[Differential therapeutic problems in sinus node syndrome--drug or electrical therapy?]. / Differentialtherapeutische Probleme beim Sinusknotensyndrom--medikamentöse oder elektrische Therapie?

121 hospitalised patients with electrophysiologically ascertained sick sinus syndrome were ambulatorily observed for two and a half years. The knowledge of the electrophysiological parameters allowed in every case an exact estimation of the degree of severity. Patients with preponderantly isolated disturbance of the sino-atrial node automatism, the sino-atrial conduction and the nervous regulation (patients with carotid sinus syndrome) as well as the majority of patients with bradycardia-tachycardia-syndrome were conservatively treated. Patients with high-degree combined disturbances of the sinus node partial functions were electrically treated. Every cardiac syncope in the medicamentously treated sick sinus node syndrome is the absolute indication for a pacemaker implantation. The further observation in the outpatient department showed that in many patients with symptomatic sick sinus node syndrome an attempt of conservative treatment is justified.

[Scanning electron microscopy study of cell growth on mechanically produced biovitroceramic and carbon glass in vitro and in vivo]. / Rasterelektronen-mikroskopische Untersuchung des Zellwachstums auf maschinell bearbeitbarer Biovitrokeramik und Glaskohlenstoff in vitro und in vivo.

New machinable glass ceramics were tested for the application in middle ear surgery in vitro and in vivo. This ceramic consists of a glass phase and a glimmer phase. Fibroblasts and epitheloid cells seated on the test material attach to it, spread and form a confluent monolayer. From our findings on the behaviour of cell populations in vitro we can conclude that the implanted material is biocompatible. After implantation into the middle ear of rabbits, irritation-free settling was verified by the existence of a thin epithelium layer and a direct connection between bone and implant. Glass carbon did not yield equally satisfactory results.