Rhythm disturbance

Modern pacemakers in use for heart patients

Nachrichten
11.09.2024 15:11

An innovative pacemaker technology stimulates the heart directly via the existing conduction system. This advanced method was successfully applied to an 82-year-old patient at the Wels-Grieskirchen Clinic (Upper Austria). 

The human heart beats according to a certain rhythm, between 50 and 80 times a minute, in order to constantly supply the body with blood. If this does not happen fast enough, a pacemaker is sometimes implanted. The device works like a pacemaker by sending electrical impulses to the heart via one or more electrodes. With each of these impulses, the heart muscle contracts and brings the "life pump" into the right rhythm.

At the end of July 2024, the innovative pacemaker technology "Conduction System Pacing (CSP)" was successfully applied to an 82-year-old patient at the Wels-Grieskirchen Clinic (Upper Austria). This advanced therapy uses the heart's natural conduction pathways to achieve physiological cardiac stimulation.

The innovative CSP pacemaker technology was successfully applied to an 82-year-old patient in the cardiac catheterization laboratory at the Wels-Grieskirchen Clinic (from left to right: DGKP Lisa Zauner, BSc, DGKP Edgar Weissböck, the patient, OA Dr. Peter Huber and Prim. Priv.-Doz. Dr. Ronald Binder) (Bild: Klinikum Wels-Griesirchen)
The innovative CSP pacemaker technology was successfully applied to an 82-year-old patient in the cardiac catheterization laboratory at the Wels-Grieskirchen Clinic (from left to right: DGKP Lisa Zauner, BSc, DGKP Edgar Weissböck, the patient, OA Dr. Peter Huber and Prim. Priv.-Doz. Dr. Ronald Binder)

With conventional pacemaker systems, one or two, in some cases even three electrodes are inserted into the heart via the venous system and the pacemaker unit is implanted under the skin. However, this method carries the risk of delayed excitation of the ventricles, which can increase the risk of heart failure. The volume of blood ejected by the heart is then restricted.

Zitat Icon

The special feature of 'conduction system pacing' is that the pacemaker directly stimulates the conduction system of the heart.

(Bild: Klinikum Wels-Grieskirchen/Nik Fleischmann)

OA Dr. Peter Huber, Klinikum Wels-Grieskirchen

Probe directly stimulates the conduction system 
CSP technology, on the other hand, stimulates the heart directly via the existing conduction system. "This makes use of the natural propagation of excitation, which maintains the heart's pumping function and significantly reduces the risk of heart failure," reports Dr. Peter Huber, senior physician at the Department of Internal Medicine II, Cardiology and Intensive Care Medicine at Wels-Grieskirchen Hospital.

The CSP pacemaker probe is screwed into the cardiac septum of the main chambers via the vein using a catheter in a minor procedure. "The procedure is comparable to a conventional pacemaker implantation, but locating the right spot in the heart is a challenge," explains Dr. Huber.

The conduction system consists of very thin heart muscle cells and cannot be visualized using imaging. The optimal location must therefore be found using the electrical currents in the ECG. "If this is fixed, the chances of success are high. If the ideal site cannot be found, it is possible to switch to conventional implantation at any time," says the cardiologist.

Which patients are particularly suitable?
"CSP technology is not necessary for every pacemaker patient," emphasizes Dr. Huber. In many cases, conventional implantation is completely sufficient. CSP technology is particularly suitable for patients in whom a high level of pacing is expected, or in the case of advanced conduction disorders or certain forms of heart failure.

This article has been automatically translated,
read the original article here.

Loading...
00:00 / 00:00
Abspielen
Schließen
Aufklappen
Loading...
Vorige 10 Sekunden
Zum Vorigen Wechseln
Abspielen
Zum Nächsten Wechseln
Nächste 10 Sekunden
00:00
00:00
1.0x Geschwindigkeit
Loading
Kommentare
Eingeloggt als 
Nicht der richtige User? Logout

Willkommen in unserer Community! Eingehende Beiträge werden geprüft und anschließend veröffentlicht. Bitte achten Sie auf Einhaltung unserer Netiquette und AGB. Für ausführliche Diskussionen steht Ihnen ebenso das krone.at-Forum zur Verfügung. Hier können Sie das Community-Team via unserer Melde- und Abhilfestelle kontaktieren.

User-Beiträge geben nicht notwendigerweise die Meinung des Betreibers/der Redaktion bzw. von Krone Multimedia (KMM) wieder. In diesem Sinne distanziert sich die Redaktion/der Betreiber von den Inhalten in diesem Diskussionsforum. KMM behält sich insbesondere vor, gegen geltendes Recht verstoßende, den guten Sitten oder der Netiquette widersprechende bzw. dem Ansehen von KMM zuwiderlaufende Beiträge zu löschen, diesbezüglichen Schadenersatz gegenüber dem betreffenden User geltend zu machen, die Nutzer-Daten zu Zwecken der Rechtsverfolgung zu verwenden und strafrechtlich relevante Beiträge zur Anzeige zu bringen (siehe auch AGB). Hier können Sie das Community-Team via unserer Melde- und Abhilfestelle kontaktieren.

Kostenlose Spiele
Vorteilswelt