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Mapping und Ablation bei Präexzitationssyndromen

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Mapping and ablation in preexcitation syndromes

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Zusammenfassung

Eine Präexzitation wird durch ein akzessorisches Leitungsbündel zwischen Atrium und Ventrikel verursacht. In diesem Zusammenhang können supraventrikuläre Tachykardien bei betroffenen Patienten auftreten. Der vorliegende Beitrag erörtert die Epidemiologie, Pathophysiologie und EKG-Lokalisationsdiagnostik bei Präexzitationssyndromen. Da ein Präexzitationssyndrom mittels Katheterablation in 95% geheilt werden kann, werden praxisnah die aktuellen Mapping- und Ablationstechnologien auch zu septal und epikardial gelegenen akzessorischen Bahnen beschrieben.

Abstract

Preexcitation is caused by an accessory pathway between the atrium and ventricle. Supraventricular tachycardia is a common symptom of this anomaly. This report provides information on the epidemiology, pathophysiology, and localization of accessory pathways. As a preexcitation syndrome can be cured in about 95% of cases by catheter ablation, this review also focuses on the current mapping and ablation technologies in septally and epicardially located accessory pathways.

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  1. Herzzentrum, Abteilung für Elektrophysiologie, Universität Leipzig, Strümpellstraße 39, 04289, Leipzig, Deutschland

    K. Bode, A. Arya, G. Hindricks & U. Wetzel

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  1. K. Bode
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  2. A. Arya
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  3. G. Hindricks
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  4. U. Wetzel
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Correspondence to K. Bode.

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Bode, K., Arya, A., Hindricks, G. et al. Mapping und Ablation bei Präexzitationssyndromen. Kardiologe 3, 171–182 (2009). https://doi.org/10.1007/s12181-009-0174-5

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