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Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete最新文献

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[Pharmacology of modern anti-arrhythmia drugs in therapy of supraventricular tachycardia]. [现代抗心律失常药物治疗室上性心动过速的药理学]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-09-01
P Honerjäger, G Schmidt
{"title":"[Pharmacology of modern anti-arrhythmia drugs in therapy of supraventricular tachycardia].","authors":"P Honerjäger,&nbsp;G Schmidt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prevention of recurrences of atrial fibrillation, slowing the ventricular rate during atrial fibrillation, and the acute management of atrioventricular junctional reentrant supraventricular tachycardia (paroxysmal supraventricular tachycardia) often require treatment with antiarrhythmic drugs. These drugs comprise a pharmacodynamically and pharmacokinetically heterogeneous group of agents whose individual properties determine correct use, contraindications and side effects. Stabilisation of sinus rhythm can be achieved with class IA and class IC sodium channel blocking drugs as well as with the class III agents amiodarone or sotalol. Verapamil, diltiazem, cardioselective beta-adrenoceptor-blocking drugs or cardiac glycosides can be used to slow the ventricular rate during atrial fibrillation. Rapid termination of paroxysmal supraventricular tachycardia is achieved with i.v. administration of adenosine, verapamil, ajmaline, diltiazem, propafenone, or flecainide. If atrial flutter complicates the preexcitation syndrome, this type of supraventricular tachycardia must not be treated with calcium antagonists, cardiac glycosides or lidocaine, since these agents decrease refractoriness of the accessory pathway which may precipitate fatal ventricular fibrillation.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 9","pages":"425-9"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19202701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Non-pharmacologic treatment of pre-excitation syndromes]. [预兴奋综合征的非药物治疗]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-09-01
D Pfeiffer, J Tebbenjohanns, W Jung
{"title":"[Non-pharmacologic treatment of pre-excitation syndromes].","authors":"D Pfeiffer,&nbsp;J Tebbenjohanns,&nbsp;W Jung","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Paroxysmal tachyarrhythmias due to accessory atrioventricular pathways are usually not completely suppressible with antiarrhythmic drug therapy. These patients can be treated by implantable antitachycardia pacemakers or surgical or catheter ablation of accessory pathways. The antitachycardia pacemaker offers a symptomatic treatment, which is indicated in patients with less often arrhythmias, without atrial fibrillation and with haemodynamically stable tachycardias. The surgical interruption of accessory pathways depends on thoracotomy and often the cardiopulmonary bypass. This therapy is a curative treatment, which is indicated in patients with further cardiac disease needing surgical intervention. Catheter ablation of accessory pathways with radiofrequency energy is the modern treatment. Our own experience with 12 patients with preexcitation syndrome and antitachycardia pacemakers, 50 patients with surgical interruption of accessory conduction and 63 patients with catheter ablation is referred and the results are discussed.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 9","pages":"446-52"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19202704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diagnosis and clinical aspects of supraventricular tachycardia]. [室上性心动过速的诊断及临床特点]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-09-01
E Meisel
{"title":"[Diagnosis and clinical aspects of supraventricular tachycardia].","authors":"E Meisel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Supraventricular tachycardias are the most frequently occurring manifestations of arrhythmia. They make very high demands on the physician in respect of differential diagnosis and clinical assessment. Atrial tachycardias, atrial flutter and atrial fibrillation are mainly associated with an underlying cardiac disease. The isolated forms of atrial flutter and fibrillation without any detectable cardiac disease are a diagnostic challenge and are associated with a relatively high rate of complications. AV node reentry and AV tachycardias with accessory path are not associated with cardiac disease; they occur in 0.8% of the population and can be assessed with satisfactory accuracy in respect of mechanism and risk by means of the 12-lead ECG alone.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 9","pages":"414-24"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19202134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Despite use of iodized salt in individual food preparation there remains a 1st degree iodine deficiency in Germany]. [尽管在个别食品制备中使用了加碘盐，但在德国仍然存在一级碘缺乏症]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
R Hampel, K Rönsch
{"title":"[Despite use of iodized salt in individual food preparation there remains a 1st degree iodine deficiency in Germany].","authors":"R Hampel,&nbsp;K Rönsch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Due to the fact that the use of iodated table salt is not compulsory in Germany and entirely at the discretion of the individual consumer, there is hardly any effective prevention of endemic iodine deficiency struma in this country. The good results achieved in the former GDR with iodine prophylaxis dropped to the FRG level after the unification. Using iodated salt when preparing individual food dishes is not enough to counteract iodine deficiency. We proved this in our study which is communicated below. An iodine deficiency of the first degree remains. Effective compensation of iodine deficiency can be achieved only if iodine is added on a large scale in all branches of food preparation (including the serving and catering of food), of the food industry (on both a major and a small scale) and in meat production, i.e. in producing food of animal origin.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"401-3"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19365418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Isolated florid pulmonary valve endocarditis]. 孤立性肺瓣膜心内膜炎。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
D Fritzsche, R Krakor, H Goos, J Berkei, L Heidrich
{"title":"[Isolated florid pulmonary valve endocarditis].","authors":"D Fritzsche,&nbsp;R Krakor,&nbsp;H Goos,&nbsp;J Berkei,&nbsp;L Heidrich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report on a case of isolated pulmonary valve endocarditis caused by coagulase-negative staphylococci 22 years after total correction of a pentalogy of Fallot. The M-mode and two-dimensional echocardiographic findings are presented, and the patient's clinical progress is described. An overview of the literature shows isolated endocarditis of the pulmonary valve to be an exceptionally rare occurrence. 6 months postoperatively, the patient has not been experiencing a relapse and is now in NYHA stage I.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"404-5"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19365419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Transitional quarter year after the death of the practice owner ("grace period quarter year")]. [执业业主去世后的过渡季度(“宽限期季度”)]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
M Broglie
{"title":"[Transitional quarter year after the death of the practice owner (\"grace period quarter year\")].","authors":"M Broglie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"410"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19365421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Value of nuclear medicine procedures in evaluating the hemodynamics in physical medicine and cardiac rehabilitation]. [核医学程序在物理医学和心脏康复中评价血流动力学的价值]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
H J Winterfeld, H Siewert, D Strangfeld, R Aurisch, J Kruse
{"title":"[Value of nuclear medicine procedures in evaluating the hemodynamics in physical medicine and cardiac rehabilitation].","authors":"H J Winterfeld,&nbsp;H Siewert,&nbsp;D Strangfeld,&nbsp;R Aurisch,&nbsp;J Kruse","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is a report on the application and importance of nuclear-medical procedures in physical therapy and rehabilitation. In particular, attention is focused on the parameters of peripheric haemodynamics (T1/2 and -A) and of the left ventricular ejection fraction. The authors aim at demonstrating their own results gained during the last 10 years in different groups of patients suffering from cardiovascular diseases at rest and under load. The results are critically estimated, including the relevant literature, and conclusions are drawn for clinical practice.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"386-90"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19365415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The effect of low and high molecular weight dextrans on selected lipid parameters in serum. Part 3]. 低分子量和高分子量右旋糖酐对血清选定脂质参数的影响。第3部分)。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
C Rühlmann, M Koksch, K Hohdorf, B Kuklinski
{"title":"[The effect of low and high molecular weight dextrans on selected lipid parameters in serum. Part 3].","authors":"C Rühlmann,&nbsp;M Koksch,&nbsp;K Hohdorf,&nbsp;B Kuklinski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After a ten-day treatment of 21 patients with low molecular weight dextran (MW = 40,000), a decrease in the plasma concentrations of total cholesterol of 25%, LDL-cholesterol of 32% and apoprotein B of 22% was observed. The HDL fraction only showed a reduction of 10%. These dextran effects were dose-dependent. During the post-treatment period of 20 days a continuous increase in the lipid parameters to the preinfusion values was demonstrated. Dextran caused stronger lipid changes in HLP patients than in normolipaemics.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"381-5"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18694022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Illness-specific knowledge, coping with illness and metabolic control in insulin-injecting diabetic patients in a random city population]. [随机城市人群胰岛素注射糖尿病患者的疾病特异性知识、疾病应对和代谢控制]。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
U A Müller, G Berlet, I S Ross, H Klinger
{"title":"[Illness-specific knowledge, coping with illness and metabolic control in insulin-injecting diabetic patients in a random city population].","authors":"U A Müller,&nbsp;G Berlet,&nbsp;I S Ross,&nbsp;H Klinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A knowledge test about diabetes using a standardized interview was assessed in 186 (81%) of 229 insulin treated patients below the age of 60 who are registered and treated in the diabetes care unit Jena. 90% of these patients were on conventional insulin therapy. The frequency of errors was positive correlated to glycosylated haemoglobin, age and body-mass-index, it was lower in type 1 than in type 2 diabetic patients and decreased with a better education level. Deficiencies of knowledge were detected in the following areas: hyperglycaemic coma, consequence of acetone and obesitas. Knowledge regarding late complications was on a high level. 20% of type 1 and 43% of type 2 diabetic patients did not know their daily carbohydrate units. But the metabolic control in these patients was not different from the patients who know their carbohydrates exactly. Most frequent missed subjects in the patient information were reported: modern therapy strategies, insulin pumps and nutrition. 77% of all patients did not feel ill because of their diabetes and 91% reported an unchanged relationship to their family after diabetes was diagnosed.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"369-75"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19365413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Follow-up studies of patients with negative TRH test and normal thyroid hormone levels]. 【TRH试验阴性、甲状腺激素水平正常患者的随访研究】。
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-08-01
H Döge, O Hübner, K Kempe, A Riedel, W Ortweiler
{"title":"[Follow-up studies of patients with negative TRH test and normal thyroid hormone levels].","authors":"H Döge,&nbsp;O Hübner,&nbsp;K Kempe,&nbsp;A Riedel,&nbsp;W Ortweiler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the study was to assess the clinical significance of the association of a negative TRH-test with normal thyroid hormone levels. Therefore, we repeated the investigation in 63 patients one year after the first examination. In 6 patients (10%) hyperthyroidism had developed. Euthyroid autonomy was diagnosed in 11 patients (17%). A prolonged normalisation period of the pituitary-thyroid regulation after having discontinued the thyroid hormone drugs was found in 7 patients (11%). In 40% of the patients the TRH-test remained negative and in 22% of the patients the TSH-response became positive without any known reason. The findings show that a negative TRH-test and normal thyroid hormone levels do not necessarily imply subclinical hyperthyroidism.</p>","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 8","pages":"398-400"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19365417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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