New PDF release: Cardiac Arrhythmias: Diagnosis Prognosis Therapy

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By Dennis Krikler (auth.), Professor Dr. M. Schlepper, Dr. B. Olsson (eds.)

ISBN-10: 3642689264

ISBN-13: 9783642689260

ISBN-10: 3642689280

ISBN-13: 9783642689284

Asked to arrange a global assembly on Propafenone (Ryt­ monorm) we needed to query ourselves, even if to simply accept this provide simply as physicians or in our potential as chairmen of the examine crew on arrhythmias and intracardiac electrography of the eu Society of Cardiology. Considerung the "pros and contras" and good acutely aware that you could simply be considered as "product promoter" we, however, decide to arrange the Symposion in organization with the examine crew. We felt justified to take action for a couple of purposes: Arrhyth­ mias and their remedy in addition to the instruments to notice the 1st and to regulate the latter are good in the scope of the examine team. a global symposion supplied the chance to have the "state of the paintings" in arrhythmias and antiarrhythmic remedy completely reviewed by way of the world over well known investigators, hence serving an instructional function. additionally it used to be the goal and target of the assembly to have what's recognized a few relatively new drug provided in a severe demeanour and to show what's no longer identified, yet could be identified. it truly is in that context the shows of the loose consultation can be judged. To the cautious reader it is going to develop into obvious that a lot which used to be now not stated, should be learn "between the lines".

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Additional resources for Cardiac Arrhythmias: Diagnosis Prognosis Therapy

Example text

Amiodarone has the same effect, yet it is effective in this arrhythmia because its main electrophysiological property of lengthening the action potential partially counterbalances the otherwise deleterious bradycardia. This is not the case with P. On the other hand, every time an increased sympathetic tone is implicated in the arrhythmia mechanism, as happened in the last group of seven patients, P is as effective as amiodarone, and its better tolerance on a long-term basis makes it very useful.

At which time the first run of ventricular tachycardia (lower tracing) is detected from the maximal heart rate curve. This was observed after a treatment of 24-h duration. 47). Although torsades de pointes persisted after the pacemaker implantation, P helped to control them. In case no. 34, where quinidine treatment was indeed effective but had been complicated by torsades de pointes, P could be given without observing this known toxic effect of type I anti-arrhythmic drugs (Fig. 8). Sinus Rate, PR Interval and QRS Width The sinus frequency could be studied over a 24-h period, with and without P treatment, in only ten patients (nos.

1982). These patients were chosen for the characteristic pattern of their arrhythmia, and the difficulty of, if not always the resistance to treatment. Beta-blocking therapy is indeed effective in this situation, if strong doses of powerful drugs like nadolol are used, but has the limitation of an escape phenomenon frequently observed after 1-2 months (Fig. 1). 7, a better result than in the miscellaneous group, and opposite to that of the vagal arrhythmias. ~j\. , \ ~ ~ f' f' ,. I,;. I ,. ,. , ' /.!

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Cardiac Arrhythmias: Diagnosis Prognosis Therapy by Dennis Krikler (auth.), Professor Dr. M. Schlepper, Dr. B. Olsson (eds.)


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