\tikzsetnextfilename{Akute-Therapie-AVNRT}

    \begin{tikzpicture}[node distance=2cm]
    
    \node (about) [about, text width=3cm] {\textbf{\gls{avnrt}}};
    \node (therapy1) [therapy, below of=about, yshift=-0.5cm, text width=3cm] {vagale Manöver und/oder Adenosin};
    \draw [arrow] (about) -- (therapy1);
    
    \node (haem) [decision, aspect=1.5, below of=therapy1, yshift=-1.5cm, text width=3cm] {hämodynamisch stabil?};
    \draw [arrow] (therapy1) -- node [xshift=2.25cm, text width=4cm] {wenn nicht effektiv} (haem);

    \node (therapy2) [therapy, below of=haem, yshift=-1.0cm, xshift=-5cm, text width=4cm] {\gls{iv} $\beta$-Blocker, \gls{iv} Diltiazem, \gls{iv} Verapamil};
    \node (therapy3) [therapy, below of=haem, yshift=-1.0cm, xshift=5cm, text width=4cm] {synchronisierte Kardioversion};
    \draw [arrow] (haem) -| node [near start, above=0.20cm] {ja} (therapy2);
    \draw [arrow] (haem) -| node [near start, above=0.20cm] {nein} (therapy3);
    \draw [arrow] (therapy2) -- node [yshift=0.75cm, text width=4cm,] {wenn nicht effektiv oder nicht realisierbar} (therapy3);

    \node (therapy4) [therapy, below of=therapy2, yshift=-1.0cm, text width=4cm] {\gls{iv} Amiodaron};
    \draw [arrow] (therapy2) -- node [xshift=2.25cm, text width=4cm] {wenn nicht effektiv oder nicht realisierbar} (therapy4);

    \end{tikzpicture}