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Die stumme Myokardischämie: (German)

Die stumme Myokardischämie: (German)

          
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About the Book

Neben der Angina pectoris, dem Myokardinfarkt und dem plotzlichen Herztod, mit den en sich die koronare Herzkrankheit beim Patienten symptomatisch bemerkbar macht, ist in der letzten Zeit die stumme Myokardischamie vermehrt in das BewuBtsein interessierter Arzte geruckt. Zahlreiche Untersuchungen haben zum einen die Haufigkeit dieses Phanomens und zum anderen seine pro- gnostische Bedeutung belegt, und es wendet sich das Interesse auch therapeuti- schen Fragestellungen zu. Letztere mussen jedoch bezuglich einer Besserung der Prognose durch medikamentose Therapie noch als weitgehend offen angesehen werden. Neben anderen Forschergruppen, haben auch wir uns mit Problemen der stummen Myokardischamie beschiiftigt, "sind untergetaucht, um den Eisberg unter Wasser zu betrachten". Aus den Ergebnissen eines internationalen Sympo- siums im Marz 1987 konnten wir ein Buch uber "Silent ischemia" in englischer Sprache herausgeben. Um deutschsprachigen Lesern einen kompakten und einheitlich gegliederten Uberblick uber Probleme und Erkenntnisse zur stummen Myokardischamie zu geben, wurde die vorliegende Monographie verfaBt. Sie dient dem Ziel, Interes- sierte in wissenschaftlich fundierter, aber verstandlicher Weise in den derzeitigen Stand der Forschung einzufUhren. Mein Dank gilt an dieser Stelle meinem verehrten Lehrer und fruheren Chef, Herrn Prof. Dr. G. Riecker, der mir in dem wissenschaftlich liberalen und anspruchsvollen Klima seiner Klinik die Arbeiten ermoglicht hat, die in diese Monographie eingegangen sind. Zu danken habe ich meinen Mitarbeitern H. W. Gerbig, E. Reuschel-Janetschek und U. Szeimies-Seebach, deren Arbeitser- gebnisse hier zum Teil mitverwendet werden. Ein besonderer Dank gilt meinen Assistentinnen A. Erath und S.

Table of Contents:
Einführung und Definition.- Von Angina pectoris zu stummer Ischämie.- Ist die stumme Ischämie ein Problem?.- Definitionen, Einteilungen.- Pathophysiologie der stummen Ischämie.- Neuere Ergebnisse zur Pathophysiologie transienter Ischämien.- Schmerzentstehung und Schmerzmodulation bei kardialer Ischämie.- Spezielle Pathophysiologie stummer Ischämien.- Diagnostik der stummen Myokardischämie.- Elektrokardiographische Diagnostik.- Nuklearmedizinische Methoden.- Echokardiographie.- Hämodynamische Untersuchungen.- Koronarangiographie.- Welche Diagnostik - wann?.- Prävalenz der stummen Myokardischämie.- Bedeutung der Prävalenzbetrachtung für das Problem der stummen Ischämie.- Stumme Ischämie bei asymptomatischen Patienten.- Prävalenz der stummen Ischämie bei Patienten.- mit stabiler Angina pectoris.- Prävalenz stummer Myokardischämie bei instabiler Angina pectoris.- Prävalenzbetrachtungen beim stummen Myokardinfarkt.- Haben Patienten mit Diabetes mellitus besonders häufig stumme Ischämien?.- Prognose.- Prognostische Bedeutung der stummen Ischämie bei Menschen.- ohne Symptome von Angina pectoris.- Prognostische Bedeutung der stummen Ischämie bei Patienten mit stabiler Angina pectoris.- Stumme Myokardischämie bei Patienten nach Myokardinfarkt.- Prognostische Bedeutung stummer Ischämien bei instabiler Angina pectoris.- Prognostische Bedeutung unerkannter Myokardinfarkte.- Stumme Myokardischämie und Arrhythmien.- Therapie.- Frage der Therapieindikation der stummen Myokardischämie.- Präventionsmaßnahmen, Beeinflussung von Risikofaktoren.- Medikamentöse Therapie.- Revaskularisierende Maßnahmen.- Schlußbemerkungen und Ausblick.


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Product Details
  • ISBN-13: 9783642735691
  • Publisher: Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
  • Publisher Imprint: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • Edition: Softcover reprint of the original 1st ed. 1988
  • Language: German
  • Returnable: Y
  • Spine Width: 8 mm
  • Width: 155 mm
  • ISBN-10: 364273569X
  • Publisher Date: 08 Dec 2011
  • Binding: Paperback
  • Height: 235 mm
  • No of Pages: 138
  • Series Title: German
  • Weight: 222 gr


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