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Erschienen in: MMW - Fortschritte der Medizin 7/2018

16.04.2018 | Vorhofflimmern | FORTBILDUNG . ÜBERSICHT

Häufige Rhythmusstörungen in der hausärztlichen Praxis

Herzen ohne Takt — das ist zu tun!

verfasst von: Prof. Dr. med. Heidi Estner, Dr. med. Korbinian Lackermair

Erschienen in: MMW - Fortschritte der Medizin | Ausgabe 7/2018

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Zusammenfassung

Patienten mit Herzrhythmusstörungen sind eine besondere Herausforderung für den Hausarzt. Er muss erkennen, ob die Arrhythmien harmlos oder gefährlich sind, aber in der Regel sind die Phasen von Herzklopfen, Herzjagen oder Schwindel zum Zeitpunkt der Vorstellung beim Hausarzt oder während der Untersuchung schon nicht mehr nachweisbar. In diesem Beitrag geben wir für die häufigsten Rhythmusstörungen Tipps zur Diagnosesicherung.
Literatur
1.
Zurück zum Zitat Brignole M, Auricchio A, Baron-Esquivias G et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J. 2013;34:2281–329CrossRef Brignole M, Auricchio A, Baron-Esquivias G et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J. 2013;34:2281–329CrossRef
2.
Zurück zum Zitat Kostis JB, McCrone K, Moreyra AE et al. Premature ventricular complexes in the absence of identifiable heart disease. Circulation. 1981;63:1351–6CrossRef Kostis JB, McCrone K, Moreyra AE et al. Premature ventricular complexes in the absence of identifiable heart disease. Circulation. 1981;63:1351–6CrossRef
3.
Zurück zum Zitat Pedersen CT, Kay GN, Kalman J et al. EHRA/HRS/APHRS expert consensus on ventricular arrhythmias. Europace. 2014;16:1257–83CrossRef Pedersen CT, Kay GN, Kalman J et al. EHRA/HRS/APHRS expert consensus on ventricular arrhythmias. Europace. 2014;16:1257–83CrossRef
4.
Zurück zum Zitat Bogun F, Crawford T, Reich S et al. Radiofrequency ablation of frequent, idiopathic premature ventricular complexes: comparison with a control group without intervention. Heart Rhythm. 2007;4:863–7CrossRef Bogun F, Crawford T, Reich S et al. Radiofrequency ablation of frequent, idiopathic premature ventricular complexes: comparison with a control group without intervention. Heart Rhythm. 2007;4:863–7CrossRef
5.
Zurück zum Zitat Gopinathannair-Retheridge SP, Marchlinski FE, Spinale FG, Lakkireddy D, Olshansky B. Arrhythmia-Induced Cardiomyopathies: Mechanisms, Recognition, and Management. J Am Coll Cardiol. 2015;66:1714–28CrossRef Gopinathannair-Retheridge SP, Marchlinski FE, Spinale FG, Lakkireddy D, Olshansky B. Arrhythmia-Induced Cardiomyopathies: Mechanisms, Recognition, and Management. J Am Coll Cardiol. 2015;66:1714–28CrossRef
6.
Zurück zum Zitat Priori SG, Blomström-Lundqvist C, Mazzanti A et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015;36:2793–867CrossRef Priori SG, Blomström-Lundqvist C, Mazzanti A et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015;36:2793–867CrossRef
7.
Zurück zum Zitat Kirchhof P, Benussi S, Kotecha D et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016;37:2893–962CrossRef Kirchhof P, Benussi S, Kotecha D et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016;37:2893–962CrossRef
8.
Zurück zum Zitat Motloch LJ, Reda S, Larbig R et al. Characteristics of coronary artery disease among patients with atrial fibrillation compared to patients with sinus rhythm. Hellenic J Cardiol. 2017;58:204–12CrossRef Motloch LJ, Reda S, Larbig R et al. Characteristics of coronary artery disease among patients with atrial fibrillation compared to patients with sinus rhythm. Hellenic J Cardiol. 2017;58:204–12CrossRef
9.
Zurück zum Zitat Botto GL, Padeletti L, Santini M et al. Presence and duration of atrial fibrillation detected by continuous monitoring: crucial implications for the risk of thromboembolic events. J Cardiovasc Electrophysiol. 2009;20:241–8CrossRef Botto GL, Padeletti L, Santini M et al. Presence and duration of atrial fibrillation detected by continuous monitoring: crucial implications for the risk of thromboembolic events. J Cardiovasc Electrophysiol. 2009;20:241–8CrossRef
10.
Zurück zum Zitat Mairesse GH, Moran P, Van Gelder IC et al. Screening for atrial fibrillation: a European Heart Rhythm Association (EHRA) consensus document endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE). Europace. 2017;19:1589–623CrossRef Mairesse GH, Moran P, Van Gelder IC et al. Screening for atrial fibrillation: a European Heart Rhythm Association (EHRA) consensus document endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE). Europace. 2017;19:1589–623CrossRef
11.
Zurück zum Zitat Doherty JU, Gluckman TJ, Hucker WJ et al. 2017 ACC Expert Consensus Decision Pathway for Periprocedural Management of Anticoagulation in Patients With Nonvalvular Atrial Fibrillation: A Report of the American College of Cardiology Clinical Expert Consensus Document Task Force. J Am Coll Cardiol. 2017;69:871–98CrossRef Doherty JU, Gluckman TJ, Hucker WJ et al. 2017 ACC Expert Consensus Decision Pathway for Periprocedural Management of Anticoagulation in Patients With Nonvalvular Atrial Fibrillation: A Report of the American College of Cardiology Clinical Expert Consensus Document Task Force. J Am Coll Cardiol. 2017;69:871–98CrossRef
12.
Zurück zum Zitat Douketis JD, Spyropoulos AC, Spencer FA et al. Perioperative management of antithrombotic therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e326S–50S.CrossRef Douketis JD, Spyropoulos AC, Spencer FA et al. Perioperative management of antithrombotic therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e326S–50S.CrossRef
13.
Zurück zum Zitat Hoffmeister HM, Bode C. Positionspapier Unterbrechung antithrombotischer Behandlung (Bridging) bei kardialen Erkrankungen. Der Kardiologe. 2010;4:365–74CrossRef Hoffmeister HM, Bode C. Positionspapier Unterbrechung antithrombotischer Behandlung (Bridging) bei kardialen Erkrankungen. Der Kardiologe. 2010;4:365–74CrossRef
14.
Zurück zum Zitat Van Gelder IC, Rienstra M, Crijns HJ, Olshansky B. Rate control in atrial fibrillation. Lancet. 2016;388:818–28CrossRef Van Gelder IC, Rienstra M, Crijns HJ, Olshansky B. Rate control in atrial fibrillation. Lancet. 2016;388:818–28CrossRef
15.
Zurück zum Zitat Marrouche NF, Brachmann J, Andresen D, Siebels J, Boersma L, Jordaens L, Merkely B, Pokushalov E, Sanders P, Proff J, Schunkert H, Christ H, Vogt J, Bänsch D; CASTLE-AF Investigators. Catheter ablation for atrial fibrillation with heart failure. N Engl J Med. 2018;378:417–27CrossRef Marrouche NF, Brachmann J, Andresen D, Siebels J, Boersma L, Jordaens L, Merkely B, Pokushalov E, Sanders P, Proff J, Schunkert H, Christ H, Vogt J, Bänsch D; CASTLE-AF Investigators. Catheter ablation for atrial fibrillation with heart failure. N Engl J Med. 2018;378:417–27CrossRef
16.
Zurück zum Zitat Estner HL, Zviman MM, Herzka D et al. The critical isthmus sites of ischemic ventricular tachycardia are in zones of tissue heterogeneity, visualized by magnetic resonance imaging. Heart Rhythm. 2011;8:1942–9CrossRef Estner HL, Zviman MM, Herzka D et al. The critical isthmus sites of ischemic ventricular tachycardia are in zones of tissue heterogeneity, visualized by magnetic resonance imaging. Heart Rhythm. 2011;8:1942–9CrossRef
Metadaten
Titel
Häufige Rhythmusstörungen in der hausärztlichen Praxis
Herzen ohne Takt — das ist zu tun!
verfasst von
Prof. Dr. med. Heidi Estner
Dr. med. Korbinian Lackermair
Publikationsdatum
16.04.2018
Verlag
Springer Medizin
Erschienen in
MMW - Fortschritte der Medizin / Ausgabe 7/2018
Print ISSN: 1438-3276
Elektronische ISSN: 1613-3560
DOI
https://doi.org/10.1007/s15006-018-0013-3

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