Lehmann H U
MMW Munch Med Wochenschr. 1981 Apr 24;123(17):680-6.
Arrhythmias are the expression of disordered stimulus formation or conduction. Focal genesis is due to an abnormal automatism in primary, secondary and tertiary impulse centers. Conduction blockade leads to bradycardial substitute rhythms which are determined by the site of the lesion. Bradycardial arrhythmias with a high degree of risk, with disturbed impulse automatism or with impaired hemodynamics require treatment with a pacemaker. Tachycardial and extrasystolic arrhythmias are treated today according to the differential therapeutic aspects. Treatment is also obligatory for premonitory arrhythmias and an identified Stokes-Adams disease. Ventricular fibrillations, high-grade ventricular bradycardia and asystole are cardiological emergencies.
心律失常是刺激形成或传导紊乱的表现。局灶性起源是由于一级、二级和三级冲动中心的异常自律性。传导阻滞导致心动过缓替代节律，其由病变部位决定。具有高度风险、冲动自律性紊乱或血流动力学受损的心动过缓性心律失常需要起搏器治疗。当今，心动过速性和早搏性心律失常根据不同的治疗方面进行治疗。先兆性心律失常和已确诊的斯托克斯-亚当斯病也必须进行治疗。心室颤动、高度房室传导阻滞和心脏停搏是心脏急症。
