Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation: = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
1998
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Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | München, Techn. Univ., Diss., 1998 |
Beschreibung: | 256 S., [28] Bl. Ill., graph. Darst. |
Internformat
MARC
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100 | 1 | |a Ammer, Richard |e Verfasser |4 aut | |
245 | 1 | 0 | |a Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation |b = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |c Richard Ammer |
246 | 1 | 3 | |a Basic considerations and clinical evaluation of low-energy, catheter based internal cardioversion of atrial fibrillation |
246 | 1 | 1 | |a Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
264 | 1 | |c 1998 | |
300 | |a 256 S., [28] Bl. |b Ill., graph. Darst. | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
500 | |a München, Techn. Univ., Diss., 1998 | ||
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Datensatz im Suchindex
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TABLE OF CONTENT
1
2
.
2
.
1
.
2
.
2
.
2.3.
2.3.1.
2.3.2.
2.3.3.
2.4.
2.4.1.
2.4.2.
2.4.3.
2.4.4.
2.4.5.
3
3.1.
3.2.
3.3.
3.3.1.
3.3.2.
3.4.
3.4.1.
3.4.2.
3.4.3.
3.4.3.1.
3.4.3.2.
3.4.3.3.
3.4.3.4.
3.4.3.
PREFACE
INTRODUCTION G
DEFINITIONS G
EPIDEMIOLOGY OF ATRIAL FIBRILLATION ~~
12
BASIC RELEVANCE
12
ANATOMY OF THE IMPULSE GENERATION AND CONDUCTING SYSTEM 13
PHYSIOLOGIC CONSIDERATIONS OF IMPULSE GENERATION AND CONDUCTION 15
PATHOPHYSIOLOGIC MECHANISMS OF CARDIAC TACHYARRHYTHMIAS 19
AND ATRIAL FIBRILLATION
CLINICAL RELEVANCE OF ATRIAL FIBRILLATION 26
SYMPTOMS 26
COMPLICATIONS 27
DIAGNOSIS OF ATRIAL FIBRILLATION 29
DIFFERENTIAL DIAGNOSIS
30
THERAPY OF ATRIAL FIBRILLATION 32
METHODS
44
DEVELOPING A THERAPEUTIC CONCEPT
44
HYPOTHESIS
45
OVERVIEW
47
METHODOLOGICAL OVERVIEW
47
CHRONOLOGICAL OVERVIEW
4
G
ANIMAL STUDIES
49
OBJECTIVE
49
STUDY OBJECT
49
STUDY SET-UP
49
LANGENDORFF-PERFUSED GOAT HEART PREPARATION 50
CATHETER SELECTION 50
EXTERNAL DEFIBRILLATOR SET-UP 50
SHOCK APPLICATION
51
HISTOLOGY
55
4
BIBLIOGRAFISCHE INFORMATIONEN
HTTP://D-NB.INFO/954474147
3.5.
3.5.1.
3.5.2.
3.5.3.
3.5.4.
3.5.5.
3.5.5.1.
3.5.5.1.1.
3.5.5.1.2.
3.5.5.1.3.
3.5.5.1.4.
3.5.5.2.
3.5.5.2.1.
3.5.5.2.1.1.
3.5.5.2.1.2.
3.5.5.2.1.3.
3.5.5.2.2.
3.5.5.2.2.1.
3.5.5.2.2.2.
3.5.5.2.2.3.
3.5.5.3.
3.5.5.3.1.
3.5.5.3.2.
3.5.5.3.3.
3.5.5.4.
3.5.5.3.1.
3.5.5.3.2.
3.5.5.3.3.
3.5.6.
3.5.6.
1
.
3.5.
6
.
2
.
3.5.7.
3.5.7.1.
3.5.7.
2
.
STUDIES IN HUMANS
55
APPROVAL BY THE HUMAN RESEARCH ETHICS COMMITTEE 56
OBJECTIVE
56
OBJECT: PATIENT POPULATION
55
PILOT STUDY 63
CLINICAL TRIALS -
71
PROSPECTIVE CROSS-OVER STUDY
71
OBJECTIVE: AIM OF THE STUDY
71
STUDY OBJECT: PATIENTS
71
PROTOCOL FOR EXTERNAL CARDIOVERSION 72
PROTOCOL FOR INTERNAL CARDIOVERSION 78
PROSPECTIVE RANDOMIZED STUDIES 85
RANDOMIZED COMPARISON OF DIFFERENT CATHETER POSITIONS 85
OBJECTIVE: AIM OF THE STUDY 85
STUDY OBJECT: PATIENTS 85
PROTOCOL FOR INTERNAL CARDIOVERSION 85
RANDOMIZED COMPARISON OF DIFFERENT WAVELENGTHS 91
OBJECTIVE: AIM OF THE STUDY
9
1
STUDY OBJECT: PATIENTS
9
1
PROTOCOL FOR INTERNAL CARDIOVERSION
9
1
PROSPECTIVE COHORT STUDY FOR REPEATED CARDIOVERSION 96
OBJECTIVE: AIM OF THE STUDY 96
STUDY OBJECT: PATIENTS 96
PROTOCOL FOR INTERNAL CARDIOVERSION 96
RETROSPECTIVE COMPARISON OF DIFFERENT CATHETER SYSTEMS 99
OBJECTIVE: AIM OF THE STUDY
99
STUDY OBJECT: PATIENTS
99
PROTOCOL FOR INTERNAL CARDIOVERSION
99
FOLLOW-UP 107
MEDICATION 107
PATIENT CARE AND FOLLOW-UP VISITS 109
STATISTICAL ANALYSIS
111
ACUTE OUTCOME
111
LONG-TERM FOLLOW-UP
111
5
4
4.1.
4.2.
4.2.1.
4.2.2.
4.2.2.1.
4.2.2.2.
4.2.2.2.1.
4.2.2.2.2.
4.2.2.3.
4.2.2.4.
4.3.
4.3.1.
4.3.2.
4.3.3.
4.3.3.1.
4.3.3.2.
4.3.3.3.
4.3.3.4.
4.3.3.5.
4.4.
4.4.1.
4.4.1.1.
4.4.1.2.
4.4.2.
4.4.2.1.
4.4.2.
2
.
4.4.3.
4.4.4.
4.5.
4.5.1.
4.4.2.
4.4.3.
4.4.4.
4.4.5.
4.5.6.
4.5.6.
1
.
4.5.
6
.
2
.
RESULTS
RESULTS OF THE ANIMAL STUDIES
ACUTE RESULTS OF THE STUDIES IN HUMANS
RESULTS OF THE PILOT STUDY
RESULTS OF THE CLINICAL TRIALS
PROSPECTIVE CROSS-OVER STUDY -
PROSPECTIVE RANDOMIZED STUDIES
RANDOMIZED COMPARISON OF DIFFERENT CATHETER POSITIONS
RANDOMIZED COMPARISON OF DIFFERENT
WAVELENGTHS
PROSPECTIVE COHORT STUDY FOR REPEATED CARDIOVERSION
RETROSPECTIVE COMPARISON OF DIFFERENT CATHETER SYSTEMS
SUMMARIZED ACUTE RESULTS
PATIENT CHARACTERISTICS
CORRELATION OF PATIENT PARAMETERS
ACUTE OUTCOME
FEASIBILITY OF CARDIOVERSION
SAFETY OF INTERNAL CARDIOVERSION
EFFICACY OF CARDIOVERSION
TOLERABILITY OF CARDIOVERSION
PRACTICABILITY OF CARDIOVERSION
115
115
120
120
126
126
135
135
141
141
143
144
144
146
146
146
151
154
159
162
LONG-TERM RESULTS OF THE CLINICAL TRIALS J
54
PROSPECTIVE CROSS-OVER STUDY
164
MAIN RESULTS AFTER 3-MONTH FOLLOW-UP
164
MAIN RESULTS AFTER 12-MONTH FOLLOW-UP X
68
PROSPECTIVE RANDOMIZED STUDIES
171
RANDOMIZED COMPARISON OF DIFFERENT CATHETER POSITIONS 171
RANDOMIZED COMPARISON OF DIFFERENT WAVELENGTHS 1
71
PROSPECTIVE COHORT STUDY FOR REPEATED CARDIOVERSION 172
RETROSPECTIVE COMPARISON OF DIFFERENT CATHETER SYSTEMS 172
SUMMARIZED LONG-TERM RESULTS
173
STUDY DROPOUTS
173
CESSATION OF ANTIARRHYTHMIC DRUG THERAPY
173
ANTICOAGULATION
174
MAINTENANCE OF SINUS RHYTHM
I74
COMPLICATIONS
174
ANALYTIC STATISTICS
174
UNIVARIATE ANALYSIS
174
MULTIVARIATE ANALYSIS
175
6
5.
5.1.
5.2.
5.3.
5.3.1.
5.3.2.
5.3.3.
5.3.4.
5.3.5.
5.3.6.
5.4.
5.4.1.
5.4.2.
5.4.3.
5.4.4.
5.4.5.
6
.
7.
8
.
9.
10
.
11
.
12
.
13.
14.
DISCUSSION
ACCURACY IN MEASURING OUTCOME PARAMETERS
PATIENT CHARACTERISTICS
MAIN FINDINGS OF THE ACUTE OUTCOME
FEASIBILITY OF CARDIOVERSION
EFFICACY OF CARDIOVERSION
SAFETY OF CARDIOVERSION
TOLERABILITY OF CARDIOVERSION
PRACTICABILITY OF CARDIOVERSION
CLINICAL IMPLICATIONS
LONG-TERM RESULTS
MEDICATION WITH SOTALOL
OTHER MEDICATION FOR MAINTAINING SINUS RHYTHM
ANTICOAGULATION
STUDY DROPOUTS
PREDICTORS FOR RECURRENT ATRIAL FIBRILLATION
ACKNOWLEDGMENTS
SUMMARY
ZUSAMMENFASSUNG
REFERENCES
TABLES
FIGURES
ABBREVIATIONS
GLOSSARY
APPENDIX
179
179
181
182
182
186
190
195
199
200
201
201
203
204
206
206
211
212
215
218
246
248
252
255
256
7 |
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spelling | Ammer, Richard Verfasser aut Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern Richard Ammer Basic considerations and clinical evaluation of low-energy, catheter based internal cardioversion of atrial fibrillation Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern 1998 256 S., [28] Bl. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier München, Techn. Univ., Diss., 1998 (DE-588)4113937-9 Hochschulschrift gnd-content DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008213148&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Ammer, Richard Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
subject_GND | (DE-588)4113937-9 |
title | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
title_alt | Basic considerations and clinical evaluation of low-energy, catheter based internal cardioversion of atrial fibrillation Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
title_auth | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
title_exact_search | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
title_full | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern Richard Ammer |
title_fullStr | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern Richard Ammer |
title_full_unstemmed | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern Richard Ammer |
title_short | Basic considerations and clinical evaluation of low energy, catheter based internal cardioversion of atrial fibrillation |
title_sort | basic considerations and clinical evaluation of low energy catheter based internal cardioversion of atrial fibrillation experimentelle studien zur niedrig energetischen katheter basierten internen kardioversion von vorhofflimmern |
title_sub | = Experimentelle Studien zur niedrig-energetischen, Katheter-basierten, internen Kardioversion von Vorhofflimmern |
topic_facet | Hochschulschrift |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008213148&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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