Herzschrittmachertherapie und Elektrophysiologie最新文献_第2页

Werner Irnich und die Entwicklung des Zweikammer-Herzschrittmachers : Ein Nachruf. Werner Irnich和双腔心脏起搏器的发展：讣言。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 DOI: 10.1007/s00399-025-01105-6

Bernd Lemke

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Mitteilungen aus der Arbeitsgruppe Elektrophysiologie und Rhythmologie (AGEP). 电生理学和节律学工作组（AGEP）。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 DOI: 10.1007/s00399-025-01100-x

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Sports or no sports? How to manage the young arrhythmia patient. 运动还是不运动？如何处理年轻心律失常患者。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-07-28 DOI: 10.1007/s00399-025-01089-3

Ilger Ertugrul, Nico A Blom

{"title":"Sports or no sports? How to manage the young arrhythmia patient.","authors":"Ilger Ertugrul, Nico A Blom","doi":"10.1007/s00399-025-01089-3","DOIUrl":"10.1007/s00399-025-01089-3","url":null,"abstract":"Background: Inherited arrhythmia syndromes and cardiomyopathies are among the most concerning causes of sudden cardiac death in young individuals, particularly in the context of physical activity. Historically, sports participation in these patients has been broadly restricted due to safety concerns. However, emerging data and updated guidelines suggest that a more individualized approach may be both appropriate and safe.Objectives: The aim of this study was to review current evidence and evolving recommendations regarding sports participation in young individuals with inherited cardiac diseases.Materials and methods: This review synthesizes recent studies, expert consensus statements, and current international guidelines (ESC, AHA/ACC).Results: Recent data indicate that, in selected patients with inherited arrhythmia syndromes and cardiomyopathies who have undergone thorough evaluation and counseling, participation in sports-under appropriate precautions-may be safe and well tolerated. Emerging studies report low incidence of adverse events in appropriately managed athletes. Guidelines have shifted away from blanket restrictions and towards shared decision-making, especially in asymptomatic individuals or those with controlled disease. Key factors include genotype-phenotype correlation, history of arrhythmic events, treatment adherence, and patient/family understanding of risks.Conclusion: In contrast to traditional dogma, a growing body of evidence supports less restrictive, patient-centered management for young individuals with inherited cardiac conditions. With proper evaluation, risk stratification, and informed decision-making, sports participation and leisure time activities may be possible-and even beneficial-for many of these patients.","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"211-218"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Left ventricular electrode placement in cardiac resynchronization therapy]. [心脏再同步化治疗中的左心室电极置入]。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-08-04 DOI: 10.1007/s00399-025-01088-4

Andreas Napp, Henning Jansen, Till Althoff, Roland Tilz, Christian Hendrik Heeger, Victoria Johnson, Andreas Rillig, Leon Iden, Sascha Rolf, Tilman Maurer, K R Julian Chun, Philipp Sommer, Daniel Steven, David Duncker, Klaus K Witte

{"title":"[Left ventricular electrode placement in cardiac resynchronization therapy].","authors":"Andreas Napp, Henning Jansen, Till Althoff, Roland Tilz, Christian Hendrik Heeger, Victoria Johnson, Andreas Rillig, Leon Iden, Sascha Rolf, Tilman Maurer, K R Julian Chun, Philipp Sommer, Daniel Steven, David Duncker, Klaus K Witte","doi":"10.1007/s00399-025-01088-4","DOIUrl":"10.1007/s00399-025-01088-4","url":null,"abstract":"Cardiac resynchronization therapy (CRT) is an important component of the treatment of heart failure patients with reduced left ventricular (LV) ejection fraction and a widened ventricular complex due to bundle branch block. The positioning of the LV lead, which is placed in lateral branches of the coronary sinus (CS), is of particular importance, as optimal positioning is crucial for the success of therapy; poor or incorrect positioning can worsen the prognosis. CS cannulation and LV lead implantation is particularly challenging when learning the procedure, and overall, has a flatter learning curve compared to the implantation of a dual-chamber device. Therefore, in addition to theoretical knowledge, surgical experience and manual dexterity are also important. This article is intended to provide the reader a comprehensive understanding of the fundamental principles of implantation. Techniques for cannulation of challenging CS anatomies are presented, and routinely encountered difficulties such as venous valves and common complications are described using examples. Additionally, we will describe the different types of leads and their respective benefits and disadvantages. We hope to provide tips and tricks to facilitate the swift and successful application of CRT therapy in daily practice.","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"249-260"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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[Pediatric and congenital arrhythmia treatment : A complex interplay between expertise, re-imbursement, and industry]. [儿科和先天性心律失常治疗：专业知识、报销和行业之间复杂的相互作用]。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-08-06 DOI: 10.1007/s00399-025-01099-1

Gunter Kerst

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Kinderwunsch in der EP-Ausbildung: Hürden und Chancen. 教育中的性别平等：挑战与机遇。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 DOI: 10.1007/s00399-025-01101-w

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[Rhythmology in children and adolescents : What is different from the adult world?] 儿童和青少年的节奏学：与成人世界有什么不同？］

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-08-10 DOI: 10.1007/s00399-025-01104-7

Joachim Hebe, Lars Eckardt, Christian Veltmann

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[Compatibility of family and cardiac electrophysiology]. [家庭与心脏电生理的相容性]。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 10.1007/s00399-025-01092-8

Johanna Müller-Leisse, Henrike A K Hillmann, David Duncker

{"title":"[Compatibility of family and cardiac electrophysiology].","authors":"Johanna Müller-Leisse, Henrike A K Hillmann, David Duncker","doi":"10.1007/s00399-025-01092-8","DOIUrl":"10.1007/s00399-025-01092-8","url":null,"abstract":"Cardiac electrophysiology which includes device therapy and invasive cardiac electrophysiology is a growing interventional field within cardiology that has mostly been occupied by men but is increasingly attracting women. As the percentage of female physicians increases and as men share more family responsibilities, many young physicians are facing the question of whether a career in cardiac electrophysiology is compatible with family. Conditions allowing family-compatible working hours are met since electrophysiological procedures are usually elective. However, current structural conditions often require a high level of organization to realize well-scheduled working hours. The long training period also requires good organization, patience, and endurance. For a successful balance between career aspirations and family life in the field of cardiac electrophysiology, motivation and a willingness to compromise on the part of the employer and employee are often warranted. Employers and supervisors can further support employees with families by appreciating their efforts and by offering dedicated support programs and childcare on site. The ongoing scientific and social-political debate is crucial for the field of cardiac electrophysiology to become future-oriented and bring about long-term structural changes to promote young talent regardless of gender and family status.","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"238-244"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638668","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}

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[Update of the ESC atrial fibrillation guidelines : From the DGK commission for clinical cardiovascular medicine]. [ESC房颤指南的更新：来自DGK临床心血管医学委员会]。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-07-31 DOI: 10.1007/s00399-025-01096-4

Renate B Schnabel, Melanie Anuscha Gunawardene, Christian Andreas Perings, Daniel Steven, Hans-Jörg Busch, Isabel Deisenhofer, Karl Georg Häusler, Philipp Sommer, Ralf Birkemeyer, Lars Eckardt

{"title":"[Update of the ESC atrial fibrillation guidelines : From the DGK commission for clinical cardiovascular medicine].","authors":"Renate B Schnabel, Melanie Anuscha Gunawardene, Christian Andreas Perings, Daniel Steven, Hans-Jörg Busch, Isabel Deisenhofer, Karl Georg Häusler, Philipp Sommer, Ralf Birkemeyer, Lars Eckardt","doi":"10.1007/s00399-025-01096-4","DOIUrl":"10.1007/s00399-025-01096-4","url":null,"abstract":"In 2024, the current ESC guidelines for the management of atrial fibrillation (AF) were published. Despite significant advances in the prevention, diagnosis and treatment of AF, it remains the most common sustained arrhythmia with a significant impact on patients, their caregivers and public health. The concise guidelines focus on evidence-based recommendations and their practical implementation supported by clear figures and treatment pathways. The holistic care for AF patients including their comorbidities is prioritized in a comprehensive AF-CARE concept. It comprises \"C\" for comorbidities and risk factor management, \"A\" for avoidance of stroke and thromboembolism, \"R\" for reduction of symptoms by rate and rhythm control and \"E\", evaluation and dynamic reassessment. Ablation is now the first-line therapy in paroxysmal AF. Current data on device detected AF and triggered AF are considered. Maximum involvement of the patient for informed, shared decision-making is suggested, supported by the parallel publication of patient guidelines.","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"226-232"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unusual course of outflow tract tachycardia and cardiac decompensation in childhood: a case report and review of the literature. 儿童期流出道心动过速及心脏失代偿异常病程：1例报告及文献复习。

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-09-01 Epub Date: 2025-07-25 DOI: 10.1007/s00399-025-01090-w

Antonia Weymann, Julia Köbe, Julia Stegger, Julian Wolfes, Lars Eckardt, Matthias Sigler

{"title":"Unusual course of outflow tract tachycardia and cardiac decompensation in childhood: a case report and review of the literature.","authors":"Antonia Weymann, Julia Köbe, Julia Stegger, Julian Wolfes, Lars Eckardt, Matthias Sigler","doi":"10.1007/s00399-025-01090-w","DOIUrl":"10.1007/s00399-025-01090-w","url":null,"abstract":"Outflow tract tachycardia (OT) is the most common form of idiopathic ventricular tachycardia (VT) in children. It is usually an incidental finding and presents only with mild symptoms. If affected patients have impaired left ventricular (LV) function, recovery usually progresses quickly after termination of the VT. To the best of the authors' knowledge, this is the first description of a 9-year-old female patient who presented with incessant right ventricular OT and LV dysfunction that was initially assumed to be tachycardiomyopathy and later diagnosed to be related to underlying laminopathy. The VT was successfully treated by radiofrequency ablation, and electroanatomical mapping demonstrated no signs of endocardial scarring. The VT had most likely been present for a prolonged period since the patient and initially presented with only mild symptoms of cardiac congestion despite severely impaired LV function. It seems probable that the laminopathy somehow influenced the unusual course of impaired LV function in this patient, who had either idiopathic VT combined with incidentally proven laminopathy or, less likely, outflow tract VT related to the laminopathy mimicking idiopathic VT.","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"233-237"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0