Implantation eines Zwei-Kammer-Schrittmacher-Defibrillators (DDD-ICD) bei einer Patientin mit hypertropher obstruktiver Kardiomyopathie
| Autor: | Christian Mewis, H.-R. Neuberger, Volker Dörnberger, Volker Kühlkamp, Ralph F. Bosch |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Tachycardia
Dual Chamber Pacemaker medicine.medical_specialty medicine.diagnostic_test business.industry Cardiomyopathy medicine.disease Sudden death medicine.anatomical_structure Internal medicine Anesthesia cardiovascular system medicine Antitachycardia Pacing Cardiology Ventricular outflow tract cardiovascular diseases Atrium (heart) medicine.symptom Cardiology and Cardiovascular Medicine business Electrocardiography |
| Zdroj: | Zeitschrift für Kardiologie. 88:521-525 |
| ISSN: | 1435-1285 0300-5860 |
| Popis: | A 70-year-old woman with severely symptomatic hypertrophic obstructive cardiomyopathy was unresponsive to drug treatment. She had recurrent ventricular tachyarrhythmias and syncope and was at high risk for sudden death; a dual chamber pacemaker defibrillator (DDD-ICD) was implanted. Her initial left ventricular outflow tract gradient was 80 mm Hg and fell to 40 mm Hg during dual-chamber pacing at an atrial ventricular delay of 140 ms. In the follow-up over six months she was asymptomatic with respect to angina pectoris; ventricular tachycardias could be successfully terminated by antitachycardia pacing or by shocks. A dual chamber pacemaker defibrillator is an important therapeutic option for patients with symptomatic hypertrophic obstructive cardiomyopathy and ventricular tachyarrhythmias. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink