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Biomedical subjects

W Steinbrunn

Publications and source records attributed to W Steinbrunn.

72 records · Page 4Linked to original sources
PubMed1976

[Pathophysiology and diagnosis of bradyarrhythmias in sick sinus syndrome].

The sick sinus syndrome (SSS) is a complex cardiac disturbance involving impulse formation and conduction. Anatomy and physiology of the sinus node and atrial conduction are reviewed and the pathophysiology of bradycardia and tachycardia in the SSS is discussed. Finally, a practical approach to diagnosis is outlined.

Action Potentials↗
PubMed1976

[Organization of mobile intensive care in Zurich].

A mobile intensive care unit (Kardiomobil) has been in operation in the Zurich area (600 000 inhabitants) since March 27, 1972. This unit is staffed by a doctor and a nurse experienced in coronary and intensive care and two ambulance drivers. Although primarily designed for pre-hospital coronary care, it is equipped and operated as a "mobile intensive care unit".

Arrhythmias, Cardiac↗
PubMed1976

[The prehospital phase of the acute myocardial infarct and its treatment in the mobile intensive care unit].

Mortality in the early phase of an acute myocardial infarction is high. Approximately two thirds of coronary deaths occur before the patients reach hospital, and if this mortality is to be reduced the prehospital phase must be shortened. For this purpose, mobile intensive care units are in use in many places with good results. The delay during the prehospital phase of acute myocardial infarction in Zurich has been analyzed prospectively (1) in a study performed in 1971/72 prior to the institution of the mobile intensive care unit ("Kardiomobil"), and (2) during the first year of Kardiomobil service. In 180 patients with acute myocardial infarction admitted to hospital by Kardiomobil the prehospital phase was considerably shorter (median delay 2 h 11 min) than in 216 with myocardial infarction in the same period not transported by Kardiomobil (7 hr 11 min) and in the 196 patients of the pre-Kardiomobil study (5 hr 55 min). Not only was the delay due to transport shorter in the Kardiomobil group but also the patient's and doctor's delays.

Coronary Care Units↗
PubMed1976

[Experiences with a mobile intensive care station (Kardiomobil) after 1 year's test operation in Zurich].

The Zurich mobile intensive care unit (Kardiomobil) admitted 502 patients in the first year of operation. 191 patients with confirmed acute myocardial infarction were seen. The Kardiomobil proved a success in shortening the total median delay between onset of symptoms and coronary care by 50%. Ten patients resuscitated outside the hospital were eventually discharged from hospital. 240 episodes of arrhythmia were observed in 182 of the 502 patients. 98 arrhythmias were successfully treated in this group, the best results being obtained in ventricular arrhythmias: 16 out of 26 patients with ventricular fibrillation were successfully defibrillated (61%), while 47 out of 53 episodes (89%) of frequent premature ventricular beats and all 9 episodes of ventricular tachycardia were corrected with lidocain and procainamid.

Arrhythmias, Cardiac↗