Antibradykarde Stimulation: Prognose, Hämodynamik, Indikationen

Conference paper


Die antibradykarde, elektrische Therapie des Herzens stellt heute eine der effektivsten Behandlungsmethoden der modernen Kardiologie dar. Ihre Vorteile gegenüber einer medikamentösen Therapie werden vor allem bei höhergradigen AV-Blockierungen mit und ohne Adams-Stokes-Symptomatik deutlich. So war vor Beginn der Schrittmacherära die Manifestation einer Adams-Stokes-Symptomatik und/oder die Entwicklung eines kompletten AV-Blocks bei einer Letalität von etwa 50% im ersten Jahr (Penton, 1956; Edhag, 1976) mit einer sehr ernsten Prognose behaftet; mit der Einführung der Schrittmachertherapie wurde sie entscheidend verbessert.


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