Meesmann M
Medizinische Klinik - Schwerpunkt Kardiologie der Stiftung Juliusspital Würzburg, Juliuspromenade 19, 97070, Würzburg, Germany.
Herzschrittmacherther Elektrophysiol. 2007 Mar;18(1):2-7. doi: 10.1007/s00399-007-0556-y.
In this article criteria for taking the history in patients with manifest or potential life threatening arrhythmias are outlined. The importance of a sound (family) history is demonstrated. Besides specific correlates for arrhythmias in the history of a patient, the long term consequences of dyspnoe on exertion and hypertension are outlined. In 80% of patients sudden death is due to myocardial ischemia or interstitial myocardial fibrosis which in turn result from acquired diseases such as coronary artery disease and hypertension. Against this background the importance of the prevention of sudden cardiac death by nonantiarrhythmics drugs is stressed. Examples of under-utilization of therapy guidelines are given with special reference to beta-blocker therapy.
本文概述了对明显或潜在危及生命的心律失常患者进行病史采集的标准。证明了完善的（家族）病史的重要性。除了患者病史中心律失常的特定相关因素外，还概述了劳力性呼吸困难和高血压的长期后果。80%的患者猝死是由于心肌缺血或心肌间质纤维化，而这又是由冠状动脉疾病和高血压等后天性疾病引起的。在此背景下，强调了使用非抗心律失常药物预防心脏性猝死的重要性。文中给出了治疗指南未得到充分利用的例子，特别提到了β受体阻滞剂治疗。
