Zusammenfassung
Die prognostisch wichtigste Komplikation des akuten Myokardinfarktes ist die Herzinsuffizienz. Das Ausmaß hängt zwar auch von Vorerkrankungen, aber in erster Linie doch von der Infarktgröße selbst ab [3, 4]. Deswegen stehen Behandlungsverfahren zur Reperfusion der Koronarien: Thrombolyse, Angioplastie und Koronarchirurgie im Mittelpunkt des kardiologischen Interesses [13].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Biondi JW, Schulman DS, Soufer R, Matthay RA, Hines RL, Kay HR, Barash PG (1988) The effect of incremental positive end-expiratory pressure on right ventricular hemodynamics and ejection fraction. Anesth Analg 67:144–151
Boldt J, Kling D, Bormann B von, Scheld H, Hempelmann G (1988) Influence of PEEP ventilation immediately after cardiopulmonary bypass on right ventricular function. Chest 94:566–571
Braunwald E (1985) The aggressive treatment of acute myocardial infarction. Circulation 71:1087–1092
Braunwald E (1989) Myocardial reperfusion, limitation of infarct size, reduction of left ventricular dysfunction, and improved survival. Should the paradigm be expanded? Circulation 79:441–444
Cassidy SS, Ramanathan M (1984) Dimensional analysis of the left ventricle during PEEP: relative septal and lateral wall displacements. Am J Physiol 246:H 792–805
Cassidy SS, Schwiep F (1987) Interactions between the lungs and the right and left ventricles during controlled ventilation. In: Vincent JL, Suter PM (eds) Update in intensive care and emergency medicine, vol 2. Cardiopulmonary interactions in acute respiratory failure. Springer, Berlin Heidelberg New York Tokyo, pp 12–24
Chin WDN, Cheung HW, Driedger AA, Cunningham DG, Sibbald WJ (1985) Assisted ventilation in patients with preexisting cardiopulmonary disease. The effect on systemic oxygen consumption, oxygen transport, and tissue perfusion variables. Chest 88:503–511
Crottogini AJ, Willshaw P, Barra JG, Breitbart GJ, Pichel RH (1988) End-systolic pressure-volume relationships in dogs during ventilation with PEEP. Am J Physiol 254:H664–670
DaLuz PL, Caranilles JM, Michaels S, Weill MH, Shubin H (1975) Oxygen delivery, anoxic metabolism and hemoglobin-oxygen affinity (P50) in patients with acute myocardial infarction and shock. Am J Cardiol 36:148–154
Edwards D, Whittacker S, Prior A (1986) Cardiogenic shock without a critically raised left ventricular enddiastolic pressure: management and outcome in eighteen patients. Br Heart J 55:549–553
Field S, Kelly SM, Macklem PT (1982) The oxygen cost of breathing in patients with cardiorespiratory disease. Am Rev Respir Dis 126:9–13
Grace MP, Greenbaum DM (1982) Cardiac performance in response to PEEP in patients with cardiac dysfunction. Crit Care Med 10:358–360
Gunnar RM (1988) Cardiogenic shock complicating acute myocardial infarction. Circulation 78:1508–1510
Hevrøy O, Reikeras O, Grundnes O, Mjos OD (1988) Cardiovascular effects of positive end-expiratory pressure during acute left ventricular failure in dogs. Clin Physiol 8:287–301
Hevrøy O, Grundnes O, Bjertnaes L, Mjos OD (1989) Myocardial blood flow and oxygen consumption during positive end-expiratory pressure ventilation at different levels of cardiac ionotropy and frequency. Crit Care Med 17:48–52
Jacobs HK, Venus B (1983) Left ventricular regional myocardial blood flows during controlled positive pressure ventilation and positive end-expiratory pressure in dogs. Crit Care Med 11:872–875
Kharasch ED, Yeo KT, Kenny MA, Buffington CW (1988) Atrial natriuretic factor may mediate the renal effects of PEEP ventilation. Anesthesiology 69:862–869
Koolen JJ, Visser CA, Wever E, Wezel H van, Meyne NG, Dunning AJ (1987) Transesophageal two-dimensional echocardiographic evaluation of biventricular dimension and function during positive end-expiratory pressure ventilation after coronary artery bypass grafting. Am J Cardiol 59:1047–1051
Leithner C, Frass M, Pacher R, Hartter E, Pesl H, Woloszczuk W (1987) Mechanical ventilation with positive end-expiratory pressure decreases release of alpha-arterial natriuretic peptide. Crit Care Med 15:484–488
Mathru M, Venus B, Smith RA (1985) All positive airway pressures are not created equal! Chest 87:137–138
Matsubara I, Kemmotse O, Tedo I, Gando S, Tsujinaga H (1988) Can blood gas analysis indicate when mechanical ventilation should start in patients with acute myocardial infarction? Adv Exp Med Biol 222:547–553
Metzler H (1985) Hämodynamik des geschädigten rechten Herzens unter kontinuierlich positiver Druckbeatmung. Eine experimentelle Untersuchung am offenen Thorax. Anaesthesist 34:72–78
Nikki P, Rasanen J, Tahvanainen J, Mekelainen A (1982) Ventilatory pattern in respiratory failure arising from acute myocardial infarction. I. Respiratory and hemodynamic effects of IMV 4 vs IPPV 12 and PEEP 0 vs PEEP 10. Crit Care Med 10/2:75–78
Nishimura N, Obayashi K, Takano T, Seino Y (1980) Haemodynamic effects of positive end-expiratory pressure in severe heart failure due to acute myocardial infarction. Crit Care Med 8:229
Nixon JV (1982) Right ventricular myocardial infarction. Arch Intern Med 142:945–947
Pasternak RC, Braunwald E, Sobel BE (1988) Pathophysiology of acute myocardial infarction. In: Braunwald E (ed) Heart disease. Textbook of cardiovascular medicine. 3rd edn. Saunders, Philadelphia London Toronto, p 1230–1234
Potkin RT, Hudson LD, Weaver LJ, Trobaugh G (1987) Effect of positive end-expiratory pressure on right and left ventricular function in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 135:307–311
Rasanen J, Nikki P (1982) Respiratory failure arising from acute myocardial infarction. Ann Chir Gynaecol [Suppl] 196:43–47
Rasanen J, Nikki P, Heikkila J (1984) Acute myocardial infarction complicated by respiratory failure. The effects of mechanical ventilation. Chest 85:21–28
Rasanen J, Vaisanen IT, Heikkila J, Nikki P (1985) Acute myocardial infarction complicated by left ventricular dysfunction and respiratory failure. The effects of continuous positive airway pressure. Chest 87:158–162
Santamore WP, Bove AA, Heckman JL (1984) Right and left ventricular pressure-volume response to positive end-expiratory pressure. Am J Physiol 245: H114–119
Schulman DS, Biondi JW, Matthay RA, Barash PG, Zaret BL, Soufer R (1988) Effect of positive end-expiratory pressure on right ventricular performance. Importance of baseline right ventricular-function. Am J Med 84:57–67
Schuster HP, Schuster CJ, Bork R, Schölmerich P (1979) Auswirkungen der frühzeitigen kontinuierlichen Überdruckbeatmung auf Herz-Kreislauf-Funktion und Sauerstofftrans-port. Med Welt 30:15–19
Smith PK, Tyson GS jr, Hammon JW jr et al. (1982) Cardiovascular effects of ventilation with positive expiratory airway pressure. Ann Surg 195:121–130
Sinnett HO (1981) Altered cardiovascular reflex responses during positive pressure breathing. Fed Proc 40:2182–2187
Suter PM (1987) Cardiac effects of PEEP therapy. In: Vincent JL, Suter PM (eds) Update in intensive care and emergency medicine, vol 2. Cardiopulmonary interactions in acute respiratory failure. Springer, Berlin Heidelberg New York Tokyo, p 156–164
Suter PM, Fairlay HB, Isenberg MD (1975) Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 292:284–289
Takano T, Endo T, Tanaka T, Seino Y, Nitta T, Matsuyama Y, Koh M, Hayakawa H (1986) Effects of positive end-expiratory pressure ventilation and extracorporeal ultrafiltration method in patients with refractory heart failure. Jpn Circ J 50:359–367
Tittley JG, Stephen EF, Weisel RD et al. (1985) Hemodynamic and myocardial metabolic consequences of PEEP. Chest 88:496–502
Van Trigt P, Spray TL, Pasque MK, Peyton RB, Pellom GL, Christian CM, Fagraeus L, Wechsler AS (1982) The effect of PEEP on left ventricular diastolic dimensions and systolic performance following myocardial revascularization. Ann Thorac Surg 33:585–592
Venus B, Jacobs HK (1984) Alterations in regional myocardial blood flows during different levels of positive end-expiratory pressure. Crit Care Med 12:96–101
Viquerat CE, Righetti A, Suter PM (1983) Biventricular volumes and function in patients with adult respiratory distress syndrome ventilated with PEEP. Chest 83:509–514
Willerson JT, Hills LD, Buja LM (1982) Ischemic heart disease. Raven, New York, p 374
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Kohl, F.V., von Wichert, P. (1991). Beatmung beim akuten Myokardinfarkt. In: Suter, P.M., Baum, M., Luger, T.J. (eds) Beatmungsformen. Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine, vol 219. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46738-7_8
Download citation
DOI: https://doi.org/10.1007/978-3-642-46738-7_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-53840-0
Online ISBN: 978-3-642-46738-7
eBook Packages: Springer Book Archive