Pre-automatic pause
As Präautomatische break (engl .: preautomatic pause) is in cardiology usually exposing the heart beat after completion of a paroxysmal occurring atrial fibrillation or flutter referred to as the sinus node as a pacemaker center not directly returns to work. If this pause lasts for several seconds, there is a sick sinus node (sick sinus syndrome ).
This formulation is also used less often when the AV node is the next functioning pacemaker center to start work in the context of a sick sinus syndrome or an SA blockage .
If symptoms such as dizziness or loss of consciousness ( syncope ) occur during the break , a pacemaker is implanted to prevent injuries from falling or to alleviate symptoms related to dizziness . If there are no symptoms, no therapy is necessary.
Individual evidence
- ^ A b Roche Lexicon Medicine . 5th edition. Elsevier GmbH, Urban & Fischer Verlag, Munich 2003, ISBN 3-437-15072-3 (keyword: pre-automatic pause ).
- ↑ a b Fröhling G. et al. (Ed.): Pacemaker and defibrillator therapy . 1st edition. Thieme, Stuttgart, New York 2006, ISBN 3-13-117181-2 , pp. 26 .
- ^ Renz-Polster (Ed.): Basic textbook internal medicine . 4th edition. Elsevier, Urban & Fischer, Munich / Jena 2008, ISBN 978-3-437-41053-6 , pp. 103 .
- ^ Fröhling G. et al. (Ed.): Pacemaker and defibrillator therapy . 1st edition. Thieme, Stuttgart, New York 2006, ISBN 3-13-117181-2 , pp. 35 .
Web links
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ECG of a pre-automatic pause at the transition from paroxysmal atrial fibrillation to a bradycardic sinus rhythm in:
Fröhling G. et al. (Ed.): Pacemaker and defibrillator therapy . 1st edition. Thieme, Stuttgart, New York 2006, ISBN 3-13-117181-2 , pp. 34 .
