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Ursprungslokalisation bei idiopathischen ventrikulären Extrasystolen und Tachykardien aus dem Ausflusstrakt

Localization of the origin of idiopathic ventricular extrasystoles and tachycardia from the outflow tract

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Herzschrittmachertherapie + Elektrophysiologie Aims and scope Submit manuscript

Zusammenfassung

Ventrikuläre Extrasystolen (VES) sind häufig und in der Regel ohne strukturelle Herzerkrankung nicht lebensbedrohlich. Sie erfordern jedoch aufgrund der Symptomatik häufig eine Behandlung, entweder medikamentös oder heutzutage überwiegend mittels Katheterablation. Das Oberflächen-EKG ist dabei ein wichtiges Instrument zur Lokalisation des Ursprungsorts und insbesondere der Unterscheidung zwischen rechts- und linksventrikulärem Ursprung.

Abstract

Premature ventricular contractions (PVC) are a common cause for complaints. As a rule PVCs are not life-threatening if no structural heart disease is present; however, due to the symptoms treatment is often required using either antiarrhythmic drugs or more commonly catheter ablation. The surface electrocardiogram (ECG) is very helpful in localizing the origin of the arrhythmia, in particular for differentiating right from left ventricular sources.

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Authors and Affiliations

  1. Deutsche Stiftung für chronisch Kranke, Alexanderstraße 26, 90762, Fürth, Deutschland

    Thomas M. Helms &  J. Christoph Geller

  2. Peri Cor Arbeitsgruppe Kardiologie/Ass. UCSF, Scharpenbargshöhe 10 D, 21149, Hamburg, Deutschland

    Thomas M. Helms

  3. Klinik für Kardiologie – Abteilung für Rhythmologie und invasive Elektrophysiologie, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437, Bad Berka, Deutschland

    Antonio Madaffari &  J. Christoph Geller

  4. Medizinische Fakultät der Otto-von-Guericke Universität Magdeburg, Leipzigerstr. 44, 39120, Magdeburg, Deutschland

    J. Christoph Geller

  5. Herz-Kreislauf-Zentrum, Klinik für Kardiologie, Klinikum Oldenburg gGmbH, Rahel-Straus-Strasse 10, 26133, Oldenburg, Deutschland

    Matthias Antz

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  1. Thomas M. Helms
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Correspondence to Thomas M. Helms.

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T.M. Helms, A.Madaffari, J.C. Geller und M. Antz geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Helms, T., Madaffari, A., Geller, J. et al. Ursprungslokalisation bei idiopathischen ventrikulären Extrasystolen und Tachykardien aus dem Ausflusstrakt. Herzschr Elektrophys 26, 227–234 (2015). https://doi.org/10.1007/s00399-015-0384-4

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  • DOI: https://doi.org/10.1007/s00399-015-0384-4

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