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Biomedical subjects

M Runge

Publications and source records attributed to M Runge.

At least 91 records · Page 5Linked to original sources
PubMed1975

[Analysis of the stimulus formation and excitation conduction systems by electrostimulation and intracardiac registration of the ECG (author's transl)].

A program for investigating the stimulus forming and excitation conduction systems of the human heart by programmed stimulation and intracardiac lead, with its most important clinical indications, is presented. The parameters to be determined for function analysis of the individual structures, such as the corrected sinus node recovery time, conduction rates and functional and effective refractory periods are discussed with their electrophysiological principles and their clinical information value.

Bundle of His↗
PubMedDate not supplied

Changes in heart rate by verapamil during carotid sinus stimulation in patients with hyperparathyroidism, pre- and postoperatively.

It has been investigated whether calcium- and verapamil-dependent sensitivities of carotis baroreceptors also exist in man. To answer this question, we pre- and postoperatively measured changes in heart rate during carotid sinus stimulation before and after intravenous administration of 5 mg verapamil in 23 patients with primary hyperparathyroidism. Findings during hypercalcemia were as expected: a more pronounced reduction of heart rate at comparatively low calcium levels. During normocalcemia, we found an opposite effect: a more pronounced reduction at relatively high calcium levels, which was statistically significant. This fact could be explained according to our interpretation. In previous reports, local effects on baroreceptors were examined, whereas we measured the combined effect of several calcium actions. As expected, verapamil attenuated the decrease in heart rate which, however, was not statistically significant.

Calcium↗
PubMedDate not supplied

[The influence of frequency and blockade of the autonomic nervous system on the functional behaviour of the human conduction system. Part B: Refractory periods (author's transl)].

32 patients were studied by His-bundle-electrocardiogram and programmed atrial stimulation to examine to which extent frequency and autonomic tone participate in influencing the effective (ERP) and functional (FRP) refractory periods of the atrium and AV-node. The measurements were performed during three electrically induced atrial frequencies before and after intravenous injection of 1 mg Atropine (15 patients) and 0.4 mg Visken (17 patients). For the atrium, frequency dominates the blockade of both components of the autonomic nervous system in influencing both refractory periods. Increase in frequency shortens both ERP and FRP of the atriu. The blockade of parasympathicus and sympathicus does not significantly influence the changes in atrial ERP and FRP induced by atrial pacing. The AV-node responses most sensitive to both pacing induced cycle length shortening and blockade of the autonomic tone. Cycle length shortening prolongs the nodal ERP. the FRP is either shortened or prolonged. Blockade of the parasympathicus shortens both nodal ERP and FRP. Blockade of the sympathicus lengthens both parameters. This behaviour of both refractory periods in response to atrial pacing and blockade of the autonomic tone are discussed with respect to the "gate mechanism" in the conduction system. In the majority of patients blockade of the parasympathicus shifts the "gate" from the AV-node to the atrium. Blockade of the sympathicus has the opposite effect in some cases.

Adrenergic beta-Antagonists↗