Rausch P, Jungmair W, Kaliman J F
Internen Abteilung, Krankenhauses Göttlicher Heiland, Wien.
Wien Med Wochenschr. 1994;144(14-15):367-74.
The most important symptoms in bradycardia are vertigo, dizziness and syncopy due to diminished cerebral blood sypply. Cardial symptoms are cardiac insufficiency and angina pectoris. By means of ECG, especially Holter-ECG, carotid sinus massage, atropin test and invasive methods (atrial stimulation, His-bundle ECG) sinu-nodal dysfunction, carotid sinus syndrome, bradyarrhythmia absoluta and AV-block can be diagnosed. Pharmacological treatment is only useful in acute situations. For symptomatic bradyarrhythmias the implantation of a Pacemaker is the therapy of choice. Individual treatment of the various types of bradyarrhythmia and the patients special needs is possible through the evolution of pacemaker technology.
心动过缓最重要的症状是由于脑供血减少引起的眩晕、头晕和晕厥。心脏症状为心功能不全和心绞痛。通过心电图，尤其是动态心电图、颈动脉窦按摩、阿托品试验和侵入性方法（心房刺激、希氏束心电图），可诊断窦房结功能障碍、颈动脉窦综合征、完全性缓慢性心律失常和房室传导阻滞。药物治疗仅在急性情况下有用。对于有症状的缓慢性心律失常，植入起搏器是首选治疗方法。随着起搏器技术的发展，针对各种类型的缓慢性心律失常及患者的特殊需求进行个体化治疗成为可能。
