Osswald Brigitte, Israel C W
Kardio-chirurgische Elektrotherapie, Johanniter-Krankenhaus Duisburg Rheinhausen, Kreuzacker 1-7, 47228, Duisburg, Deutschland.
Klinik für Innere Medizin - Kardiologie, Diabetologie und Nephrologie, Evangelisches Klinikum Bethel, Universitätsklinikum OWL der Universität Bielefeld, Campus Bielefeld-Bethel, Bielefeld, Deutschland.
Herzschrittmacherther Elektrophysiol. 2025 Jun;36(2):111-118. doi: 10.1007/s00399-025-01083-9. Epub 2025 Jun 5.
The implantation of pacemakers and internal cardioverter-defibrillators (ICDs) is now carried out by specialists in surgical and conservative disciplines. The specialist training regulations for both cardiology and cardiac surgery currently include at least basic training in this area. Numerous offers of further training and specialization enable knowledge and practical techniques to be learned or optimized. The number of specialists with broad knowledge of less frequently used and current developments in rhythm implants is decreasing, particularly in surgical disciplines. An ideal way of utilizing the strengths of the respective specialist disciplines in terms of optimal patient care and training of young colleagues is close cooperation between the respective players. There are numerous "success models" for interdisciplinary cooperation that have been established for all procedures-including, in particular, complex revisions and electrode extractions-known as the "electrophysiological heart team".
目前，起搏器和植入式心脏复律除颤器（ICD）的植入手术由外科和保守治疗学科的专家进行。目前，心脏病学和心脏外科的专科培训规定中至少都包括了该领域的基础培训。大量的进修和专业化培训机会使人们能够学习或优化相关知识和实用技术。对较少使用的节律植入设备及当前进展有广泛了解的专科医生数量正在减少，尤其是在外科领域。就为患者提供最佳护理以及培养年轻同事而言，各专科发挥自身优势的理想方式是各相关方之间密切合作。在所有手术中，包括特别是复杂的修复和电极拔除手术，都已经建立了许多跨学科合作的“成功模式”，即所谓的“心脏电生理团队”。
