Bradykarde Herzrhythmusstörungen – neue Devices und Techniken

Was ist neu?

Neue ESC-Leitlinien Um die Beurteilung und Behandlung von Patienten mit Bradykardie weiter zu optimieren, sind im vergangenen Jahr neue Leitlinien zur Herzschrittmacher-Therapie und kardialen Resynchronisationstherapie der European Society of Cardiology (ESC) erschienen. Diese beinhalten neue Empfehlungen zur Diagnostik, zum Umgang mit Reflexsynkopen und zu Behandlungsalgorithmen bei Synkopen und Schenkelblöcken.

Sondenlose Schrittmacher Die Nutzung sondenloser Schrittmacher wird bei ausgewählten und insbesondere multimorbiden Patienten als Alternative zur herkömmlichen transvenösen Schrittmacher-Implantation diskutiert.

Conduction System Pacing Das Conduction System Pacing als physiologische Stimulationsform wurde erstmalig in die Leitlinien aufgenommen.

Cardiac pacing – new devices, new techniques

Abnormalities of the sinus node, atrial tissue, atrioventricular node tissue, and specialized conduction system can all contribute to bradycardia. For this reason, the diagnosis and treatment of bradycardia have become challenging. In order to further optimize the assessment and treatment of patients with bradycardia, new guidelines on cardiac pacemaker therapy and cardiac resynchronization therapy were published by the European Society of Cardiology (ESC) last year. These include new recommendations for diagnostics, dealing with reflex syncope and treatment algorithms for syncope and bundle branch block. The use of leadless pacemakers is being discussed in selected and especially multimorbid patients as an alternative to conventional transvenous pacemaker implantation. Conduction system pacing as a physiological form of stimulation was included in the guidelines for the first time.

Schlüsselwörter

Conduction System Pacing - Sondenlose Schrittmacher - Synkope - Bradykardie

Key words

conduction system pacing - leadless pacemaker - syncope - bradycardia

Publication History

Article published online:
01 November 2022

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