Plötzlicher Herztod bei koronarer Herzkrankheit: Wertigkeit des Langzeit-EKG zur Identifikation von Risikopatienten

  • E.-R. von Leitner

Zusammenfassung

Der plötzliche Herztod ist in der Regel eine Komplikation der schweren koronaren Mehrgefäßerkrankung. Mehr als 75% der plötzlich Versterbenden leiden an schwerer Koronarsklerose, in den meisten Fällen ist das Herz durch einen Myokardinfarkt vorgeschädigt. Bei etwa 85% sind tachykarde Rhythmusstörungen, Kammerflimmern oder Kammertachykardien, die zum Tode führende Arrhythmie. Bradykarde Rhythmusstörungen haben dagegen nur selten den Tod zur Folge. Aus diesem Grunde müssen elektrokardiographische Methoden in erster Linie dafür eingesetzt werden, nach tachykarden ventrikulären Arrhythmien zu fahnden, die auf eine erhöhte elektrische Instabilität des Herzens bei Koronarkranken hinweisen können.

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Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1989

Authors and Affiliations

  • E.-R. von Leitner
    • 1
  1. 1.Medizinische Klinik IIStädtisches Krankenhaus SiloahHanover 91Deutschland

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