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Biomedical subjects

B Eschemann

Publications and source records attributed to B Eschemann.

2 recordsLinked to original sources

[Development of pacemaker implantation].

The Morgagni-Adams-Stokes syndrome and the possibility of the excitability of a heart standing still by electric current are already known for a long time. Nevertheless, only in 1952 first success in the treatment in man was seen. In 1958 the first transistorized, working with battery cardiac pacemakers were implanted. The development of the impulse supply for the permanent and temporary stimulation, of the infloating technique, of the impulse production, the source of energy and the working method are demonstrated. In a tabulated survey the comparison of the cardiac pacemakers which are annually implanted in the GDR with those ones in the County Hospital St. George Leipzig is done.

Adams-Stokes Syndrome↗

[Modification of stimulus threshold increase following heart pacemaker implantation by prednisolone].

In a retrospective study concerning 39 patients with pacemakers is reported on the possibility of a medicamentous influence of so-called increases of the stimulus threshold with exit block. Inflammatory tissue reactions and disturbances of electrolytes as well as microdislocations at the tip of the electrode are given as a cause of the postoperatively appearing deficiency of the stimulation. A differentiation of these causes is not possible with simple paraclinical examination methods. Generally using prednisolone we succeeded in decreasing the stimulus threshold in about half the patients within ca. 3 weeks and thus in removing the exit block. After discussion of the pathophysiological connections recommendations for the therapeutic approach are described.

Aged↗