[Historical development of diagnosis of bradyarrhythmias : The early years of clinical electrophysiology in Germany].

Q4 Medicine Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-03-01 Epub Date: 2024-02-28 DOI:10.1007/s00399-024-01006-0
Günter Breithardt
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Abstract

The introduction of His bundle electrography by Benjamin Scherlag (New York) in 1969, together with programmed stimulation of the heart by Philip Coumel (Paris) in 1967, and Hein Wellens (Amsterdam) in 1972, were decisive turning points on the way to invasive electrophysiology and the development of an independent, now distinctly interventional subspecialty of cardiology. The main topic of the 1970s was bradycardic arrhythmias, promoted by pacemaker therapy, which had been introduced just over 10 years earlier. The recording of the potentials of the bundle of His and other recording locations in the atria and ventricles allowed a differentiated assessment of the excitation process and the refractory periods. High-rate atrial stimulation to determine sinus node recovery time and premature stimulation to determine sinoatrial conduction time were developed to analyze sinoatrial node function. This article describes the introduction of His bundle electrography in a gradually increasing number of centers in Germany and their scientific contribution.

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[诊断缓慢性心律失常的历史发展 :德国临床电生理学的早期发展]。
本杰明-舍拉格(Benjamin Scherlag)(纽约)于 1969 年引入 His bundle 电图,菲利普-库梅尔(Philip Coumel)(巴黎)于 1967 年、海因-韦伦斯(Hein Wellens)(阿姆斯特丹)于 1972 年引入程序性心脏刺激,这些都是有创电生理学发展道路上的决定性转折点,也是心脏病学中一个独立的、现在已成为明显的介入亚专科的发展历程。20 世纪 70 年代的主要课题是心动过缓型心律失常,起搏器疗法在 10 多年前刚刚问世。通过记录 His 束以及心房和心室其他记录位置的电位,可以对兴奋过程和折返期进行有区别的评估。为了分析窦房结的功能,还开发了高频率心房刺激以确定窦房结的恢复时间,以及早搏刺激以确定窦房结的传导时间。本文介绍了德国越来越多的中心采用 His 体束电图的情况及其科学贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Herzschrittmachertherapie und Elektrophysiologie
Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.10
自引率
0.00%
发文量
76
期刊介绍: Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie
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[Controversies in rhythmology]. [Atrial fibrillation in combination with severe mitral regurgitation : Which should be treated first, the atrial fibrillation or the mitral valve?] [Initial ablation of atrial fibrillation-Is pulmonary vein isolation sufficient? : Pro and contra]. [(LV)EF is a poor predictor of sudden cardiac death : Pro/Contra]. Erratum zu: Herzrhythmusstörungen bei Erwachsenen mit angeborenen Herzfehlern.
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