This content is machine translated Cardiac resynchronization therapy in old age A very effective therapy if the indication is correct Cardiac resynchronization therapy (CRT) is an established therapy for the treatment of symptomatic heart failure and reduction of mortality in patients with left bundle branch block and extended medical therapy.…
View Post 4 min This content is machine translated Guidelines/Indications Who needs a pacemaker? For prognostic reasons, pacemaker implantation should also be recommended to asymptomatic patients with AVB II° type Mobitz or AVB III°. Sinus node disease (e.g., SA block, sinus bradycardia) generally has…
View Post 11 min This content is machine translated Review The development of pacemaker therapy in Switzerland In 1958, Professor Åke Senning, who was appointed to Zurich a few years later, initiated an unprecedented development in medicine at Karolinska Hospital in Stockholm: the implantation of the first…
View Post 5 min This content is machine translated 14th Zurich Review Course in Clinical Cardiology “Fatness or Fitness” – which parameter is more significant for mortality risk? Obesity is unhealthy, increases cardiovascular risk and therefore mortality. It is worth taking a closer look at this seemingly clear connection. Where in the body are fat deposits particularly harmful…
View Post 9 min This content is machine translated Syncope or epilepsy? First epileptic seizure in adulthood 10% of all people experience a seizure once in their lifetime. The exact timing and symptomatic course of the seizure are very important in the workup. There are no laboratory…
View Post 7 min This content is machine translated 11th Hypertension Day Zurich More precise blood pressure measurement thanks to improved technology The results of the SPRINT study – lower mortality with more intensive hypertension treatment – were the focus of interest at the 11th Hypertension Day. As one speaker put it,…
View Post 6 min This content is machine translated Interventional treatment of pulmonary embolism Early risk stratification is crucial In patients with suspected pulmonary embolism, risk stratification is important because it guides all subsequent therapeutic decisions. High-risk patients with hemodynamic instability must be identified promptly so that systemic thrombolytic…
View Post 6 min This content is machine translated 11th Hypertension Day Zurich SPRINT study: Will target blood pressure levels drop again? The results of the SPRINT study – lower mortality with more intensive hypertension treatment – were the focus of interest at the 11th Hypertension Day. However, it is not clear…
View Post 9 min Pulmonary hypertension due to left heart disease An important sign of advanced heart failure Pulmonary hypertension is usually a sign of more advanced stage of left heart disease (PH-LHD). The central characteristic of PH-LHD is an elevated pulmonary arterial wedge pressure of >15 mmHg.…
View Post 6 min This content is machine translated Pulmonary arterial hypertension New drugs reduce morbidity and mortality Treatment of pulmonary arterial hypertension (PAH) includes nonspecific measures (basic therapy) and specific drugs (selective pulmonary vasodilators). An extended basic therapy, including oral anticoagulation, rhythm control, rehabilitation measures and psychosocial…
View Post 6 min This content is machine translated "Therapy-resistant" hypertension What are the reasons? The definition of refractory hypertension is very precise (tab. 1): Blood pressure in the physician’s office is >140/90 mmHg despite triple combination therapy in appropriate dosage (including a diuretic). In the case…
