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Belastungs-EKG

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Herzkrankheiten

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Zusammenfassung

Seit der Einführung des Belastungs-EKG in den frühen 30er-Jahren (Goldhammer u. Scherf 1932; Dietrich u. Schwiegk 1933) entwickelte sich diese Untersuchungsmethode zu einer der brauchbarsten diagnostischen Hilfen für die objektive und quantitative Erfassung der Belastungskoronarinsuffizienz.

Pathophysiologisch liegt der Belastungskoronarinsuffizienz ein vorübergehendes Missverhältnis zwischen Sauerstoffangebot und -bedarf zugrunde. Morphologisch liegt bei der überwiegenden Anzahl der Patienten eine stenosierende Koronarsklerose vor. Die Koronarangiographie hat wesentlich dazu beigetragen, die Interpretation des Belastungs-EKG zu verbessern. Dabei darf man aber nicht vergessen, dass zwischen beiden Methoden ein grundsätzlicher Unterschied besteht: Die Koronarangiographie erfasst die morphologischen Veränderungen der Herzkranzgefäße, das Belastungs-EKG die funktionellen Auswirkungen (Dynamik der Stenose, Durchblutung über Kollateralen, Koronarreserve).

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  1. L. Samek
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  2. H. Roskamm
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  3. H. Löllgen
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  1. Herz-Zentrum Bad Krozingen, Südring 15, 79188, Bad Krozingen, Germany

    H. Roskamm , F.-J. Neumann , D. Kalusche  & H.-P. Bestehorn , ,  & 

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Samek, L., Roskamm, H., Löllgen, H. (2004). Belastungs-EKG. In: Roskamm, H., Neumann, FJ., Kalusche, D., Bestehorn, HP. (eds) Herzkrankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18649-3_10

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