Vinzenz Hombach – författare

Noninvasive electrocardiographic monitoring is a fundamental part of cardiology. Depending on continuous improvements and developments of new technologies, these methods are essential for diagnosis and risk stratification of patients. The rapid changes in the capabilities, technologies and diagnostic values of the different methods force us to update our knowledge continuously. This book offers a comprehensive overview of the current state and future developments in the field of noninvasive electrocardiographic monitoring techniques. In addition, related fields such as magnetocardiography, newer signal detection and analysis techniques as well as ambulatory blood pressure monitoring are reported. The different methods are discussed with regard to methodological aspects, latest technical developments and clinical value of results. Furthermore, review articles focus on the autonomic nervous system, monitoring of ischemic heart disease, quality control and standardization of monitoring techniques. A group of international experts in science and clinical practice have contributed to this book, which is supported by the International Society for Holter and Noninvasive Electrocardiography (ISHNE). The book is addressed to clinical and academic cardiologists as well as scientists.

Das Buch stellt konventionelle und neue Mappingverfahren umfassend und ausführlich anhand praktischer Beispiele dar. Es werden Grundlagen wie Röntgenanatomie und biophysikalische Voraussetzungen erläutert, die für die tägliche Praxis unabdingbar sind. Anschließend wird das praktische Vorgehen von der Diagnosestellung bis zur Ablation bei unterschiedlichen Tachykardien aufgezeigt.

Das Buch stellt konventionelle und neue Mappingverfahren umfassend und ausführlich anhand praktischer Beispiele dar. Es werden Grundlagen wie Röntgenanatomie und biophysikalische Voraussetzungen erläutert, die für die tägliche Praxis unabdingbar sind. Anschließend wird das praktische Vorgehen von der Diagnosestellung bis zur Ablation bei unterschiedlichen Tachykardien aufgezeigt.

This book is a comprehensive overview of electrocardiography and the major effects of current cardiac pharmacological therapy on electrocardiography. The text is based on work presented at the International Symposium on Non-invasive Cardiovascular Diagnosis and Therapy, held in May, 1987 at the University of Cologne. The theme of the book is to review, in broad clinical perspective the current state-of-the-art of electrocardiography as it pertains to standard electrocar­ diograms, exercise testing, ambulatory electrocardiography, electrocardiographic telemetry, and high resolution electrocardiography. Furthermore, advance!, in cardiac drug therapy in relation to diuretics, beta blocking drugs, antiarrhythmic agents and thrombolytic agents are reviewed. The emphasis of the conference and this book is to review the clinical state-of-the-art information and applications in this regard. In the initial section on electrocardiography, Dr. Spodick reviews our present day physiologic and pathophysiologic understanding of systolic time intervals, and how they are affected by a variety of cardiac disease states and pharmacologic agents. Dr. Ellestad examines problems and provides pragmatic tips on exercise testing in the diagnosis of coronary artery disease, and advances in exercise scores and computer analysis. Dr. Graboys reviews the value of exercise testing in the diagnosis and management of patients with serious ventricular arrhythmias. Dr. Kellermann presents the complimentary role that exercise testing plays in com­ prehensive follow-up therapy of the cardiac patient, and the use of exercise for work and physical training. Detailed information concerning the interaction of cardiac rehabilitation and ventricular arrhythmias are examined.

In recent years considerable progress and new developments in diagnostic and interventional cardiology have been observed, such as balloon angioplasty of coronary artery stenoses, reperfusion techniques in acute myocardial infarction, new pacing, and cardioversion-defibrillation techniques in ventricular tachyar­ rhythmias. On 5-8 May, 1985, an international symposium on ''Invasive Cardio­ vascular Therapy'' was held in Cologne, which provided a survey on the experi­ ment~l and routine therapeutic measures presently available and practiced in cardiovascular medicine. This volume is based on the oral presentations given during the symposium. In five chapters the most important traditional and new interventional techniques are discussed by experts in the field. Chapter I contains a description of results from catheter palliation of congeni­ tal shunt disorders or relief of congenital pulmonary or aortic valve stenoses as well as the recent experience with surgical repair of single ventricle, Fallot''s tetralogy and tricuspid atresia. Chapter II presents the surgical results of valve replacement with different valve prostheses in acquired valvular disease, the surgical management of bacte­ rial endocarditis, as well as the various techniques of partial transient left heart support devices and of cardiac transplantation. In chapter III, the invasive management of chronic coronary heart disease, peripheral vascular disease by balloon catheter or laser techniques, and the surgical approach to coronary heart disease are discussed.

Since the introduction of balloon angioplasty for the relief of coronary artery stenoses and of anginal symptoms in patients with coronary artery disease by Andreas Griintzig in 1977, the field of interventional technology and treatment strategies has grown enormously. For the reduction of hemodynamically significant coronary artery stenoses balloon angioplasty is the standard and reference method with a high primary success and low complication rate. Because of the relatively high recurrence rates of 30-40% of balloon angioplasty a whole family of different angioplasty techniques has been developed since then. Among those are atherectomy devices, laser angioplasty, radiofrequency angioplasty, high and low speed rotational angioplasty and stenting of stenosed vessels. Balloon angioplasty has been extended to aortic and mitral valve stenoses, and supraventricular and ventricular tachycardias can now be treated by catherter ablation techniques. In 1989 an International Symposium on standard and newer inter­ ventional techniques has been held at the University of Ulm. This volume contains the essential parts and presentations of the international faculty of experts in the field. In four chapters the principles, advantages, pitfalls and future developments of coronary angiopiasty, angioplasty of peripheral arteries, balloon valvuloplasty and of catheter ablation of supraventricular and ventricular tachycardias are described in detail. We hope that this 'State-of-the-Art' representation will be of great value for both the non­ expert reader and the active researcher in the fields addressed within the book. V. Hombach, M. Kochs and A. J. Camm ix List of contributors U. U.

Noninvasive electrocardiographic monitoring is a fundamental part of cardiology. Depending on continuous improvements and developments of new technologies, these methods are essential for diagnosis and risk stratification of patients. The rapid changes in the capabilities, technologies and diagnostic values of the different methods force us to update our knowledge continuously. This book offers a comprehensive overview of the current state and future developments in the field of noninvasive electrocardiographic monitoring techniques. In addition, related fields such as magnetocardiography, newer signal detection and analysis techniques as well as ambulatory blood pressure monitoring are reported. The different methods are discussed with regard to methodological aspects, latest technical developments and clinical value of results. Furthermore, review articles focus on the autonomic nervous system, monitoring of ischemic heart disease, quality control and standardization of monitoring techniques. A group of international experts in science and clinical practice have contributed to this book, which is supported by the International Society for Holter and Noninvasive Electrocardiography (ISHNE). The book is addressed to clinical and academic cardiologists as well as scientists.

This book is a comprehensive overview of electrocardiography and the major effects of current cardiac pharmacological therapy on electrocardiography. The text is based on work presented at the International Symposium on Non-invasive Cardiovascular Diagnosis and Therapy, held in May, 1987 at the University of Cologne. The theme of the book is to review, in broad clinical perspective the current state-of-the-art of electrocardiography as it pertains to standard electrocar­ diograms, exercise testing, ambulatory electrocardiography, electrocardiographic telemetry, and high resolution electrocardiography. Furthermore, advance!, in cardiac drug therapy in relation to diuretics, beta blocking drugs, antiarrhythmic agents and thrombolytic agents are reviewed. The emphasis of the conference and this book is to review the clinical state-of-the-art information and applications in this regard. In the initial section on electrocardiography, Dr. Spodick reviews our present day physiologic and pathophysiologic understanding of systolic time intervals, and how they are affected by a variety of cardiac disease states and pharmacologic agents. Dr. Ellestad examines problems and provides pragmatic tips on exercise testing in the diagnosis of coronary artery disease, and advances in exercise scores and computer analysis. Dr. Graboys reviews the value of exercise testing in the diagnosis and management of patients with serious ventricular arrhythmias. Dr. Kellermann presents the complimentary role that exercise testing plays in com­ prehensive follow-up therapy of the cardiac patient, and the use of exercise for work and physical training. Detailed information concerning the interaction of cardiac rehabilitation and ventricular arrhythmias are examined.

In recent years considerable progress and new developments in diagnostic and interventional cardiology have been observed, such as balloon angioplasty of coronary artery stenoses, reperfusion techniques in acute myocardial infarction, new pacing, and cardioversion-defibrillation techniques in ventricular tachyar­ rhythmias. On 5-8 May, 1985, an international symposium on 'Invasive Cardio­ vascular Therapy' was held in Cologne, which provided a survey on the experi­ ment~l and routine therapeutic measures presently available and practiced in cardiovascular medicine. This volume is based on the oral presentations given during the symposium. In five chapters the most important traditional and new interventional techniques are discussed by experts in the field. Chapter I contains a description of results from catheter palliation of congeni­ tal shunt disorders or relief of congenital pulmonary or aortic valve stenoses as well as the recent experience with surgical repair of single ventricle, Fallot's tetralogy and tricuspid atresia. Chapter II presents the surgical results of valve replacement with different valve prostheses in acquired valvular disease, the surgical management of bacte­ rial endocarditis, as well as the various techniques of partial transient left heart support devices and of cardiac transplantation. In chapter III, the invasive management of chronic coronary heart disease, peripheral vascular disease by balloon catheter or laser techniques, and the surgical approach to coronary heart disease are discussed.

Since the introduction of balloon angioplasty for the relief of coronary artery stenoses and of anginal symptoms in patients with coronary artery disease by Andreas Griintzig in 1977, the field of interventional technology and treatment strategies has grown enormously. For the reduction of hemodynamically significant coronary artery stenoses balloon angioplasty is the standard and reference method with a high primary success and low complication rate. Because of the relatively high recurrence rates of 30-40% of balloon angioplasty a whole family of different angioplasty techniques has been developed since then. Among those are atherectomy devices, laser angioplasty, radiofrequency angioplasty, high and low speed rotational angioplasty and stenting of stenosed vessels. Balloon angioplasty has been extended to aortic and mitral valve stenoses, and supraventricular and ventricular tachycardias can now be treated by catherter ablation techniques. In 1989 an International Symposium on standard and newer inter­ ventional techniques has been held at the University of Ulm. This volume contains the essential parts and presentations of the international faculty of experts in the field. In four chapters the principles, advantages, pitfalls and future developments of coronary angiopiasty, angioplasty of peripheral arteries, balloon valvuloplasty and of catheter ablation of supraventricular and ventricular tachycardias are described in detail. We hope that this ''State-of-the-Art'' representation will be of great value for both the non­ expert reader and the active researcher in the fields addressed within the book. V. Hombach, M. Kochs and A. J. Camm ix List of contributors U. U.