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Elektrophysiologische Grundlagen

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Herzschrittmacher
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Zusammenfassung

Herzrhythmusstörungen lassen sich einteilen in Störungen der Reizbildung und Störungen der Erregungsleitung. Ursache ektoper Reizbildung können gesteigerte Automatic, abnorme Automatie (Imanishi u. Surawicz 1976) und getriggerte Aktivität (Wit etal. 1972 a) sein. Erregungsleitungsstörungen können in linearen geschlossenen Leitungsbahnen oder auch im räumlichen Gesamtzellverband zu Arrhythmien führen.

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Literatur

  • Allessie MA, Bonke FIM (1978) Is sustained circus movement into the sinus node possible? In: Bonke FIM (ed) The sinus node. Structure, function and clinical relevance. Martinus Nijhoff BV. The Hague

    Google Scholar 

  • Allessie MA, Bonke FIM, Schopman FJG (1973) Circus movement in rabbit atrial muscle as a mechanism of tachycardia. Circ Res 33: 54

    PubMed  CAS  Google Scholar 

  • Avenhaus H (1971) Rhythmusstörungen des Herzens bei Glykosidtherapie. Dtsch Med J 7: 189

    Google Scholar 

  • Bachmann K (1974) Bedeutung der EKG-Telemetrie. Dtsch Med Wochenschr 99: 1878

    Article  PubMed  CAS  Google Scholar 

  • Bethge K-P, Lichtlen PR (1981) Die Beurteilung der antiarrhythmischen Therapie durch Langzeitelektrokardiographie. In: Lüderitz B (Hrsg) Ventrikuläre Herzrhythmusstörungen. Pathophysiologic - Klinik - Therapie. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Carpentier R, Vassalle M (1971) Enhancement and inhibition of a frequency-activated electrogenic sodium pump in cardiac Purkinje fibers. In: Kao FF, Koizumi K, Vassalle M (Hrsg) Research in physiology: A liber memorials in honor of Dr Chandler Mc Cusky Brooks. Aulo Gaggi, Bologna

    Google Scholar 

  • Cranefield PF, Aronson RS (1974) Initiation of sustained rhythmic activity by single propagated action potentials in canine cardiac Purkinje fibres exposed to the sodium-free solution or ouabain. Cir Res 34: 477

    CAS  Google Scholar 

  • Cranefield PF, Wit AL, Hoffman BF (1973) Genesis of cardiac arrhythmias. Circulation 47: 190

    PubMed  CAS  Google Scholar 

  • Cremer M (1906) Über die direkte Ableitung der Aktionsstrome des menschlichen Herzens vom Oesophagus und über das EKG des Foetus. Munch Med Wochenschr 53: 811

    Google Scholar 

  • Desertenne F (1966) La tachycardie ventriculaire à deux foyers opposés variables. Arch Mal Coeur 59: 263

    Google Scholar 

  • Domiguez G, Fozzard HA (1970) Influence of extracellular K+-concentration on cable properties and excitability of sheep cardiac Purkinje fibers. Circ Res 26: 565

    Google Scholar 

  • Draper MH, Weidmann S (1951) Cardiac resting and action potentials recorded with an intracellular electrode. J Physiol 115: 74

    PubMed  CAS  Google Scholar 

  • Ferrier GR, Saunders JH, Mendez C (1973) A cellular mechanism for the generation of ventricular arrhythmias by acetylstrophantidin. Circ Res 32: 600

    PubMed  CAS  Google Scholar 

  • Fontaine G, Grosgogeat Y, Welti J-J, Tardieu B (1978) The essentials in cardiac pacing–an illustrated guide. Martinus Nijhoff BV, The Hague

    Book  Google Scholar 

  • Han J, Millet D, Chizzonitti B, Moe GK (1966) Temporal dispersion of recovery of excitability in atrium and ventricle as a function of rate. Am Heart J 71: 481

    Article  PubMed  CAS  Google Scholar 

  • Hauswirth O, Noble D, Tsien RW (1968) Adrenaline: mechanism of action on the pacemaker potential in cardiac Purkinje fibers. Science 162: 916

    Article  PubMed  CAS  Google Scholar 

  • Hodgkin AL, Huxley AF (1952) A quantitative description of membrane current and its application to the conduction and excitation in nerve. J Physiol 117: 444

    Google Scholar 

  • Hogan PM, Davis LD (1971) Electrophysiological characteristics of canine atrial plateau fibers. Circ Res 28: 62

    PubMed  CAS  Google Scholar 

  • Imanishi S, Surawicz B (1976) Automatic activity in depolarized guinea pig ventricular myocardium. Circ Res 39: 751

    PubMed  CAS  Google Scholar 

  • Janse MJ, Capelle FJL, Freud GE van, Durrer D (1971) Circus movement within the AV node as a basis of supraventricular tachycardia as shown by multiple microelectrode recording in the isolated rabbit heart. Circ Res 28: 403

    PubMed  CAS  Google Scholar 

  • Janse MJ, Capelle FJL van, Morsink H, Kléber AG, Wilms-Schopman F, Cardinal R, Naumann d’Alnoncourt C, Durrer D (1980) Flow of “injury” current and patterns of excitation during early ventricular arrhythmias in acute regional myocardial ischemia in isolated porcine and canine hearts. Evidence of two different arrhythmogenic mechanisms. Circ Res 47: 151

    PubMed  CAS  Google Scholar 

  • Knieriem H-J, Mecking D (1983) Anatomie und pathologische Anatomie des spezifischen Reizbildungs- und Erregungsleitungssystems sowie des kontraktilen Myokards. In: Lüderitz B (Hrsg) Herzrhythmusstörungen. Handbuch der Inneren MedizinIX/1. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Krikler DM, Curry P, Buffet J (1976) Dual-demand pacing for reciprocating atrioventricular tachycardia. Br Med J 1: 1114

    Article  PubMed  CAS  Google Scholar 

  • Leitner ER von (1983) Nicht-invasive Verfahren einschliefilich Holter-Monitoring. In: Lüderitz B (Hrsg) Herzrhythmusstorungen. Handbuch der Inneren Medizin IX/1. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Lenégre J (1964) Etiology and pathology of bilateral bundle branch block in relation to complete atrioventricular block. Prog Cardiovasc Dis 6: 409

    Article  PubMed  Google Scholar 

  • Lev M (1964) Anatomic basis for atrioventricular block. Am J Med 37: 742

    Article  PubMed  CAS  Google Scholar 

  • Lewis T, Feil HS, Stroud WD (1920) Observations upon flutter and fibrillation: II. Nature of auricular flutter. Heart 7: 191

    Google Scholar 

  • Lown B, Wolf M (1971) Approaches to sudden death from coronary heart disease. Circulation 44: 130

    PubMed  CAS  Google Scholar 

  • Lüderitz B (1977) Elektrotherapie bedrohlicher Herzrhythmusstorungen. Diagnostik 10: 49

    Google Scholar 

  • Lüderitz B (1979) Elektrische Stimulation des Herzens. Diagnostik und Therapie kardialer Rhythmusstörungen. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Lüderitz B (Hrsg) (1983) Herzrhythmusstorungen. Handbuch der Inneren Medizin IX/1. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Lüderitz B (1984) Therapie der Herzrhythmusstorungen - Leitfaden fur Klinik und Praxis. 2. Aufl. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Lüderitz B (1985) Langzeit-EKG: Ein hohes MaB an Verantwortung (Editorial). Dtsch Ärztebl 33: 2339

    Google Scholar 

  • Lüderitz B, Naumann d’Alnoncourt C (1980) Herzrhythmusstörungen bei Myokardinfarkt. Internist 21: 652

    PubMed  Google Scholar 

  • Lüderitz B, Steinbeck G, Naumann d’Alnoncourt C, Rosenberger W (1978) Relevance of diagnostic atrial stimulation for pacemaker treatment of sinoatrial disease. In: Bonke FIM (Hrsg) The sinus node, structure, function and clinical relevance. Martinus Nijhoff BV, The Hague

    Google Scholar 

  • Meesmann W, Gülker H, Krämer B, Stephan K (1976) Time course of changes in ventricular fibrillation threshold in myocardial infarction. Cardiovasc Res 10: 466

    Article  PubMed  CAS  Google Scholar 

  • Mendez C, Moe GK (1966) Demonstration of a dual AV nodal conduction system in the isolated rabbit heart. Circ Res 19: 378

    PubMed  CAS  Google Scholar 

  • Meyer J, Heinrich KW, Merx W, Effert S (1974) Computeranalyse des Elektrokardiogramms mit verschiedenen Programmen. Dtsch Med Wochenschr 99: 1213

    Article  PubMed  CAS  Google Scholar 

  • Mines GR (1914) On circulating excitations in heart muscles and their possible relation to tachycardia and fibrillation. Trans R Soc Canad, Sec 4. 8, 3: 43

    Google Scholar 

  • Moe GK, Preston JB, Burlington H (1956) Physiologic evidence for a dual AV transmission system. Circ Res 4: 357

    PubMed  CAS  Google Scholar 

  • Narula OS (1974) Sinus node reentry. A mechanism for supraventricular tachycardia. Circulation 50: 1114

    PubMed  CAS  Google Scholar 

  • Narula OS (1975) His bundle electrocardiography and clinical electrophysiology. Intern Symp Miami 1974, Davis Comp, Philadelphia

    Google Scholar 

  • Naumann d’Alnoncourt C, Lüderitz B (1980) Elektrostimulation bei Tachyarrhythmien -Pathophysiologic und Therapie. Herz/Kreisl 12: 145

    Google Scholar 

  • Naumann d’Alnoncourt C, Cardinal R, Janse MJ, Lüderitz B (1980) Effects of tocainide on ectopic impulse formation in isolated cardiac tissue. Klin Wochenschr 58: 227

    Article  PubMed  Google Scholar 

  • Naumann d’Alnoncourt C, Zierhut W, Lüderitz B (1982) “Torsade de pointes” tachycardia reentry or focal activity? Br Heart J 48:213

    Article  Google Scholar 

  • Netter FH (1971) Heart. Ciba, Vol 5

    Google Scholar 

  • Noble D (1975) The initiation of the heart beat. Clarendon Press, Oxford

    Google Scholar 

  • Orth-Gomér K, Edwards ME, Erhardt L, Sjogren A, Theorell T (1980) Relation between ventricular arrhythmias and physiological profile. Acta Med Scand 207: 31

    Article  PubMed  Google Scholar 

  • Rosenbaum MB, Elizari MV, Lazzari JO (1970) The hemiblocks. New concepts of intraventricular conduction based on human anatomical, physiological and clinical studies. Tampa Tracings. Oldsmar/Fla

    Google Scholar 

  • Sasyniuk BI, Mendez C (1971) A mechanism for re-entry in canine ventricular tissue. Circ Res 28: 3

    PubMed  CAS  Google Scholar 

  • Sperelakis N, Hoshiko T, Berne RM (1960) Nonsyncytial nature of cardiac muscle: membrane resistance of single cells. Am J Physiol 19: 531

    Google Scholar 

  • Steinbeck G (1978) Zur Pathogenese von Herzrhythmusstörungen. Internist (Berlin) 19: 200

    CAS  Google Scholar 

  • Steinbeck G, Korber H-J, Lüderitz B (1974) Die Bestimmung der sinuatrialen Leitungszeit beim Menschen durch gekoppelte atriale Einzelstimulation. Klin Wochenschr 52: 1151

    Article  PubMed  CAS  Google Scholar 

  • Weidmann S (1955) The effect of the cardiac membrane potential on the rapid availability of the sodium-carrying system. J Physiol 127: 213

    PubMed  CAS  Google Scholar 

  • Weidmann S (1956) Elektrophysiologie der Herzmuskelfaser. Huber, Bern Stuttgart

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

  • Wit AL, Hoffman BF, Cranefield PF (1972a) Slow conduction and re-entry in the ventricular conducting system I. Return extrasystole in canine Purkinje fibers. Circ Res 30: 11

    CAS  Google Scholar 

  • Wit AL, Cranefield PF, Hoffman BF (1972b) Slow conduction and re-entry in the ventricular conduction system II. Single and sustained circus movement in the networks of canine and bovine Purkinje fibers. Circ Res 30: 11

    CAS  Google Scholar 

  • Wit AL, Hoffman BF, Rosen MR (1975) Electrophysiology and pharmacology of cardiac arrhythmias. IX. Cardiac electrophysiologic effects of beta adrenergic receptor stimulation and blockade. Part C. Am Heart J 90: 795

    Article  CAS  Google Scholar 

  • Woodbury JW, Crill WE (1961) On the problem of impulse conduction in the atrium. In: Florey E (ed) Nervous inhibition. Pergamon Press, Oxford

    Google Scholar 

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Lüderitz, B. (1986). Elektrophysiologische Grundlagen. In: Herzschrittmacher. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70471-0_2

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  • DOI: https://doi.org/10.1007/978-3-642-70471-0_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-70472-7

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