Antiarrhythmika: Welche Rolle spielen sie heute noch?

Abstract

The use of medical antiarrhythmic therapy apart from beta-blockers has been steadily decreasing in the recent past. This can partly be attributed to technological progress that has rendered the ablation of complex cardiac arrhythmias like atrial fibrillation, focal atrial tachycardias and ventricular arrhythmias feasible and efficacious. Furthermore, an awareness regarding pro-arrhythmic and toxic side-effects of antiarrhythmic medication has evolved. Nevertheless, medical antiarrhythmic therapy still plays a fundamental role in acute therapy of arrythmias as well as certain indications for long-term therapy. This review comprehensively summarizes the current role of medical antiarrhythmic therapy in daily clinical practice focusing on mechanisms and therapies of the most common cardiac arrythmias.

Der Gebrauch von Antiarrhythmika außerhalb einer Betablocker-Therapie ist in den letzten Jahren rückläufig. Gründe hierfür sind neben der sich stetig verbessernden Möglichkeit der Ablation von Herzrhythmusstörungen auch eine schlechtere Nutzen-Risiko-Relation einiger Antiarrhythmika. Dennoch besitzen sie in der Kardiologie einen festen Stellenwert und sind noch lange nicht verzichtbar.

Schlüsselwörter

Arrhythmie - medikamentöse Therapie - Antiarrhythmika - Ablation - Verödungsbehandlung

Key words

arrhythmia - medical therapy - antiarrhythmic drugs - ablation

Publication History

Article published online:
15 April 2020

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