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Gadermaier G, Vejvar E, Briza P, Hoffmann-Sommergruber K, Hemmer W, Ferreira F. Molecule-based diagnosis of Apium graveolens allergy: is there a need to increase the current allergen panel? Clin Transl Allergy 2013. [PMCID: PMC3723449 DOI: 10.1186/2045-7022-3-s3-o12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Markewitz A, Burger H, Osswald B, Israel C, Doll N, Hemmer W, Beckmann A. DGTHG-Zertifizierung zur Herzschrittmacher-, ICD- und CRT-Therapie. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2013. [DOI: 10.1007/s00398-012-0994-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Hemmer W, Zahel B, Jarisch R. Possible Association Between Elevated Basal Serum Tryptase Levels and Systemic Reactions To Stings From Blood-Feeding Insects. J Allergy Clin Immunol 2012. [DOI: 10.1016/j.jaci.2011.12.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Weimar T, Liebrich M, Roser D, Doll KN, Hemmer W. A single center experience with the ross procedure in 607 patients. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Sievers HH, Hemmer W, Beyersdorf F, Moritz A, Moosdorf R, Lichtenberg A, Misfeld M, Charitos EI. The everyday used nomenclature of the aortic root components: the tower of Babel? Eur J Cardiothorac Surg 2011; 41:478-82. [DOI: 10.1093/ejcts/ezr093] [Citation(s) in RCA: 71] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Mayer DE, Krauskopf A, Hemmer W, Moritz K, Jarisch R, Reiter C. Usefulness of post mortem determination of serum tryptase, histamine and diamine oxidase in the diagnosis of fatal anaphylaxis. Forensic Sci Int 2011; 212:96-101. [PMID: 21664082 DOI: 10.1016/j.forsciint.2011.05.020] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2009] [Revised: 05/10/2011] [Accepted: 05/14/2011] [Indexed: 11/30/2022]
Abstract
The diagnosis of fatal anaphylaxis can be difficult for clinical features may not always be evident in necropsy. Therefore post mortem determination of tryptase and other blood parameters can be helpful in verifying the diagnosis. We compared post mortem tryptase, histamine and diamine oxidase (DAO) serum levels of two patients who had died after a Hymenoptera sting and one patient who died of bronchospasm during anaesthesia with data obtained from 55 control subjects who had died from other causes than anaphylaxis. In the three anaphylactic cases, serum tryptase level was 880, 68 and 200 μg/l (normal range in living subjects: <11.4 μg/l), histamine was 37.5, 8.5 and 23.2 ng/ml (normal range: <0.3 ng/ml) and DAO was 1, 30 and 4 U/ml (normal range 10-30 U/ml), respectively. Values in the control group were as follows: tryptase 1-340 μg/l (mean 24.2 ± 58.2), histamine 5.0-22.0 ng/ml (mean 14.7 ± 3.9) and DAO 0-114 U/ml (mean 21.1 ± 27.8). 19/55 (34.5%) of the controls had elevated tryptase levels >11.4 μg/l, with four of them showing values >45 μg/ml. Significantly higher histamine levels were seen in blood samples taken more than 24h post mortem (p<0.05), whereas the timing of blood collection had no effect on tryptase and DAO levels. While moderately elevated tryptase levels are common in post mortem sera, values above 45 μg/l may support the diagnosis of fatal anaphylaxis. Strongly elevated histamine levels might give an additional clue on fatal anaphylaxis, whereas DAO does not seem to be helpful.
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Hemmer W, Jarisch R, Wieczorek D, Kapp A, Wedi B, Müller U, Schmid-Grendelmeier P, Hausmann O, Helbling A, Varga R, Stretz E, Rolle M, Przybilla B, Ruëff F, Krischan L, Schneider M, Sonnenschein U, Darsow U, Ring J, Eberlein B, Friedl TK, Garaganova J, Arnold A. Klinische In-vitro-Diagnostik. ALLERGO JOURNAL 2011. [DOI: 10.1007/bf03362489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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33
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Wedi B, Kapp A, Ruëff F, Friedl T, Vos B, Przybilla B, Hemmer W, Zahel B, Jarisch R, Kager C. Serologische Risikoindikatoren. ALLERGO JOURNAL 2011. [DOI: 10.1007/bf03362491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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34
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Konakovsky V, Focke M, Hoffmann-Sommergruber K, Schmid R, Scheiner O, Moser P, Jarisch R, Hemmer W. Levels of histamine and other biogenic amines in high-quality red wines. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2011; 28:408-16. [DOI: 10.1080/19440049.2010.551421] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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35
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Jarisch R, Weyer D, Ehlert E, Koch C, Pinkowski E, Jung P, Kähler W, Girgensohn R, Hemmer W, Koch A. Influence of Orally Taken Vitamin C on Histamine Levels and Motion Sickness. J Allergy Clin Immunol 2011. [DOI: 10.1016/j.jaci.2010.12.1040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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36
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Hemmer W, Schauer U, Trinca A, Neumann C, Jarisch R. Ragweed Pollen Allergy in Austria: a Retrospective Analysis of Sensitization Rates from 1997 to 2007. J Allergy Clin Immunol 2011. [DOI: 10.1016/j.jaci.2010.12.675] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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37
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Wantke F, Simon-Nobbe B, Pöll V, Götz M, Jarisch R, Hemmer W. Occupational Contact Dermatitis to Penicillium molds on Salami Skin. J Allergy Clin Immunol 2011. [DOI: 10.1016/j.jaci.2010.12.711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Weimar T, Boscheinen M, Vosseler M, Czesla M, Hemmer W, Doll N. Endoscopic approach for epicardial bipolar radiofrequency ablation in the surgical treatment of lone atrial fibrillation. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bedda W, Hemmer W, Schantz HE, Strauss H, Paula J, Doll N. A case of autograft endocarditis after Ross procedure, operate or not to operate? Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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40
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Liebrich M, Kruszynski M, Roser D, Doll N, Hemmer W. Aortic valve-sparing reimplantation technique (David-procedure) in different pathologies: Long-term clinical and echocardiographic follow-up in 170 patients. A single-center experience. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1268931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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41
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Litschauer-Poursadrollah M, Mayer D, Hemmer W, Jarisch R. Quallen und Gifttiere als Gefahr beim Baden. Dtsch Med Wochenschr 2010; 135:1073-7. [DOI: 10.1055/s-0030-1253702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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42
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Hörer J, Stierle U, Hanke T, Takkenberg J, Bogers A, Hemmer W, Rein J, Hübler M, Hetzer R, Sievers H, Lange R. Die Ross-Operation bei Kindern. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2010. [DOI: 10.1007/s00398-010-0768-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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43
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Hanke T, Stierle U, Charitos EI, Gorski A, Bogers AJJC, Bechtel M, Boehm J, Botha C, Lange R, Hörer J, Moritz A, Wahlers T, Franke U, Hemmer W, Ferrari-Kuehne K, Hetzer R, Hübler M, Ziemer G, Takkenberg JJM, Robinson D, Misfeld M, Sievers HH. Major adverse cardiac events after the Ross operation in 1620 patients – current status of the German-Dutch Ross Registry with up to 20 years follow-up. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Misfeld M, Charitos EI, Richardt D, Robinson D, Borgers AJJC, Hemmer W, Franke U, Boehm J, Rein J, Botha C, Lange R, Hörer J, Moritz A, Wahlers T, Breuer M, Ferrari-Kuehne K, Hetzer R, Hübler M, Gorski A, Ziemer G, Takkenberg JJM, Hanke T, Sievers HH, Stierle U. What happens to patients in the second decade after the Ross operation? Results from the German-Dutch Ross registry. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1247047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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45
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Charitos EI, Hanke T, Robinson D, Misfeld M, Bogers AJJC, Hemmer W, Bechtel M, Boehm J, Botha C, Lange R, Hörer J, Moritz A, Wahlers T, Franke U, Breuer M, Ferrari-Kuehne K, Hetzer R, Hübler M, Ziemer G, Takkenberg JJM, Gorski A, Stierle U, Sievers HH. After the Ross procedure the patients' survival is similar to that of the normal population: results from the German-Dutch Ross Registry in 1623 patients. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1247052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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46
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47
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Hemmer W, Rybak K, Markewitz A, Israel C, Krämer LI, Neuzner J, Nowak B, Pfeiffer D, Schuchert A, Wiegand U. Empfehlungen zur Strukturierung der Herzschrittmacher- und Defibrillatortherapie. DER KARDIOLOGE 2009. [DOI: 10.1007/s12181-008-0136-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Hemmer W, Rybak K, Markewitz A, Israel C, Krämer LI, Neuzner J, Nowak B, Pfeiffer D, Schuchert A, Wiegand U. [Training requirements for transvenous implantation of pacemakers and cardioverter-defibrillators]. Thorac Cardiovasc Surg 2009; 57:1-10. [PMID: 19169987 DOI: 10.1055/s-2008-1039175] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Therapy with implantable pacemakers, cardioverter defibrillators (ICD), and devices for cardiac resynchronization (CRT) is performed by various medical and surgical specialists. With the change from implantation by thoracotomy to the transvenous approach, an increasing number of devices are implanted by cardiologists. The purpose of this paper is to establish training requirements for transvenous device therapy, implantation and follow-up examinations, regardless of the implanting person, an internist, cardiologist, general surgeon, or cardiothoracic surgeon. Epicardial lead placement should be performed only by surgeons. Two levels of training topics are defined, level 1 for pacemakers and level 2 for ICD and CRT devices. Surgery that involves the implantation of foreign material should demand the highest standards of operating rooms design and environment. Catheter laboratories used for implantations should meet operating room standards. Complications need to be documented carefully for quality control.
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Hanke T, Charitos EI, Stierle U, Hemmer W, Lange R, Hörer J, Hübler M, Takkenberg J, Bogers AJJC, Sievers HH. Effect of autograft reinforcement techniques on autograft durability and function after the Ross procedure: Results from the German-Dutch Ross Registry. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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50
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Weimar T, Hemmer W, Bargenda S, Hermann T, Rein JG. Epicardial temperature-controlled radiofrequency ablation as stand-alone procedure in patients with atrial fibrillation. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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