Advertisement

Der Stellenwert der programmierten ventrikulären Stimulation bei ventrikulären Rhythmusstörungen

  • Konrad Steinbach
  • K. Frohner
Conference paper

Zusammenfassung

Vor knapp 20 Jahren wurde die programmierte ventrikuläre Stimulation (PVS) in die Diagnostik von Rhythmusstörungen eingeführt, um Ursprungsort und Ausbreitungsbahn zu definieren. Die mit dieser Technik gewonnenen Erfahrungen erlauben heute in der Regel bereits aus dem Oberflächen-EKG die Diagnose.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Bigger JT, Fleiss JL, Kleiger R, Miller VP, Rolnitzky LM (1984) The relationships among ventricular arrhythmias, left ventricular dysfunction and mortality in the 2 years after acute myocardial infarction. Circulation 69: 250–259PubMedCrossRefGoogle Scholar
  2. 2.
    Bhandari AK, Rose JS, Kotlewski A, Rahimtoo SH, Wu D (1985) Frequency and significance of induced sustainend ventricular tachycardia or fibrillation two weeks after acute myocardial infarction. Am J Cardiol 56: 737–742PubMedCrossRefGoogle Scholar
  3. 3.
    Breithardt G, Borggrefe M, Podczeck A (1986) Electrophysiology and pharmacology of asymptomatic nonsustained ventricular tachycardia. Clin Progr Electrophysiol Pacing 4: 81–99Google Scholar
  4. 4.
    Breithardt G, Borggrefe M, Haerten K, (1985) Role of programmed ventricular stimulation and noninvasive recording of ventricular late potentials for the identification of patients at risk of ventricular tachyarrhythmias after acute myocardial infarction. In: Josephson ME (ed) Cardiac Electrophysiology and Arrhythmias. Grune & Stratton, New York, pp 553–561Google Scholar
  5. 5.
    Brugada P, Wellens HJJ (1985) Programmed electrical stimulation of the heart in ventricular arrhythmias. Am J Cardiol 56: 187–189PubMedCrossRefGoogle Scholar
  6. 6.
    Brugada P, Wellens JJ (1986) Need and design of a prospective study to assess the value of different strategic approaches for management of ventricular tachycardia or fibrillation. Am J Cardiol 57: 1180–1184PubMedCrossRefGoogle Scholar
  7. 7.
    Buxton AE, Waxman HL, Marchlinski FE, Josephson ME (1984) Electrophysiologic characterization of nonsustained ventricular tachycardia. In: Josephson ME (ed) Tachycardias: Mechanismus, diagnosis, treatment. Lea & Febiger, Philadelphia, pp 353–361Google Scholar
  8. 8.
    Denes P, Ezri MD (1985) The role of electrophysiologic studies in the management of patients with unexplained syncope. PACE 8: 424–435PubMedGoogle Scholar
  9. 9.
    Denniss AR, Baaisens H, Cody DV, Richards DA, Russel PA, Young AA, Ross DL, Uther JB (1985) Value of programmed ventricular stimulation and exercise test in predicting one year mortality after acute myocardial infarction. Am J Cardiol 56: 213–220PubMedCrossRefGoogle Scholar
  10. 10.
    DiCarlo LA, Morady F, Schwartz AB, Shen EN, Baerman JM, Krol RB, Scheinman MM, Sung RJ (1985) Clinical significance of ventricular fibrillation-flutter induced by ventricular programmed stimulation. Am Heart J 109: 959–963PubMedCrossRefGoogle Scholar
  11. 11.
    Frohner K (1984) Therapie ventrikulärer Rhythmusstörungen. Wiener Med Wschr 448–457Google Scholar
  12. 12.
    Greenspan RAP, Spielman SR (1985) Antiarrhythmic drug efficacy for ventricular tachyarrhythmias associated with coronary artery disease as assessed by electrophysiologic studies. Am J Cardiol 55: 1494–1499PubMedCrossRefGoogle Scholar
  13. 13.
    Hamer A, Vohra J, Hunt D, Sloman G (1982) Prediction of sudden death by electrophysiologic studies in high risk patients surviving acute myocardial infarction. Am J Cardiol 50: 223–229PubMedCrossRefGoogle Scholar
  14. 14.
    Kennedy EE, Rosenfeld LE, McPherson CA, Stark SI, Batsford WP (1986) Mechanisms and relevance of arrhythmias induced by high current programmed ventricular stimulation. Am J Cardiol 57: 598–603PubMedCrossRefGoogle Scholar
  15. 15.
    Kim SG, Seiden SW, Felder SD, Waspe LE, Fisher JD (1986) Is programmed stimulation of value in predicting the long-term success of antiarrhythmogenic therapy for ventricular tachycardias? N Engl J Med 315: 356–393PubMedCrossRefGoogle Scholar
  16. 16.
    Kowey PR, Friehling TD (1986) Uses and limitations of electrophysiology and limitations of electrophsyiology studies for the selection of antiarrhythmic therapy. PACE 9: 231–241PubMedGoogle Scholar
  17. 17.
    Kuck KH, Dernedde J, Schlüter M, Geiger M (1984) Programmed electrical stimulation of the heart in patients with hypertrophic cardiomyopathy. Circulation 77 Supp II: 370 (abstract)Google Scholar
  18. 18.
    Kudenchuck J, Krön J, Walance CG, Murphy ES, Morris CD, Griffith KK, McAnulty JH (1986) Reproducibility of arrhythmia induction with intracardiac electrophysiologic testing: Patients with sustained ventricular tachyarrhythmias. JACC 7: 819–828Google Scholar
  19. 19.
    Roy D, Marchand E, Theroux P, Waters DD, Pelletier GB, Bourassa MG (1985) Programmed ventricular stimulation in survivors of an acute myocardial infarction. Circulation 72: 487–494PubMedCrossRefGoogle Scholar
  20. 20.
    Marchlinski FE, Buxton AE, Waxman HL, Josephson ME (1983) Identifiying patients at risk of sudden death after myocardial infarction: Value of the response to programmed stimulation, degree of ventricular ectopic activity and severity of left ventricular dysfunction. Am J Cardiol 52: 1190–1196PubMedCrossRefGoogle Scholar
  21. 21.
    Meinertz T, Treese N, Kasper W, Geibel A, Hofmann T, Zehender M, Bohn D, Pop T, Just H (1985) Determinants of prognosis in idiopathic dilated CMP as determined by programmed ventricular stimulation. Am J Cardiol 56: 337–341PubMedCrossRefGoogle Scholar
  22. 22.
    Naccarelli GV, Prystowsky EN, Jackman WM, Heger JJ, Rahilly GT, Zipes DP (1982) Role of electrtophy- siologic testing in managing patients who have ventricular tachycardia unrelated to coronary artery disease. Am J Cardiol 50: 165–171PubMedCrossRefGoogle Scholar
  23. 23.
    Richards DA, Cody DV, Denniss AR, Rüssel PA, Young AA, Uther JB (1983) Ventricular electrical instability: A predictor of death after myocardial infarction. Am J Cardiol 51: 75–80PubMedCrossRefGoogle Scholar
  24. 24.
    Rosenthal ME, Oseran DS, Gang E, Peter T (1985) Sudden cardiac death following acute myocardial infarction. Am Heart J 109: 865–875PubMedCrossRefGoogle Scholar
  25. 25.
    Steinbach K, Frohner K, Kaltenbrunner W, Podczeck A (1987) Prognostic value of programmed stimulation in the early phase of acute myocardial infarction. Cardiostium lacione italiana (in press)Google Scholar
  26. 26.
    Stevenson WG, Brugada P, Kesschot I, Waldecker B, Zehender M, Geibel A, Wellens HJJ (1986) Effects of infarct age on inducible ventricular tachycardia. Am J Cardiol 57: 387–391PubMedCrossRefGoogle Scholar
  27. 27.
    Swerdlow CD, Winkle RA, Mason JW (1983) Prognostic significance of the number of induced ventricular complexes during assessment of therapy of ventricular arrhythmias. Circulation 68: 400–405PubMedCrossRefGoogle Scholar
  28. 28.
    Swerdlow CD, Peterson J (1985) Prospective comparison of Holter monitoring and electrophysiologic study in patients with coronary artery disease and sustained ventricular tachyarrhythmias. Am J Cardiol 56: 577–580PubMedCrossRefGoogle Scholar
  29. 29.
    Teichmann SL, Felder SD, Matos JA, Kim SG, Waspe LE, Fisher JD (1985) The value of electrophysiologic studies in syncope of undertermined origin: Report of 150 cases. Am J Cardiol 110: 469–479Google Scholar
  30. 30.
    Torres V, Flowers D, Somberg J (1985) The clinical significance of polymorphic ventricular tachycardia provoked at electrophysiologic testing. Am Heart J 110: 17–24PubMedCrossRefGoogle Scholar
  31. 31.
    Veltri EP, Platia EV, Griffith LSC, Reid PR (1985) Programmed electrical stimulation and long-term follow- up in asymptomatic, nonsustained ventricular tachycardia. Am J Cardiol 56: 309–314PubMedCrossRefGoogle Scholar
  32. 32.
    Weber H, Ettl W, Joskowicz G, Steinbach K (1985) Prognostische Bedeutung von ventrikulären Arrhythmien im ersten Jahr nach penetrierendem Erstinfarkt. Z Kardiol 74 Suppl 5: 165 (Abstract)Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1987

Authors and Affiliations

  • Konrad Steinbach
    • 2
  • K. Frohner
    • 1
  1. 1.3. medinzinische und kardiologische Abteilung des Wilhelminenspitals und Ludwig Boltzmann Institut für ArrhythmieforschungWienAustria
  2. 2.3. medizinische Abteilung (Kardiologie) und Ludwig Boltzmann Institut für ArrhythmieforschungWilhelminenspitalWienAustria

Personalised recommendations