{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T16:50:07Z","timestamp":1649004607617},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"24","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>\n          Klinische Merkmale\u2002Supraventrikul\u00e4re Tachykardien imponieren klinisch oft als symptomatische tachykarde Episoden mit atrialen Frequenzen &gt;\u200a100 Schl\u00e4gen\/Minute. Neben der Anamnese ist die Aufzeichnung eines 12-Kanal-EKGs w\u00e4hrend der Tachykardie entscheidend.<\/jats:p><jats:p>\n          Diagnostisches Vorgehen\u2002Die aktuelle Leitlinie (Europ\u00e4ische Gesellschaft f\u00fcr Kardiologie, 2019) zum Management supraventrikul\u00e4rer Tachykardien (SVT) tr\u00e4gt der Weiterentwicklung elektrophysiologischer Untersuchungs- und Ablationsm\u00f6glichkeiten seit Publikation der letzten Leitlinie von 2003 Rechnung. Insgesamt legt die Leitlinie ein starkes Augenmerk auf das korrekte Management und Erkennen von SVT im klinischen Alltag und geht nicht auf detaillierte elektrophysiologische Untersuchungs- und Behandlungsformen ein.<\/jats:p><jats:p>\n          Indikationen der Katheterablation oder einer medikament\u00f6sen Therapie\u2002Mit der aktuellen Leitlinie erfolgt eine deutliche Aufwertung der Ablationstherapie gegen\u00fcber der medikament\u00f6sen antiarrhythmischen Therapie. Patienten mit AV-Knoten-Reentry-Tachykardie (AVNRT), Reentry- und fokalen Arrhythmien sollte die Katheterablation als erste Wahl angeboten werden. Auch die Behandlung der Tachykardiomyopathie fokussiert nunmehr prim\u00e4r die Ablationstherapie. Weiterhin wird die Therapie von SVT w\u00e4hrend der Schwangerschaft abgebildet und bei Notwendigkeit einer Ablation w\u00e4hrend dieser gilt die eindeutige Empfehlung zur Anwendung fluoroskopiefreier 3-D-Mappingsysteme.<\/jats:p>","DOI":"10.1055\/a-1039-8804","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T23:48:40Z","timestamp":1606780120000},"page":"1770-1774","source":"Crossref","is-referenced-by-count":0,"title":["Vorgehen und Behandlungsoptionen bei\u00a0supraventrikul\u00e4ren Tachykardien"],"prefix":"10.1055","volume":"145","author":[{"given":"Andreas A.","family":"Boehmer","sequence":"additional","affiliation":[{"name":"St. Josefs-Hospital Wiesbaden GmbH, Medizinische Klinik I \u2013 Kardiologie, Pneumologie, Angiologie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Rothe","sequence":"additional","affiliation":[{"name":"St. Josefs-Hospital Wiesbaden GmbH, Medizinische Klinik I \u2013 Kardiologie, Pneumologie, Angiologie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina M.","family":"Soether","sequence":"additional","affiliation":[{"name":"St. Josefs-Hospital Wiesbaden GmbH, Medizinische Klinik I \u2013 Kardiologie, Pneumologie, Angiologie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard M.","family":"Kaess","sequence":"additional","affiliation":[{"name":"St. Josefs-Hospital Wiesbaden GmbH, Medizinische Klinik I \u2013 Kardiologie, Pneumologie, Angiologie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim R.","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"St. Josefs-Hospital Wiesbaden GmbH, Medizinische Klinik I \u2013 Kardiologie, Pneumologie, Angiologie"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1093\/europace\/euw301","article-title":"European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE)","volume":"19","author":"D G Katritsis","year":"2017","journal-title":"Europace"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1093\/eurheartj\/ehz467","article-title":"2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC)","volume":"41","author":"J Brugada","year":"2020","journal-title":"Eur Heart J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1016\/S0140-6736(15)61485-4","article-title":"Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial","volume":"386","author":"A Appelboam","year":"2015","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"130","DOI":"10.15420\/AER.2016.18.2","article-title":"Classification, Electrophysiological Features and Therapy of Atrioventricular Nodal Reentrant Tachycardia","volume":"5","author":"D G Katritsis","year":"2016","journal-title":"Arrhythm Electrophysiol Rev"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1093\/eurheartj\/ehx101","article-title":"Long-term symptom improvement and patient satisfaction following catheter ablation of supraventricular tachycardia: insights from the German ablation registry","volume":"38","author":"J Brachmann","year":"2017","journal-title":"Eur Heart J"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"766","DOI":"10.7326\/0003-4819-104-6-766","article-title":"Wide complex tachycardia: misdiagnosis and outcome after emergent therapy","volume":"104","author":"R B Stewart","year":"1986","journal-title":"Ann Intern Med"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1111\/pace.13038","article-title":"Fluoroless Catheter Ablation of Cardiac Arrhythmias: A 5-Year Experience","volume":"40","author":"M Razminia","year":"2017","journal-title":"Pacing Clin Electrophysiol"}],"container-title":["DMW - 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