Zusammenfassung
Das Kapitel über Rhythmologie gibt dem Herzchirurgen und Ärzten des Heart-Teams einen aktuellen Überblick über Diagnostik und Therapie klinisch relevanter Arrhythmien. Bradykarde Rhythmusstörungen können sowohl funktionell als auch strukturell durch diverse Pathologien im spezifischen Leitungssystem auftreten, der Beitrag bietet rasche Hilfe bei der Differentialdiagnose und Indikationsstellung zur leitliniengerechten Herzschrittmacherversorgung. Ein breites Spektrum an supraventrikulären Tachykardien findet sich überwiegend bei strukturell herzgesunden Individuen, wobei die Katheterablation in den meisten Fällen eine kurative Therapie bietet. Ein besonderer Schwerpunkt wird auf die einzelnen Behandlungsoptionen von Vorhofflimmern und Vorhofflattern gelegt, hier stehen in Abhängigkeit von der kardialen Grunderkrankung eine Reihe von medikamentösen und nicht-medikamentösen Therapieverfahren zur Auswahl. Die größte klinische Herausforderung stellen nach wie vor ventrikuläre Tachykardien bei schwerer ischämischer und nicht-ischämischer Herzerkrankung dar, welche eine enge interdisziplinäre Kooperation erfordern. Die therapeutischen Ansätze umfassen eine optimale Herzinsuffizienz-Therapie, diverse Antiarrhythmika, komplexe Ablationsverfahren sowie eine breite Palette an implantierbaren ICD-Geräten.
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Strohmer, B. (2020). Rhythmologie, Elektrophysiologie, Gerätetherapie. In: Stanger, O. (eds) Kompendium der modernen Herzchirurgie beim Erwachsenen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0451-4_11
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