To get a quantitative statement concerning the significance of modern therapy in supraventricular tachyarrhythmias 200 consecutive patients who were admitted to a coronary unit were analysed retrospectively. Finally accepted treatment were empirical drug therapy in 85 per cent, electrophysiologically controlled medical treatment in 12.5 per cent, pacemaker therapy in 1 per cent, and ablative procedures (catheter ablation and surgical Kent bundle dissection) in 2.5 per cent. As strictly atrial tachyarrhythmias are prevailing and advantages of electrophysiologically controlled drug therapy are not proven, in the majority of cases of supraventricular tachyarrhythmias empirical medical treatment is sufficient. Only in very few cases it is surpassed by the modern procedures. But, nevertheless these modern methods should be known to find the best treatment in problematical cases.

Anti-Arrhythmia Agents↗

PubMedDate not supplied

[Hemodynamic studies during electric double stimulation of the heart].

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Adaptation, Physiological↗

PubMedDate not supplied

Severe late complications after operative correction of aortic coarctation by interposition of prosthesis.

Out of 198 patients with aortic coarctation who were operated on with the implantation of an orthotopic bypass vascular prosthesis, 7 developed severe late complications 9-20 years postoperatively with late anastomosis dehiscence which resulted either in acute rupture and sudden death from massive hemorrhage (2 patients) or in false aneurysms with or without delayed rupture. Reoperation was done in 4 patients. After elective reoperation 2 of 3 patients survived, one elective and one emergency case died. The only evident reason for the late suture disruption was complete absorption of polyamide suture material in 6 cases. Therefore all patients with polyamide-sutured anastomosis should be followed-up thoroughly even in the late postoperative period in order to detect indications for elective reoperation. Suture material for anastomosis with any prosthesis must be nonabsorbable for lifetime.

Adult↗