Skip to main content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Notfall +  Rettungsmedizin 2/2011

01.03.2011 | Leitthema

Lebensbedrohliche Herzrhythmusstörungen

Situation zu Hause

verfasst von: Dr. H.-C. Mochmann

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Zusammenfassung

Der plötzliche Herztod ist nach wie vor die führende Todesursache in Europa und den USA. Die Inzidenz steigt mit dem Lebensalter und als Hauptursache wird die koronare Herzerkrankung dafür verantwortlich gemacht. Häufig kommt es zunächst zu einer ventrikulären Tachykardie, die in Kammerflimmern degeneriert und letztlich in der Asystolie endet. Wird ein Kreislaufstillstand beobachtet und als solcher erkannt, sind suffiziente Ersthelfermaßnahmen für das Überleben von entscheidender Bedeutung; der Kardiokompression kommt dabei die herausragende Rolle zu. Das Vorhandensein eines automatischen externen Defibrillators (AED) in öffentlichen Räumen erweitert dabei die Möglichkeiten des Ersthelfers.
Literatur
1.
Zurück zum Zitat Andresen D, Behrens S, Arntz R, Brüggemann T (1993) Prevention of sudden (rhythm-induced) cardiac death. Internist 34:423–435 PubMed Andresen D, Behrens S, Arntz R, Brüggemann T (1993) Prevention of sudden (rhythm-induced) cardiac death. Internist 34:423–435 PubMed
2.
Zurück zum Zitat Atkins DL (2010) Realistic expectations for public access defibrillation programs. Curr Opin Crit Care 16(3):191–195 PubMedCrossRef Atkins DL (2010) Realistic expectations for public access defibrillation programs. Curr Opin Crit Care 16(3):191–195 PubMedCrossRef
3.
Zurück zum Zitat Atwood C, Eisenberg MS, Herlitz J (2005) Rea Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67:75–80 PubMedCrossRef Atwood C, Eisenberg MS, Herlitz J (2005) Rea Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67:75–80 PubMedCrossRef
4.
Zurück zum Zitat Bayes Luna A de, Coumel P et al (1989) Ambulatory sudden cardiac death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. Am Heart J 117:151–159 CrossRef Bayes Luna A de, Coumel P et al (1989) Ambulatory sudden cardiac death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. Am Heart J 117:151–159 CrossRef
5.
Zurück zum Zitat Becker L, Gold LS et al (2008) Ventricular fibrillation in King County, Washington: a 30-year perspective. Resuscitation 79:22–27 PubMedCrossRef Becker L, Gold LS et al (2008) Ventricular fibrillation in King County, Washington: a 30-year perspective. Resuscitation 79:22–27 PubMedCrossRef
6.
Zurück zum Zitat Breckwoldt J, Schloesser S, Arntz HR (2009) Perceptions of collapse and assessment of cardiac arrest by bystander of out-of-hospital cardiac arrest (OOHCA). Resuscitation 80:1108–11134 PubMedCrossRef Breckwoldt J, Schloesser S, Arntz HR (2009) Perceptions of collapse and assessment of cardiac arrest by bystander of out-of-hospital cardiac arrest (OOHCA). Resuscitation 80:1108–11134 PubMedCrossRef
7.
Zurück zum Zitat Cobb LA, Fahrenbruch CE et al (2002) Changing incidence of out-of-hospital ventricular fibrillation, 1980–2000. JAMA 288:3008–3013 PubMedCrossRef Cobb LA, Fahrenbruch CE et al (2002) Changing incidence of out-of-hospital ventricular fibrillation, 1980–2000. JAMA 288:3008–3013 PubMedCrossRef
8.
Zurück zum Zitat Corrado D, Migliore F, Bevilacqua M et al (2009) Sudden cardiac death in athletes: can it be prevented by screening? Herz 34:259–266 PubMedCrossRef Corrado D, Migliore F, Bevilacqua M et al (2009) Sudden cardiac death in athletes: can it be prevented by screening? Herz 34:259–266 PubMedCrossRef
9.
Zurück zum Zitat Fox CS, Evans JC et al (2004) Temporal trends in coronary heart disease mortality and sudden cardiac death from 1950 to 1999: the Framingham Heart Study. Circulation 110:522–527 PubMedCrossRef Fox CS, Evans JC et al (2004) Temporal trends in coronary heart disease mortality and sudden cardiac death from 1950 to 1999: the Framingham Heart Study. Circulation 110:522–527 PubMedCrossRef
11.
Zurück zum Zitat Goraya TY, Jacobsen SJ et al (2003) Coronary heart disease death and sudden cardiac death: a 20-year population-based study. Am J Epidemiol 157:763–770 PubMedCrossRef Goraya TY, Jacobsen SJ et al (2003) Coronary heart disease death and sudden cardiac death: a 20-year population-based study. Am J Epidemiol 157:763–770 PubMedCrossRef
12.
Zurück zum Zitat Herlitz J, Andersson E et al (2000) Experiences from treatment of out-of-hospital cardiac arrest during 17 years in Goteborg. Eur Heart J 21:1251–1258 PubMedCrossRef Herlitz J, Andersson E et al (2000) Experiences from treatment of out-of-hospital cardiac arrest during 17 years in Goteborg. Eur Heart J 21:1251–1258 PubMedCrossRef
13.
Zurück zum Zitat Huikuri HV, Castellanos A, Myerburg RJ (2001) Sudden death due to cardiac arrhythmias. N Engl J Med 345:1473–1482 PubMedCrossRef Huikuri HV, Castellanos A, Myerburg RJ (2001) Sudden death due to cardiac arrhythmias. N Engl J Med 345:1473–1482 PubMedCrossRef
14.
Zurück zum Zitat Koster RW, Baubin MA, Bossaert L et al (2010) European resuscitation council guidelines for resuscitation 2010. Section 2. Adult basis life support and use of automated external defibrillators. Resuscitation 81:1277–1292 PubMedCrossRef Koster RW, Baubin MA, Bossaert L et al (2010) European resuscitation council guidelines for resuscitation 2010. Section 2. Adult basis life support and use of automated external defibrillators. Resuscitation 81:1277–1292 PubMedCrossRef
15.
Zurück zum Zitat Lee JS, Jeon WC, Ahn JH et al (2010) The effect of a cellular-phone video demonstration to improve the quality of dispatcher-assistant chest compression-only cardiopulmonary resuscitation as compared with audio coaching. Resuscitation, in press Lee JS, Jeon WC, Ahn JH et al (2010) The effect of a cellular-phone video demonstration to improve the quality of dispatcher-assistant chest compression-only cardiopulmonary resuscitation as compared with audio coaching. Resuscitation, in press
16.
Zurück zum Zitat Leor J, Poole WK, Kloner RA (1996) Sudden cardiac death triggered by an earthquake. N Engl J Med 334:413–419 PubMedCrossRef Leor J, Poole WK, Kloner RA (1996) Sudden cardiac death triggered by an earthquake. N Engl J Med 334:413–419 PubMedCrossRef
17.
Zurück zum Zitat Lubitz SA, Goldbarg SH, Mehta D (2008) Sudden cardiac death in infiltrative cardiomyopathies: Sarcoidosis, scleroderma, amyloidosis, hemachromatosis. Prog Cardiovasc Dis 51:58–73 PubMedCrossRef Lubitz SA, Goldbarg SH, Mehta D (2008) Sudden cardiac death in infiltrative cardiomyopathies: Sarcoidosis, scleroderma, amyloidosis, hemachromatosis. Prog Cardiovasc Dis 51:58–73 PubMedCrossRef
18.
Zurück zum Zitat Maron BJ, Doerer JJ, Haas TS et al (2009) Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980–2006. Circulation 119:1085–1092 PubMedCrossRef Maron BJ, Doerer JJ, Haas TS et al (2009) Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980–2006. Circulation 119:1085–1092 PubMedCrossRef
20.
Zurück zum Zitat Mochmann HC, Schlippenbach J, Arntz HR (2010) Lower long term mortality with PCI after out-of hospital fibrinolysis within 3 h of symptom onset as compared to primary PCI in patients with STEMI. Resuscitation 81(Suppl 1):26 CrossRef Mochmann HC, Schlippenbach J, Arntz HR (2010) Lower long term mortality with PCI after out-of hospital fibrinolysis within 3 h of symptom onset as compared to primary PCI in patients with STEMI. Resuscitation 81(Suppl 1):26 CrossRef
21.
Zurück zum Zitat Parish DC, Dinesh Chandra KM et al (2003) Success changes the problem: why ventricular fibrillation is declining, why pulseless electrical activity is emerging, and what to do about it. Resuscitation 58:31–35 PubMedCrossRef Parish DC, Dinesh Chandra KM et al (2003) Success changes the problem: why ventricular fibrillation is declining, why pulseless electrical activity is emerging, and what to do about it. Resuscitation 58:31–35 PubMedCrossRef
22.
Zurück zum Zitat Rea TD, Eisenberg MS et al (2003) Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation 107:2780–2785 PubMedCrossRef Rea TD, Eisenberg MS et al (2003) Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation 107:2780–2785 PubMedCrossRef
23.
Zurück zum Zitat Rea TD, Eisenberg MS et al (2004) Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation 63:17–24 PubMedCrossRef Rea TD, Eisenberg MS et al (2004) Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation 63:17–24 PubMedCrossRef
24.
Zurück zum Zitat Rea T, Fahrenbruch C, Culley L et al (2010) CPR with Chest Compression Alone or with Rescue Breathing. N Engl J Med 363:423–433 PubMedCrossRef Rea T, Fahrenbruch C, Culley L et al (2010) CPR with Chest Compression Alone or with Rescue Breathing. N Engl J Med 363:423–433 PubMedCrossRef
25.
Zurück zum Zitat Svensson L, Bohm K, Castren M et al (2010) Compression-Only CPR or Standrad CPR in Out-of-Hospital Cardiac Arrest. N Engl J Med 363:434–442 PubMedCrossRef Svensson L, Bohm K, Castren M et al (2010) Compression-Only CPR or Standrad CPR in Out-of-Hospital Cardiac Arrest. N Engl J Med 363:434–442 PubMedCrossRef
26.
Zurück zum Zitat Willich SN, Goldberg RJ, Maclure M et al (1992) Increased onset of sudden cardiac death in the first three hours after awakening. Am J Cardiol 70:65–68 PubMedCrossRef Willich SN, Goldberg RJ, Maclure M et al (1992) Increased onset of sudden cardiac death in the first three hours after awakening. Am J Cardiol 70:65–68 PubMedCrossRef
27.
Zurück zum Zitat Winkle RA (2010) The effectivness and cost effectivness of Public-Access defibrillation. Clin Cardiol 33(7):396–399 PubMedCrossRef Winkle RA (2010) The effectivness and cost effectivness of Public-Access defibrillation. Clin Cardiol 33(7):396–399 PubMedCrossRef
Metadaten
Titel
Lebensbedrohliche Herzrhythmusstörungen
Situation zu Hause
verfasst von
Dr. H.-C. Mochmann
Publikationsdatum
01.03.2011
Verlag
Springer-Verlag
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 2/2011
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-010-1328-5

Weitere Artikel der Ausgabe 2/2011

Notfall +  Rettungsmedizin 2/2011 Zur Ausgabe

CME Weiterbildung · Zertifizierte Fortbildung

Der lebensbedrohliche Kindernotfall im Notarztdienst