute and long-term hemodynamic effects of ventricular inhibited and atrial synchronous ventricular inhibited pacing. Circ 65: 846Google Scholar
  61. Leinbach RC, Chamberlain DA, Kastor JA (1969) A comparison of the hemodynamic effects of ventricular and sequential AV-pacing in patients with heart block. Am Heart J 78: 502PubMedGoogle Scholar
  62. Levine PA, Seltzer JP, Pirzada FA (1983) The pacemaker-syndrome in a properly functioning physiologic pacing system. PACE 6: 279.PubMedGoogle Scholar
  63. Levy S, Corbelli JI, Labrunie P, Mossaz R, Faugere G, Valeix B, Sans P, Gerard R (1983) Retrograde (ventriculoatrial) conduction. PACE 6: 364PubMedGoogle Scholar
  64. Lewis ME, Sung RJ, Alter BR (1981) Pacemaker-induced hypotension. Chest 79: 354PubMedGoogle Scholar
  65. Linden RJ, Mitchell JH (1960) Relation between left ventricular diastolic pressure and myocardial segment length and observation on the contribution of atrial systole. Circ Res 8: 1092PubMedGoogle Scholar
  66. Linderer T, Chatterjee K, Parmley WW, Sievers RE, Stanton BS, Glantz A, Tyberg JV (1983) Influence of atrial systole on the Frank-Starling relation and the end-diastolic pressure-diameter relation of the left ventricle. Circ 67: 1045Google Scholar
  67. Links JM, Becker IC, Shindledecker G, Guzam P, Burow RD, Nickoloff EL, Alderson PO, Wagner HN (1982) Measurement of absolute left ventricular volume from gated blood pool studies. Circ 1: 82Google Scholar
  68. Lister VW, Klotz DH, Jomain SK, Stuckey JE, Hoffman BE (1964) Effect of pacemaker site on cardiac output and ventricular activation in dogs with complete heart block. Am J Cardiol 14: 494PubMedGoogle Scholar
  69. Mahler J, Yoran C, Ross J (1974) Inotropic effect of tachycardia and poststimulation potentiation in the conscious dog. Am J Physiol 237: 569Google Scholar
  70. Martin RH, Cobb LA (1966) Observations on the effect of atrial systole in man. J Lab Clin Med 68: 224PubMedGoogle Scholar
  71. Massie BM, Kramer BL, Gertz EW, Henderson SG (1982) Radionuclide measurement of left ventricular volume: comparison of geometric and counts-based-methods. Circ 65: 725Google Scholar
  72. Mauer G, Torres M, Haendchen RV, Meerbaum S, Corday E (1983) Pacing-induced mitral regurgitation: contrast evaluation. PACE 6: A-75Google Scholar
  73. McGuire LB, Kaiser DL (1983) Symptoms and associated illness among patients with ventricular pacemakers: Implication for pacemaker selection. Am Heart J 108: 629Google Scholar
  74. Van Mechelen R, Hagemeijer F, De Boer H, Schelling A (1983) Atrioventricular and ventriculo-atrial conduction in patients with symptomatic sinus node dysfunction. PACE 6: 13PubMedGoogle Scholar
  75. Miller DE, Gleason WL, Whalen RE, Morris JJ, McIntosh HD (1962) Effect of ventricular rate on the cardiac output in the dog with chronic heart block. Circ Res 10: 658PubMedGoogle Scholar
  76. Mitchell JH, Gilmore JP, Sarnoff SJ (1962) The transport function of the atrium. Factors influencing the relation between mean left atrial pressure and left ventricular end diastolic pressure. Am J Cardiol 9: 237PubMedGoogle Scholar
  77. Mitrovic V, Neuss H, Schlepper M, Thormann J (1984) Hämodynamische Bedeutung der Koordinaten von Vorhof- und Kammersystole bei Tachykardien. Z Kardiol 73: 34PubMedGoogle Scholar
  78. Mitsui T, Mizuno A, Hasegawa T (1971) Atrial rate as an indicator for optimal pacing rate and the pacemaking syndrome. Ann Cardiol Angiol 20: 371Google Scholar
  79. Murray JA, Kennedy W, Figley MM (1968) The normal left atrial volume in man. Circ 37: 800Google Scholar
  80. Nager F, Kappenberger L (1977) Hemodynamik nach Schrittmacherimplantation. Internist 18: 14PubMedGoogle Scholar
  81. Nanda NC, Bhandari A, Barold SS, Falkoff M (1983) Doppler echocardiographic studies in sequential atrioventricular pacing. PACE 6: 811PubMedGoogle Scholar
  82. Narahara KA, Blettel ML (1983). Effect of rate on left ventricular volumes and ejection fraction during chronic ventricular pacing. Circ 67: 323Google Scholar
  83. Nakano J, Zeckert H, Griege CW, Wang KM, Schaefer HS, Wegria R (1961) Effect of ventricular tachycardia and arteriovenous fistula on catecholamines blood levels. Am J Physiol 200: 413PubMedGoogle Scholar
  84. Nitsch J, Seiderer M, Büll U, Lüderitz B (1984a) Auswirkung unterschiedlicher Schrittmacherstimulation auf linksventrikuläre Volumendaten. — Untersuchungen mit der Radio-nuklid-Ventrikulographie. Z Kardio 172:718Google Scholar
  85. Nitsch J, Seiderer M, Büll U, Lüderitz B (1984b) Kontraktionsablauf unter physiologischer and ventrikulärer Schrittmacherstimulation. Klin Wschr 62:1132Google Scholar
  86. Nitsch J, Seiderer M, Will U, Lüderitz B (1984 c) Evaluation of left ventricular performance by radionuclide ventriculography in patients with sequential or ventricular pacemakers. Am Heart J 107:906PubMedGoogle Scholar
  87. Nitsch J, Reske SN, Manz M, Knopp R, Winkler C, Lüderitz B (1985) Lokalisation der Präexzitation bei WPW-Syndrom durch Analyse des ventrikulären Kontraktionsablaufs. Z Kardio 174: 495Google Scholar
  88. Nolan SP, Dixon SH, Fisher RD, Morrow AG (1969) The influence of atrial contraction and mitral valve mechanics on ventricular filling. A study of instantaneous mitral valve flow in vitro. Am Heart J 77: 784PubMedGoogle Scholar
  89. Ogawa S, Dreifus LS, Shenoy PN, Brockman SK, Berkovits BV (1978) Hemodynamic consequences of atrioventricular and ventriculo-atrial pacing. PACE 1: 8PubMedGoogle Scholar
  90. Paintal AS (1972) Cardiovascular receptors. In: Enteroceptors, Neil E (Hrsg) Handbook of Sensory Physiology, Springer, BerlinGoogle Scholar
  91. Perrins EJ, Morley CM, Chan SL, Sutton R (1983) Randomised controlled trial of physiological and ventricular pacing. Br Heart J 50: 112PubMedGoogle Scholar
  92. Pehrsson SK (1983) Influence of heart rate and atrioventricular synchronization on, maximal work tolerance in patients treated with artificial pacemakers. Acta Med Scand 214: 311PubMedGoogle Scholar
  93. Pehrsson SK, Astrom H (1983) Left ventricular function after long-term treatment with ventricular inhibited compared to atrial triggered ventricular pacing. Acta Med Scand 214: 295PubMedGoogle Scholar
  94. Rahimtoola SH, Ehansi A, Sinno MZ, Loeb HS, Rosen KM, Gunnar RM (1975) Left atrial transport function in myocardial infarction. Importance of its booster pump function. Am J Med 59: 686PubMedGoogle Scholar
  95. Reiter MJ, Hindman MC (1982) Hemodynamic effects of acute atrioventricular sequential pacing in patients with left ventricular dysfunction. Am J Cardiol 49: 687PubMedGoogle Scholar
  96. Ricci D, Orlick A, Alderman E, Ingels N, Daughters G, Kusnick C, Reitz B, Stinson E (1979) Role of tachycardia as an inotropic stimulus in man. J Clin Invest 63: 695PubMedGoogle Scholar
  97. Rodman T, Pastor BH, Figueroa W (1966) Effect on cardiac output of conversion from atrial fibrillation to normal sinus mechanism. Am J Med 41: 249PubMedGoogle Scholar
  98. Ross J, Linhard JW, Brauwald E (1965) Effects of changing heart rate in man by electrical stimulation of the right atrium. Circ 32: 549Google Scholar
  99. Ruskin J, McHale PA, Harley A, Greenfield JC (1970) Pressure flow studies in man: effect of atrial systole on left ventricular function. J Clin Invest 49: 472PubMedGoogle Scholar
  100. Skai M, Ueda K, Olikawa S, Kin H, Sugiura M (1983) Echocardiographic and pathologic studies in tricuspid regurgitation induced by transvenous right ventricular pacing. PACE 6: A-75Google Scholar
  101. Samet P, Bernstein WH (1965) Hemodynamic considerations in complete heart block. M Sinai J Med 32: 153Google Scholar
  102. Samet P, Castillo C, Bernstein WH (1966) Hemodynamic sequelae of atrial, ventricular and sequential atrioventricular pacing in cardiac patients. Am Heart J 72: 775Google Scholar
  103. Samet P, Castillo C, Bernstein WH (1968) Hemodynamic consequence of sequential atrioventricular pacing. Subjects with normal hearts. Am J Cardiol 21: 207PubMedGoogle Scholar
  104. Sarnoff SJ, Mitchell JH (1961) The regulation of the performance of the heart. Am J Med 30: 747PubMedGoogle Scholar
  105. Schlüter M (1985) Physikalische Voraussetzungen der Doppler-echokardiographischen Bestimmung des Herzminutenvolumens. Z Kardio 174: 317Google Scholar
  106. Seiderer M, Bohn J, Büll U, Kleinhaus E, Strauer BE (1981) Optimized calculation of left ventricular enddiastolic volume by equilibrium radionuclide ventriculography. Nucl Med 6: 257Google Scholar
  107. Skinner MS, Mitchell JH, Wallace AG, Sarnoff SJ (1963) Hemodynamic effects of altering the timing of atrial systole. Am J Physio 1205: 499Google Scholar
  108. Slutsky R, Walker J, Peterson K, Karliner J (1981) The response of left ventricular function and size to atrial pacing, volume loading and afterload stress in patients with coronary artery disease. Circ 63: 864Google Scholar
  109. Sochor H, Scheibelhofer W, Pachinger O, Kaliman J, Mayr H, Laczkovics A, Kaindl F (1983) Ventrikelfunktion and Kontrolle von programmierbaren Schrittmachern mittels Radionuklidventrikulographie. Z Kardiol 72 (Suppl. 1): 96Google Scholar
  110. Sowton E (1964) Hemodynamic studies in patients with artificial pacemakers. Br Heart J 26: 737PubMedGoogle Scholar
  111. Spurrell RAJ (1975) Artificial cardiac pacemakers. In: Krikler DM, Goodwin JD (Hrsg): Cardiac arrhythmias. Saunders, LondonGoogle Scholar
  112. Stein E, Damato AN, Kosowsky BD, Sun Hing Lau, Lister JW (1966) The relation of heart rate to cardiovascular dynamics. Pacing by atrial electrodes. Circ 33: 925Google Scholar
  113. Stewart WJ, Dicola VC, Harthorne JW, Gillam LD, Weyman AE (1984) Doppler ultrasound measurement of cardiac output in patients with physiologic pacemakers. Am J Cardiol 54: 308PubMedGoogle Scholar
  114. Stone JM, Bhakta DB, Lutgen J (1982) Dual chamber sequential pacing management of sinus node dysfunction: Advantages over single-chamber pacing. Am Heart J 104: 1319PubMedGoogle Scholar
  115. Stott DK, Marpole DGF, Bristow JD, Kloster FE, Griswold HE (1970) The role of left atrial transport in aortic stenosis and mitral stenosis. Circ 41: 1031Google Scholar
  116. Strashun A, Horowitz SF, Goldsmith SJ, Teichholz LE, Dicker A, Miceli K, Gorlin R (1981) Noninvasive detection of left ventricular dysfunction with a portable electrocardiographic gated scintillation probe device. Am J Cardio 147:610Google Scholar
  117. Sutton R, Perrins J, Citron P (1980) Physiological cardiac pacing. PACE 3: 207PubMedGoogle Scholar
  118. Thoren P (1979) Role of cardiac vagal C-fibres in cardiovascular control. Rev Physiol Biochem Pharmacol 86: 1PubMedGoogle Scholar
  119. Thoren P, Donald DE, Shepherd JT (1976) Role of heart and lung receptors with nonmedullated vagal afferents in circulatory control. Circ Res 38 ( Suppl. II ): 2Google Scholar
  120. Thormann J, Schlepper M (1983) Hämodynamische Auswirkungen kardialer Arrhythmien. In: Lüderitz B (Hrsg) Herzrhythmusstörungen. Handb. inn. Med. IX/ 1, Springer, Berlin Heidelberg New YorkGoogle Scholar
  121. Topol EJ, Goldschlager N, Ports TA, Dicarlo LA, Schiller NB, Botvinick EH, Chatterjee K (1982) Hemodynamic benefit of atrial pacing in right ventricular myocardial infarction. Ann Intern Med 96: 594PubMedGoogle Scholar
  122. Torresani J, Ebagosti A, Allard-Latour G (1984) Pacemaker syndrome with DDD pacing. PACE 7: 1148PubMedGoogle Scholar
  123. Valero A (1965) Atrial transport dysfunction in acute myocardial infarction. Am J Cardiol 16: 22PubMedGoogle Scholar
  124. Vera Z, Mason DT, Auron NA, Miller RR, Janzen D, Tonkon MJ, Wismara LA (1977) Improvement of symptoms in patients with sick sinus syndrome by spontaneous development of stable atrial fibrillation. Br Heart J 39: 160PubMedGoogle Scholar
  125. Werres R, Parsonnet V, Gilbert L, Zucker IR (1978) Symptomatic unilateral cannon „A“ waves in a patient with a ventricular pacemaker. Chest 75: 539Google Scholar
  126. Westveer DC, Stewart JR, Goodfleish R, Gordon S, Timmis CG (1984) Prevalence and significance of ventriculo-atrial conduction. PACE 7: 784PubMedGoogle Scholar
  127. Whiting RB, Madigan NP, Heinemann FM, Curtis JJ, Reid J (1983) Atrioventricular sequential pacing: comparison with ventricular pacing using systolic time intervals. PACE 6: 242PubMedGoogle Scholar
  128. Witt E, Lehmann HU, Hochrein H (1982) Hämodynamische Langzeit-Untersuchungen (6 Monate) zur Wirksamkeit einer atrioventrikulären Elektrostimulation. Intensivmedizin 19: 122Google Scholar
  129. Zager J, Berberich SN, Eslava R, Klieman C (1978) Dynamic tricuspid valve insufficiency produced by a right ventricular thrombus from a pacemaker. Chest 74: 455PubMedGoogle Scholar

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  • J. Nitsch

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