[Case report: tachyarrhythmia in the sports stadium - differential diagnosis and therapy].
Preclinical occuring tachyarrhythmias could represent a life-threatening situation. Signs of haemodynamically instability like systolic blood pressure <90mmHg, heart rate >150/min, chest pain, heart failure, and reduced conscious level should rapidly be recognized. Immediately treatment using electrical cardioversion is then indicated. A therapeutic option in patients with haemodynamically stable tachycardia is the application of an antiarrhythmic drug. The following case describes the preclinical treatment of a patient with a haemodynamically unstable reentry-tachycardia. In the after-care clinic an electrophysiological evaluation reveals the existence of a reentry-tachycardia induction and clarifies the pathophysiology. In symptomatic tachycardias, catheter ablation is the method of choice.
Steinmann
Daniel
D
Faber
Thomas
T
Heringhaus
Christian
C
D000328:Adult; D003422:Critical Care / Q000379:methods*; D020000:Decision Support Systems, Clinical; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D008297:Male; D013177:Sports; D013610:Tachycardia / Q000175:diagnosis* / Q000628:therapy*