\tikzsetnextfilename{Therapie-MAT}

    \begin{tikzpicture}[node distance=2cm]
    
    \node (about) [about, text width=3cm] {\textbf{\gls{mat}}};

    \node (dec1) [comorbidity, below of=about, text width=7cm, yshift=-0.25cm] {Behandlung der Grunderkrankung};
    \draw [dotted] (about) -- (dec1);
    
    \node (dec2) [comorbidity, below of=dec1, text width=7cm, yshift=-0.75cm] {Behebung von Elektrolytstörungen und \gls{ggf} Gabe von zusätzlichem Magnesium};
    \draw [dotted] (dec1) -- (dec2);

    \node (dec3) [comorbidity, below of=dec2, text width=7cm, yshift=-1.5cm] {Hat der Patient eine akute dekompensierte Herzinsuffizienz, einen AV-Block (ohne implantierten Pacemaker) und/oder ist er hämodynamisch instabil?};
    \draw [dotted] (dec2) -- (dec3);
    \draw [arrow] (dec3.east) -- +(1,0) |- node [pos=0.25, xshift=0.5cm] {ja} (dec1);

    \node (dec4) [comorbidity, below of=dec3, text width=7cm, yshift=-1.5cm] {Hat der Patient eine schwere pulmonale Erkrankung, \gls{va} Bronchospasmus?};
    \draw [arrow] (dec3) -- node [near start, xshift=0.5cm, yshift=-0.20cm] {nein} (dec4);
    
    \node (therapy1) [therapy, right of=dec4, text width=3.5cm, xshift=4cm, yshift=-1.5cm] {\gls{ndhp}: Verapamil oder Diltiazem};
    \node (therapy2) [therapy, left of=dec4, text width=3.5cm, xshift=-4cm, yshift=-1.5cm] {$\beta$-Blocker};
    \draw [arrow] (dec4) -| node [near start, above=0.20cm] {ja} (therapy1);
    \draw [arrow] (dec4) -| node [near start, above=0.20cm] {nein} (therapy2);

    \node (therapy3) [therapy, below of=dec4, text width=6cm, xshift=-1.5cm, yshift=-1.5cm] {Ablation des \gls{avn} und Implantation eines Pacemakers};
    \draw [arrow] (therapy1) -| node [near end, xshift=1.75cm] {hartnäckige \gls{mat}} (therapy3);
    \draw [arrow] (therapy2) -| (therapy3);

    \end{tikzpicture}