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Biomedical subjects

W Gattenlöhner

Publications and source records attributed to W Gattenlöhner.

15 recordsLinked to original sources
PubMed1991

[Transitory AV block as a cardiac manifestation of Lyme disease].

After one day of dizziness a 28-year-old man experienced a syncope on getting up. ECG revealed a 3 degrees atrioventricular (AV) block unresponsive to drug treatment. A temporary pacemaker was implanted. Erythema migrans 4 weeks before admission suggested Lyme carditis, and the diagnosis was confirmed serologically (ELISA increased polyvalently, IgM antibody titre 1:64, IgG antibody titre 1:512). On antibiotic treatment with amoxicillin (1 g three times daily) and prednisolone (initially 80 mg daily, with gradual dose reduction) the sinuatrial block regressed within 10 days. Holter monitoring still demonstrated occasional sinoatrial conduction disturbances for some days, until sinus rhythm was permanently re-established. This case illustrates that transitory AV block can be the sole manifestation of sporadic Lyme disease in Europe and should therefore be included in the differential diagnosis of any acute cardiac disease.

Adult↗
PubMed1978

[Transfemoral embolus aspiration from both renal arteries].

In a 50-year-old female patient who had suffered from coronary heart disease for about 3 years, a cerebral embolus resulted in left-sided hemiparesis. Four days later she became anuric. Acute thromboembolis occlusion of the renal arteries was assumed and renal angiography was performed. The angiography showed complete obstruction of the left renal artery and partial obstruction of the right renal artery. Due to the poor general condition of the patient it was not possible to carry out renovascular surgery or streptokinasetherapy. An attempt was therefore made to remove the emboli from the renal arteries by a new technique (transfemoral embolus aspiration). The subsequent angiography showed normal circulation in the right kidney and improved circulation in the left kidney. Ten days of dialysis treatment were required until urine production started again. Death then occurred from other causes. The autopsy confirmed free permeable renal vessels and absence of permanent sequelae in the parenchyma.

Aortography↗
PubMed1977

[The pros and cons of haemoperfusion (author's transl)].

6 patients with severe self-poisoning were treated by charcoal-haemoperfusion in our centre up to now. In four of them (all suffering from sleeping drug overdosage) the treatment was successful. Two patients with intoxications by agrochemicals died in spite of haemoperfusion. Side effects of haemoperfusion were drops of blood pressure and platelet count, depletion of immune bodies, and adsorption of remedies. Up to now, the indication for haemoperfusion has to consider these secondary actions of encapsulated charcoal as inevitable.

Arteries↗
PubMed1977

[Sick sinus node].

Explore the source record for details and available documents.

Arrhythmias, Cardiac↗
PubMed1975

[The ECG in emergency patients and its therapeutic consequences (author's transl)].

The increase in internal emergencies compels the doctor on emergency duty to differentiate. For the primary diagnosis, in addition to palpation of the pulse and the patient's utterances of pain, the leads of an ECG are available in the emergency ambulance. Therefore tachycardias, bradycardias and arrhythmias can be differentiated. The question of the therapeutic consequences in the individual case according to the classification of these different forms of rhythmic distrubances by the doctor first treating the case are discussed. General guiding principles for treatment are pointed out.

Ambulatory Care↗