Passagerer Herzschrittmacher

Abstract

Symptomatic bradycardia is usually caused by abnormalities of atrioventricular conduction or sinus node dysfunction. Reversible and irreversible causes must be considered.

Temporary pacemakers are used in the emergency treatment in case of severe bradyarrhythmia.

They help to bridge the acute phase until spontaneous restoration of atrioventricular or sinus node function or –if spontaneous restoration fails- until a permanent pacemaker system was implanted.

In the following article we discuss the commonly used temporary pacemaker systems. We demonstrate their use and correct programming by an illustrated step by step explanation. For troubleshooting a flow chart was added.

Bei vitaler Bedrohung durch eine hämodynamisch relevante Bradykardie ist die notfällige Anlage eines passageren Herzschrittmachers indiziert. Dieser dient zur Überbrückung der Akutphase, bis sich entweder der normale Herzrhythmus wieder erholt hat oder aber bis zur Implantation eines permanenten Schrittmachersystems.

Schlüsselwörter

Kardiologie - passagerer Herzschrittmacher - temporäre Schrittmacherstimulation

Key words

cardiology - temporary pacemaker - temporary cardiac stimulation

• Literatur

• 1 Kornberger A, Schmid E, Kalender G. et al. Bridge to recovery or permanent system implantation: An eight-year single-center experience in transvenous semipermanent pacing. Pacing Clin Electrophysiol 2013; 36: 1096-1103
• 2 Allgäuer S. Anlage eines zentralen Venenkatheters. Dtsch med Wochenschr 2016; 141: 338-342
• 3 López AJ, Villuendas SR, Garcia GC. et al. Temporary Pacemakers: Current Use and Complications. Rev Esp Cardiol 2004; 57: 1045-1052