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Der plötzliche Herztod aus klinischer Sicht

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Unerwartete Todesfälle in Klinik und Praxis
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Zusammenfassung

Unter plötzlichem Herztod verstehen wir den natürlichen Tod aus kardialer Ursache, der unerwartet und plötzlich eintritt. Er betrifft zumeist Patienten mit zugrundeliegender Herzerkrankung, obwohl diese zuvor weder zu Symptomen noch klinischen Zeichen einer Herzerkrankung geführt haben muß. Bezüglich der Zeitspanne zwischen Beginn der Symptome und Eintritt des Todes für die Bezeichnung „plötzlich“ werden in der Literatur bis zu 24h angegeben (s. Beitrag Janssen: „Der Sekundenherztod aus morphologischer Sicht“, S. 27). Unter Zugrundelegung eines Zeitintervalls von lh gehen vorsichtige Schätzungen davon aus, daß allein in der ehemaligen Bundesrepublik Deutschland etwa 70000 (Statistisches Jahrbuch) und in den USA 300000 Menschen jährlich den plötzlichen Herztod erleiden [19].

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Literatur

  1. Bayés de Luna A, Guinder J, BartolucciJ, Torner P, DominguezM, OterR(1991) Sudden cardiac death 1990: an update. In: Bayés de Luna A et al. (eds) Sudden cardiac death. Kluwer, The Hague, pp 1–11

    Chapter  Google Scholar 

  2. Bigger JT, Fleiss JL, Kleiger R, Miller P, Rolnitzky LM (1984) The relationships among ventricular arrhythmias, left ventricular dysfunction, and mortality in the 2 years after myocardial infarction. Circulation 69: 250–258

    Article  PubMed  Google Scholar 

  3. Bigger JT, Reiffei JA, Livelli FD Jr, Wang PJ (1986) Sensitivity, specificity and reproducibility of programmed ventricular stimulation. Circulation [Suppl II] 73: 73–78

    Article  Google Scholar 

  4. Borggrefe M, Trampisch HJ, Breithardt G (1988) Reappraisal of criteria for assessing drug efficacy in patients with ventricular tachyarrhythmias: complete versus partial suppression of inducible arrhythmias. J Am Coll Cardiol 12: 140–149

    Article  PubMed  CAS  Google Scholar 

  5. Breithardt G, Seipel L, Haerten K, Abendroth RR, Loogen F (1979) Effektivitätskontrolle der antiarrhythmischen Therapie bei Patienten mit chronisch-rezidivierenden ventrikulären Tachykardien mittels elektrophysiologischer Stimulationsverfahren. Z Kardiol 68: 725–730

    PubMed  CAS  Google Scholar 

  6. Cobb LA, Conn RD, Sampson RD (1971) Pre-hospital coronary care: The role of a rapid response mobile intensive coronary care system. Circulation [Suppl II] 44: 45

    Google Scholar 

  7. Cobb LA, Bauen RS, Alvarez H, Schaffer WA (1975) Resuscitation from out-of-hospital ventricular fibrillation 4 years follow-up. Circulation [Suppl II] 52: 223

    Google Scholar 

  8. Cobb LA, Werner JA, Trobough GB, (1980) Sudden cardiac death. I. A decade’s experience with out-of-hospital resuscitation. Med Concepts Cardiovasc Dis 31–36

    Google Scholar 

  9. Cobb LA, Werner JA, Trobough GB (1980) Sudden cardiac death: II. Outcome of resuscitation: Management, and future directions. Med Concepts Cardiovasc Dis 49: 37–42

    Google Scholar 

  10. Coumel P (1987) The management of clinical arrhythmias. An overview on invasive vs. noninvasive electrophysiology. Eur Heart J: 92–99

    Google Scholar 

  11. Cox JL (1985) The status of surgery for cardiac arrhythmias. Circulation 71: 413–417

    Article  PubMed  CAS  Google Scholar 

  12. Fontaine G, Tonet JL, Frank R, Rougier J (1989) Clinical experience with fulguration and antiarrhythmic therapy for the treatment of ventricular tachycardia: longterm follow-up of 43 patients. Chest 95: 785–797

    Article  PubMed  CAS  Google Scholar 

  13. Horowitz LN, Josephson ME, Farshidi A, Spielman SR, Michelson EL, Greenspan AM (1978) Recurrent sustained ventricular tachycardia: 3. Role of the electrophysiologic study in selection of antiarrhythmic regimens. Circulation 58: 986–997

    Google Scholar 

  14. Josephson ME, Horowitz LN, Farshidi A, Kastor JA (1978) Recurrent sustained ventricular tachycardia. I. Mechanisms. Circulation 57: 431–440

    Google Scholar 

  15. Kuller LH (1980) Sudden death - definition and epidemiologic considerations. Prog Cardiovasc Dis 23: 1–12

    Article  PubMed  CAS  Google Scholar 

  16. Leclercq JF, Coumel P (1991) Lessons from recordings of sudden death by Holter monitoring. In: Bayes de Luna A et al. (eds) Sudden cardiac death. Kluwer, The Hague, pp 99–111

    Chapter  Google Scholar 

  17. Liberthson RR, Nagel EL, Hirschman JC, Nussenfeld SR, Blackbourn BD, Davis JR (1974) Pathophysiologic observations in prehospital ventricular fibrillation and sudden death. Circulation 49: 790–798

    PubMed  CAS  Google Scholar 

  18. Liberthson RR, Nagel EL, Hirschman JC, Nussenfeld SR (1974) Prehospital ventricular fibrillation: prognosis and follow-up course. N Engl J Med 291: 317–321

    Article  PubMed  CAS  Google Scholar 

  19. Lown B (1979) Sudden cardiac death -1978. Circulation 60: 1593–1599

    PubMed  CAS  Google Scholar 

  20. Mason JW, Winkle RA (1980) Accuracy of the ventricular tachycardia-induction study for predicting long-term efficacy and inefficacy of antiarrhythmic drugs. N Engl J Med 303: 1073–1077

    Article  PubMed  CAS  Google Scholar 

  21. Mirowski M, Reid PR, Watkins L, Weisfeldt ML, Mower MM (1981) Clinical treatment of life- threatening ventricular tachyarrhythmias with the automatic implantable defibrillator. Am Heart J 102: 265–270

    Article  PubMed  CAS  Google Scholar 

  22. Moss AJ, Bigger JT Jr, Odoroff CL (1987) Post-infarct risk stratification. Prog Cardiovasc Dis 29L: 383–412

    Article  Google Scholar 

  23. Myerburg RJ, Kessler KM, Zaman L, Conde CA, Castellanos A (1982) Survivors of prehospital cardiac arrest. JAMA 247: 1485–1490

    Article  PubMed  CAS  Google Scholar 

  24. Naccarelli GV, Prystowsky EN, Jackman WM, Heger JJ, Rahilly GT, Zipes DP (1982) Role of electrophysiologic testing in managing patients who have ventricular tachycardia unrelated to coronary artery disease. Am J Cardiol 50: 165–171

    Article  PubMed  CAS  Google Scholar 

  25. Ruskin JN, DiMarco JP, Garan H (1980) Out-of-hospital cardiac arrest. Electrophysiologic observations and selection of long-term antiarrhythmic therapy. N Engl J Med 303: 607–613

    Google Scholar 

  26. Steinbeck G, Manz M, Lüderitz B (1984) Neue Möglichkeiten in der Therapie bedrohlicher tachykarder Rhythmusstörungen: medikamentös-elektrisch-operativ. Internist 25: 351–358

    PubMed  CAS  Google Scholar 

  27. Swerdlow CD, Winkle RA, Mason JW (1983) Determinants of survival in patients with ventricular tachyarrhythmias. N Engl J Med 308: 1436–1421

    Article  PubMed  CAS  Google Scholar 

  28. Wellens HJJ, Schuilenburg RM, Durrer D (1972) Electrical stimulation of the heart in patients with ventricular tachycardia. Circulation 46: 216–226

    PubMed  CAS  Google Scholar 

  29. Wilber DJ, Garan H, Finkelstein D et al. (1988) Out-of-hospital cardiac arrest. Use of electrophysiologic testing in the prediction of long-term outcome. N Engl J Med 318: 19–24

    Google Scholar 

  30. Winkle RA, Mead RH, Ruder MA et al. (1989) Longterm outcome with the automatic implantable cardioverter defibrillator. J Am Coll Cardiol 13: 1353–1361

    Article  PubMed  CAS  Google Scholar 

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© 1992 Springer-Verlag Berlin Heidelberg

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Steinbeck, G. (1992). Der plötzliche Herztod aus klinischer Sicht. In: Berg, S. (eds) Unerwartete Todesfälle in Klinik und Praxis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77472-0_4

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  • DOI: https://doi.org/10.1007/978-3-642-77472-0_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77473-7

  • Online ISBN: 978-3-642-77472-0

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