Invasive Diagnostik und Therapie bei supraventrikulären Tachykardien

Kernaussagen

Paroxysmale Tachykardien sind häufig, treten teilweise bei ansonsten herzgesunden Patienten auf und gehen mit teilweise ausgeprägter Symptomatik einher.

Nachdem lange Zeit die medikamentöse antiarrhythmische Therapie bei der Rezidivprophylaxe im Vordergrund stand, stellt heute die Katheterablation die Therapie der ersten Wahl bei symptomatischen Patienten dar.

Dabei hat diese kurative Form der Therapie zusätzlich zur Verbesserung des pathophysiologischen Verständnis beigetragen.

Bei regelmäßigen Tachykardien ist die Ablation heute bereits die Therapie der ersten Wahl. Bei Vorhofflimmern befindet sich diese Therapie noch in der Entwicklung; wenn die technische Entwicklung weiter fortschreitet, wird sie in Zukunft auch bei dieser Arrhythmie mehr und mehr in den Vordergrund treten.

Literatur

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