Device-Therapie nach akutem Koronarsyndrom

6533b86efe1ef96bd12cb2c8

RESEARCH PRODUCT

Device-Therapie nach akutem Koronarsyndrom

Bernd Nowak Oliver Przibille Ewald Himmrich K. Andreas

subject

Gynecology medicine.medical_specialty Acute coronary syndrome Device therapy business.industry medicine.medical_treatment medicine Cardiac resynchronization therapy General Medicine business medicine.disease

description

AV-Blocke sind beim akuten Koronarsyndroms selten. Nur wenige Patienten benotigen eine Schrittmacherimplantation. Besonders beim Hinterwandinfarkt ist die Prognose gut. Die Haufigkeit anhaltender AV-Blockierungen hat durch die Akut-PTCA abgenommen. Ventrikulare Tachyarrhythmien sind in der Akutphase des Infarktes haufig. Treten sie als anhaltende Kammertachykardien oder Kammerflimmern > 48 Stunden nach Infarkt auf, konnen sie eine Indikation zur sekundarprophylaktischen ICD-Implantation darstellen. Primarprophylaktisch sollte ein Defibrillator implantiert werden, wenn die LV-EF auch > 40 Tage nach Infarkt ≤ 35 % betragt. Ist fruh nach Infarkt eine Aggregatimplantation erforderlich, sollte bei hohem ventrikularem Stimulationsbedarf oder Linksschenkelblock ein biventrikulares System verwendet werden.

year	journal	country	edition	language
2014-01-20	DMW - Deutsche Medizinische Wochenschrift

https://doi.org/10.1055/s-0033-1359940

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