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Herzschrittmachertherapie und Elektrophysiologie最新文献

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[Left bundle branch pacing is superior to classic cardiac resynchronisation therapy : Pros and cons]. [左束支起搏优于传统的心脏再同步疗法：利弊]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-12-01 Epub Date: 2024-11-18 DOI: 10.1007/s00399-024-01054-6
Sergio Richter, Bernd Lemke
{"title":"[Left bundle branch pacing is superior to classic cardiac resynchronisation therapy : Pros and cons].","authors":"Sergio Richter, Bernd Lemke","doi":"10.1007/s00399-024-01054-6","DOIUrl":"10.1007/s00399-024-01054-6","url":null,"abstract":"<p><p>Cardiac resynchronisation therapy (CRT) is an effective method for increasing quality of life and life expectancy for many patients with heart failure. Due to the good results, this procedure is used frequently in Germany and has established itself as a class I indication in heart failure therapy. In addition to His bundle pacing, left bundle branch pacing has now also made a name for itself, as it shows a good success rate and can be used in a wider range of patients. Now the question arises as to whether left bundle branch pacing is superior to classic biventricular pacing and what the evidence situation is in this respect. This question shall be discussed in this article considering current studies and guideline recommendations.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"256-262"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669599","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
[Epicardial ablation of ventricular tachycardia with cardiac surgery only : Pro/Contra]. [心外膜消融室性心动过速，只需进行心脏手术：赞成/反对]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-12-01 Epub Date: 2024-09-02 DOI: 10.1007/s00399-024-01038-6
Christian Sohns, Boris Schmidt
{"title":"[Epicardial ablation of ventricular tachycardia with cardiac surgery only : Pro/Contra].","authors":"Christian Sohns, Boris Schmidt","doi":"10.1007/s00399-024-01038-6","DOIUrl":"10.1007/s00399-024-01038-6","url":null,"abstract":"<p><p>During the ablation of ventricular arrhythmias (VA) complications can occur, albeit rather rarely, and their occurrence depends on various factors. On the one hand the patient's condition and comorbidities play a role, on the other hand the access site and the procedure itself can lead to complications which have to be addressed adequately. This article will discuss whether complex ablations with epicardial access should only be performed at centres with the appropriate expertise and a cardiac surgery department.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"286-289"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114668","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
[Cardiac arrhythmias in adults with congenital heart disease]. [成人先天性心脏病患者的心律失常]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-12-01 Epub Date: 2024-09-03 DOI: 10.1007/s00399-024-01037-7
Katharina Franke, Monika Lüdemann, Maria B Gonzalez Y Gonzalez
{"title":"[Cardiac arrhythmias in adults with congenital heart disease].","authors":"Katharina Franke, Monika Lüdemann, Maria B Gonzalez Y Gonzalez","doi":"10.1007/s00399-024-01037-7","DOIUrl":"10.1007/s00399-024-01037-7","url":null,"abstract":"<p><p>In patients with congenital heart disease, cardiac arrhythmias are complex and require a thorough understanding of the anatomy, past surgical and interventional procedures, and the specific electric processes. Supraventricular tachycardias commonly present as emergency situations and should be treated immediately, particularly when there is an underlying complex malformation. Establishing sinus rhythm is usually superior to pure frequency control for hemodynamic reasons. Catheter ablation should be preferred over medical treatment, even though several procedures are often necessary. In addition, bradycardia is seen more frequently in congenital heart defects; this could be aggravated by antiarrhythmic drugs. There are significant differences between the indications and techniques used for pacemaker implantation in patients with congenital heart defects and those without. Patients with complex congenital heart diseases have an increased risk of thromboembolism; therefore, an individual and early indication for low-threshold oral anticoagulation is necessary; direct oral anticoagulants can also be used for this purpose. In risk stratification for sudden cardiac death, the principles of general guidelines are often not applicable, and individualized decisions are required. Recently, a new general risk score for congenital heart disease has been developed. The treatment of cardiac arrhythmias in patients with congenital heart disease should always be performed in close cooperation with specialized centers.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"327-333"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121150","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
[Holter monitoring]. [Holter监测]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-08-19 DOI: 10.1007/s00399-024-01036-8
Carsten W Israel, Sona Tribunyan
{"title":"[Holter monitoring].","authors":"Carsten W Israel, Sona Tribunyan","doi":"10.1007/s00399-024-01036-8","DOIUrl":"10.1007/s00399-024-01036-8","url":null,"abstract":"<p><p>Holter monitoring represents a valuable diagnostic tool to document intermittent arrhythmias in the work-up of, for example, syncope, presyncope, collapse, falls, dizziness, stroke, palpitations, and a rapid heartbeat. In addition, it may help in the diagnosis of intermittent ischemia and channelopathies, particularly in the form of 12-lead Holter monitoring. Continuous ECG registration typically lasts from 24-48 h. The use of Holter monitoring is limited in patients with rare symptoms (< 1 × per month) and in recordings full of artifacts. The interpretation of a Holter recording combines an automatic analysis with a manual reassessment. The clinical relevance of many arrhythmias can only be considered together with symptoms and activity of the patient at the time of the event. Therefore, a patient diary accompanying the ECG recording is crucial. Systematic assessment of the ECG recording and knowledge about a number of pitfalls in Holter monitoring can optimize the interpretation of the recording.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"234-249"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001309","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 challenge: specialization meets general medicine]. [挑战：专业化与全科医学]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1007/s00399-024-01034-w
Harilaos Bogossian, Sonia Busch
{"title":"[The challenge: specialization meets general medicine].","authors":"Harilaos Bogossian, Sonia Busch","doi":"10.1007/s00399-024-01034-w","DOIUrl":"10.1007/s00399-024-01034-w","url":null,"abstract":"","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"175-176"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019555","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
Ventricular arrhythmias in the context of chronic kidney disease and electrolyte imbalance. 慢性肾病和电解质失衡导致的室性心律失常。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1007/s00399-024-01029-7
Ines Masmoudi, Zouhir Dindane, Sergio Richter, Micaela Ebert
{"title":"Ventricular arrhythmias in the context of chronic kidney disease and electrolyte imbalance.","authors":"Ines Masmoudi, Zouhir Dindane, Sergio Richter, Micaela Ebert","doi":"10.1007/s00399-024-01029-7","DOIUrl":"10.1007/s00399-024-01029-7","url":null,"abstract":"<p><p>Patients with chronic kidney disease face a high risk of sudden cardiac death, particularly in more advanced stages of renal dysfunction. Ventricular arrhythmias are prevalent and contribute to the heightened cardiovascular mortality. This review aims to explore the intricate interplay of disease-specific risk factors, arrhythmic triggers, and electrolyte disorders that amplify susceptibility to ventricular arrhythmias and sudden cardiac death in this population and influence the efficacy of available treatments.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"211-218"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617588","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
Missing markers and electrogram deflections in a recording from a CRT-D device: what is the mechanism? CRT-D 设备记录中的标记缺失和电图偏转：其机制是什么？
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-07-11 DOI: 10.1007/s00399-024-01025-x
S Serge Barold, Andreas Kucher
{"title":"Missing markers and electrogram deflections in a recording from a CRT-D device: what is the mechanism?","authors":"S Serge Barold, Andreas Kucher","doi":"10.1007/s00399-024-01025-x","DOIUrl":"10.1007/s00399-024-01025-x","url":null,"abstract":"","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"222-225"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581492","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
[Arrhythmias and amyloidosis]. [心律失常与淀粉样变性]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-05-13 DOI: 10.1007/s00399-024-01016-y
Maria Papathanasiou, Lara S Schlender, Victoria Louise Johnson, Reza Wakili
{"title":"[Arrhythmias and amyloidosis].","authors":"Maria Papathanasiou, Lara S Schlender, Victoria Louise Johnson, Reza Wakili","doi":"10.1007/s00399-024-01016-y","DOIUrl":"10.1007/s00399-024-01016-y","url":null,"abstract":"<p><p>Cardiac amyloidosis is an infiltrative cardiomyopathy characterized by the extracellular deposition of amyloid fibrils within the myocardium. Beyond heart failure, patients with cardiac amyloidosis commonly present with arrhythmias and conduction system disorders. Atrial fibrillation is observed in up to 80% of patients at the time of diagnosis, with patients typically maintaining normal heart rates due to concurrent atrioventricular nodal disease. The thromboembolic risk is particularly high in patients with cardiac amyloidosis, and left atrial thrombi have been observed even in the absence of atrial fibrillation. Conduction system diseases are also highly prevalent, often necessitating permanent pacemaker implantation. The use of implantable defibrillators in this population remains controversial. This overview of published data and therapeutic strategies related to arrhythmias and conduction system disorders aims to assist readers in decision-making in complex clinical scenarios.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"199-204"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917460","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
[Arrhythmias in sarcoidosis]. [肉样瘤病中的心律失常]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1007/s00399-024-01032-y
Borislav Dinov, Nikolaos Tsianakas, Laura Ueberham
{"title":"[Arrhythmias in sarcoidosis].","authors":"Borislav Dinov, Nikolaos Tsianakas, Laura Ueberham","doi":"10.1007/s00399-024-01032-y","DOIUrl":"10.1007/s00399-024-01032-y","url":null,"abstract":"<p><p>Cardiac sarcoidosis (CS) is difficult to diagnose and often requires a careful evaluation of numerous diagnostic findings. Typical features at initial presentation are a high-grade atrioventricular (AV) block and ventricular tachycardias that cannot be explained by other common entities, especially in younger patients. CS is frequently misdiagnosed and inappropriately treated, which may have deleterious consequences for the patients. In this review article, we focus on special features of the arrhythmias typical of sarcoidosis and also discuss the underlying substrate and the approach in special situations. Furthermore, we provide recommendations from our daily clinical experience, discuss open questions, and explain the need for research.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"205-210"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903595","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
[Practical guidance for the implantation of non-transvenous ICD systems]. [非经脉 ICD 系统植入实用指南]。
Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI: 10.1007/s00399-024-01042-w
David Duncker, Karolin Albert, Andreas Rillig, Philipp Sommer, Christian-Hendrik Heeger, Melanie Gunawardene, Sascha Rolf, Henning Jansen, Heidi Estner, Till Althoff, Tilman Maurer, Roland Tilz, Leon Iden, Victoria Johnson, Daniel Steven
{"title":"[Practical guidance for the implantation of non-transvenous ICD systems].","authors":"David Duncker, Karolin Albert, Andreas Rillig, Philipp Sommer, Christian-Hendrik Heeger, Melanie Gunawardene, Sascha Rolf, Henning Jansen, Heidi Estner, Till Althoff, Tilman Maurer, Roland Tilz, Leon Iden, Victoria Johnson, Daniel Steven","doi":"10.1007/s00399-024-01042-w","DOIUrl":"10.1007/s00399-024-01042-w","url":null,"abstract":"<p><p>As an alternative to transvenous ICD systems, two non-transvenous ICD systems have been established in recent years: The subcutaneous ICD (S-ICD), which has been established for several years, has a presternal electrode that is implanted subcutaneously and offers a shock function and, to a limited extent, post-shock pacing. In addition, the extravascular ICD (EV-ICD) has been available in Europe since 2023 which does not require transvenous electrodes and offers the option of providing patients with antibradycardic and antitachycardic stimulation in combination with a conventional ICD function. The lead of this device is implanted substernally. Initial implantation results are promising in terms of safety and effectiveness. Both systems avoid possible complications of transvenous electrodes. This article provides practical guidance for the implantation technique and possible complications.</p>","PeriodicalId":52403,"journal":{"name":"Herzschrittmachertherapie und Elektrophysiologie","volume":" ","pages":"226-233"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019554","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
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