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General trading grocery stores

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Dabei wird im Rahmen einer elektrophysiologischen Unter- suchung (EPU) die Lokalisation des akzessorischen Bündels Herzschrittmacher 5 transvenöse endokardiale Elektroden, »Demandfunk- tion«: Frequenz, Impulsbreite, Amplitude und Empfind- lichkeit (Sensing) sind programmierbar, Telemetrie, »physiologische Stimulation« sequenzieller Herzschritt- machersysteme, Lithiumbatterien 5 Internationaler Schrittmacher-Code: Ort der Stimulation und der Wahrnehmung, Betriebsart, Programmierbarkeit, antitachykarde Funktion 5 Schrittmacherimplantation (Lokalanästhesie, transve- nöse Elektrode unter Röntgenkontrolle, Schrittmacher- aggregat subkutan) 5 Komplikationen: Elektrodendislokation, Elektroden- brüche, besonders schwerwiegend: Infektion 5 Postoperative Überwachung, Schrittmacherausweis, regelmäßige Kontrolle In Kürze Bradykarde Herzrhythmusstörungen Symptomatik: akut durch eine zerebrale Minderperfusion (Schwindel, Synkope), chronisch durch verminderte kardiale Förderleistung (Herzinsuffizienz, reduzierte Belastbarkeit, Verwirrtheit) Diagnostik: Standard-EKG, 24-h-EKG Therapie: Die Indikation zur Implantation eines Herzschritt- machers wird durch klinische Symptomatik und nicht durch die vorliegende Herzrhythmusstörung bestimmt 6 8 9 10 Louis Wolff, Kardiologe, Boston, geb.

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