[Long-term ECG as a decision aid in indications for a permanent pacemaker].
Holter-monitoring is an excellent tool for diagnosing temporary rhythm-disturbances especially as regards brady- and tachycardias which may benefit from pacemaker-implantation. In bradycardias AV-blocks of 2nd and 3rd degree which occur only temporarily as well as bi- and trifasciculate blocks with occasional bradycardias can be analysed by Holter-monitoring. The type of pace-maker can be determined more easily by knowing whether there is temporary atrial flutter or fibrillation since DDD-pacers are not indicated in such cases. In tachycardias Holter-monitoring is also very helpful especially in detecting premonotory extrasystoles which occur occasional or in couplets or triplets or with an R- or T-phenomenon. Early treatment with antiarrhythmics eventually combined with a pacemaker can give good results for the patient. In some cases an external pacer combined with antiarrhythmics can be used as a test before permanent implantation will be performed. Also the type of antitachycardia-pacers can be determined more easily by knowing the results of Holter-monitoring.
Sterz
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II. Medizinischen Abteilung, Landeskrankenhauses, Klagenfurt.
D001145:Arrhythmias, Cardiac / Q000503:physiopathology / Q000628:therapy*; D001919:Bradycardia / Q000628:therapy; D004562:Electrocardiography; D006327:Heart Block / Q000503:physiopathology / Q000628:therapy*; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008991:Monitoring, Physiologic; D010138:Pacemaker, Artificial; D012804:Sick Sinus Syndrome / Q000628:therapy; D013610:Tachycardia / Q000628:therapy
Das Langzeit-EKG als Entscheidungshilfe bei der Indikationsstellung für permanente Schrittmacher.