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Bradykarde Rhythmusstörungen

  • Chapter
Herzrhythmusstörungen

Part of the book series: Handbuch der inneren Medizin ((INNEREN 9,volume 9 / 1))

Zusammenfassung

Störungen der Sinusknotenfunktion beruhen auf einer gestörten Impulsbildung im Sinusknoten und/oder der sinuatrialen Überleitung. Da die elektrische Aktivität des Sinusknotens durch die konventionelle EKG-Schreibung nicht erfaßt werden kann, lassen sich Funktionsstörungen der Sinusknotenautomatie und/oder der sinuatrialen Überleitung nur auf indirektem Weg nachweisen. Elektro-kardiographische Hinweise sind das Auftreten einer Sinusbradykardie, sinuatrialer Blockbilder oder eines Sinusarrests. Auf die elektrokardiographischen Merkmale dieser Rhythmusstörungen wird weiter unten einzugehen sein. Oft wird sich nicht entscheiden lassen, ob eine oder beide Teilfunktionen (Automatie und sinuatriale Leitung) des Sinusknotens gestört sind (Steinbeck u. Lüderitz 1977). Das elektrokardiographische Erscheinungsbild wird nicht selten kompliziert durch das Auftreten von Ersatzrhythmen (atrial, junktional oder ventrikulär) mit physiologischer Interferenz oder mit einer Rhythmenverknüpfung (s. unter F).

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  1. H. Neuss
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Editors and Affiliations

  1. Medizinische Klinik B der Universität, Moorenstr. 5, D-4000, Düsseldorf, Deutschland

    G. Breithardt

  2. Medizinische Klinik und Poliklinik der Universität, Domagkstr. 3, D-4400, Münster, Deutschland

    Betty Brisse

  3. Pharmakologisches Institut der Universität, Obere Zahlbacher Str. 67, D-6500, Mainz, Deutschland

    E. Jähnchen , H. Nawrath  & D. Trenk ,  & 

  4. Medizinische Klinik der Universität, Langenbeckstr. 1, D-6500, Mainz, Deutschland

    W. Kasper , P. Matthiesen II  & T. Meinertz II ,  & 

  5. Institut für Pathologie, Evangelisches Krankenhaus Bethesda, Heerstr. 219, D-4100, Duisburg 1, Deutschland

    H.-J. Knieriem  & D. Mecking  & 

  6. Medizinische Klinik und Poliklinik, Universitätsklinikum Steglitz, Hindenburgdamm 30, D-1000, Berlin 45, Deutschland

    E.-R. von Leitner

  7. Innere Medizin — Kardiologie, Medizinische Universitätsklinik, Sigmund-Freud-Str. 25, D-5300, Bonn, Deutschland

    B. Lüderitz

  8. Klinikum Großhadern, Medizinische Klinik I, Ludwig-Maximilians-Universität München, Marchioninistr. 15, D-8000, München 70, Deutschland

    C. Naumann d’Alnoncourt  & G. Steinbeck  & 

  9. Kerckhoff-Klinik, Benekestr. 4-6, D-6350, Bad Nauheim, Deutschland

    H. Neuss , M. Schlepper  & J. Thormann ,  & 

  10. Chirurgische Klinik B der Universität, Moorenstr. 5, D-4000, Düsseldorf, Deutschland

    J. Ostermeyer

  11. Medizinische Klinik, Abteilung Innere Medizin III, Otfried-Müller-Straße, D-7400, Tübingen 1, Deutschland

    L. Seipel

  12. Medizinische Klinik Innenstadt der Universität, Ziemssenstr. 1, D-8000, München 2, Deutschland

    K. Theisen

  13. Institut für Medizinische Physik and Biophysik der Universität, Harrachgasse 21, A-8010, Graz, Österreich

    H. A. Tritthart

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Neuss, H. (1983). Bradykarde Rhythmusstörungen. In: Breithardt, G., et al. Herzrhythmusstörungen. Handbuch der inneren Medizin, vol 9 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68872-0_12

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