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01.04.2012 | Interventionelle Elektrophysiologie

Ablation ventrikulärer Tachykardien bei Herzinsuffizienz

verfasst von: D. Bänsch, MD, R. Schneider, I. Akin, C.A. Nienaber

Erschienen in: Die Kardiologie | Ausgabe 2/2012

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Zusammenfassung

Ventrikuläre Tachykardien (VT), Schocks und VT-Cluster sind bei Patienten mit implantierbaren Defibrillatoren (ICD) mit einem erhöhten Risiko für Sterblichkeit und Krankenhausaufenthalte assoziiert. VT-Cluster werden häufig bei einer Verschlechterung der Herzinsuffizienz, im Rahmen von akuten Koronarereignissen und bei Elektrolytimbalancen gesehen. Die Assoziation ist oft nur vage und nur selten kausal. Möglicherweise muss bei Patienten, die ein Substrat für ventrikuläre Reentrytachykardien haben, immer von einer zunehmenden Häufung der VTs ausgegangen werden. Die hohe Rezidivrate von VT-Stürmen nach medikamentöser Einstellung spricht für diese Sichtweise. Die VT-Ablation scheint der medikamentösen Therapie überlegen zu sein. Der optimale Zeitpunkt für eine Ablation ist nicht bekannt. Eine prophylaktische Ablation wird nur von wenigen Zentren vorgenommen. Selbst eine frühzeitige Ablation, z. B. nach dem ersten Schock, wird nur in wenigen Zentren durchgeführt. Obgleich diese Vorgehensweise durchaus leitlinienkonform ist, spricht heute vieles für eine prophylaktische VT-Ablation bereits nach dem ersten Schock, bzw. der ersten VT.
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Metadaten
Titel
Ablation ventrikulärer Tachykardien bei Herzinsuffizienz
verfasst von
D. Bänsch, MD
R. Schneider
I. Akin
C.A. Nienaber
Publikationsdatum
01.04.2012
Verlag
Springer-Verlag
Erschienen in
Die Kardiologie / Ausgabe 2/2012
Print ISSN: 2731-7129
Elektronische ISSN: 2731-7137
DOI
https://doi.org/10.1007/s12181-012-0407-x

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19.07.2024 Leberzirrhose Nachrichten

Bei einer Auswertung von US-Versicherungsdaten ging es um die Frage, welche Antikoagulation –  Apixaban, Rivaroxaban oder Warfarin – bei Personen mit Leberzirrhose und Vorhofflimmern unterm Strich die beste Prophylaxe-Option ist.     

Informierte Frauen neigen zu späterem Mammografie-Screening

Frauen in ihren 40ern, die über die Vor- und Nachteile des Mammografie-Screenings auf Brustkrebs informiert werden, neigen stärker dazu, den Screeningbeginn nach hinten zu verschieben. Die Mehrheit aber nähme das Angebot an, wie eine US-Studie zeigt.

Endometriose-Subtypen und das Risiko für Ovarialkarzinome

19.07.2024 Ovarialkarzinom Nachrichten

US-Kohortendaten sprechen dafür, dass verschiedene Endometrioseformen unterschiedlich mit dem Risiko für Ovarialkarzinome assoziiert sind. Besonders erhöht ist das Risiko offenbar bei tief infiltrierenden und ovariellen Endometrioseformen.

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