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Das Mitralklappenprolapssyndrom

  • P. Schanzenbächer
Conference paper
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Part of the Advances in Internal Medicine and Pediatrics / Ergebnisse der Inneren Medizin und Kinderheilkunde book series (KINDERHEILK. NF, volume 59)

Zusammenfassung

Die Erstbeschreibung eines mesosystolischen Klicks, heute als auskultatorischer Ausdruck des Mitralklappenprolapses anerkannt, erfolgte im Jahre 1887 durch Cuffer u. Barbillon (48). Gallavardin (67) erklärte das Auftreten mesosystolischer Klicks durch extrakardiale Ursachen, da er bei 4 Patienten mit Klick und variablem systolischen Geräusch autoptisch ausgedehnte Pleuroperikardadhäsionen vorfand.Im Jahre 1961 beschrieb Reid (154) Phonokardiogramme von 8 Patienten mit mesosystolischen Klicks mit und ohne Herzgeräusch und vertrat die Auffassung, daß diese durch den Mitralklappenapparat verursacht wurden. Er vermutete, daß eine Anspannungsbewegung der Sehnenfäden die Geräuschphänomene auslöste (“chordal snap”). Barlow et al. (12) gelang 1963 angiographisch der Nachweis, daß eine Mitralinsuffizienz die Ursache für spätsystolische Geräusche darstellte. In der Folgezeit bestätigen zahlreiche andere Arbeitsgruppen, daß Klicks und spätsystolische Geräusche keine akzidentellen Herzgeräusche waren, sondern durch Bewegungsstörungen des Mitralklappenapparats ausgelöst wurden (47,111,160). Criley et al. (47) konnten angiographisch eine Vorwölbung der Mitralsegel in den linken Vorhof dokumentieren, wobei Klick, Geräusch und Mitralinsuffizienz etwa zum Zeitpunkt des maximalen Prolapses auftraten.

Key words

Mitralklappenprolaps Bakterielle Endokarditis Herzrythmusstörungen Transitorisch ischämische Attacken Angina pectoris Mitralinsuffizienz 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • P. Schanzenbächer
    • 1
  1. 1.Medizinische UniversitätsklinkWürzburgGermany

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