Zusammenfassung
Die Arteriosklerose kann kleine und große Arterien befallen, am häufigsten betroffen ist die Aorta und mittelgroße Arterien vom muskulären Typ. Die erkrankte Gefäßwand kann sich erweitern oder zu Gefäßeinengungen führen. Die Erweiterung führt zu Aneurysmen mit der Gefahr der Perforation, die Verengung zu Durchblutungsstörungen. Die Erkrankung kann große Abschnitte der Gefäße befallen oder streng lokalisiert auftreten. Ein einzelnes Atherom von 2 mm Länge kann tödliche Konsequenzen haben, ein ausgedehnter, nicht stenosierender Befall vieler Arterien oder der Aorta kann symptomlos verlaufen.
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Weiterführende Literatur
Ascherio A et al. (1996) Dietary fat and risk of coronary heart disease in men: Cohort follow up study in the United States.BMJ 313:84–90
Bellizzi MC et al. (1994) Vitamin E and Coronary Heart Disease: The European Paradox. Europ J Clin Nutr 48: 822–831
Benditt EP, Benditt JM (1973) Evidence for a monoclonal origin of human atherosclerotic plaques. Proc Natl Acad Sci USA 70:1753–1759
Bittl JA, Levin DC (1997) Coronary Arteriography. In: Braunwald E (ed) Heart disease: a textbook of cardiovascular medicine. 5th ed. WB Saunders Company, Philadelphia London Toronto Montreal Sydney Tokyo, pp 240–269
Buja LM (1996) Does atherosclerosis have an infectious etiology. Circulation 94: 872–873
Criqui MH, Ringel BL (1994) Does Diet or Alcohol Explain the French Paradox? Lancet 344: 1719–1723
Danesh J, Collins R, Peto R (1997) Chronic infections and coronary heart disease: is there a link? Lancet 350:430–436
Esrey K et al. (1996) Relationship between dietary intake and coronary heart disease mortality: Lipid Research Clinics Prevalence Follow-up Study. J Clin Epidemiol 49:211–216
Fehily AM et al. (1993) Diet and incident ischaemic heart disease: the Caerphilly Study. Br J Nutr 69: 303–314
Garcia-Palmieri MR et al. (1980) Relationship of dietary intake to subsequent coronary heart disease incidence: The Puerto Rico Heart Health Program. Am J Clin Nutr 33:1818–1827
Gordon T et al. (1981) Diet and its relation to coronary heart disease and death in three Populations. Circulation 63: 500–515
Gupta S, Leatham E, Carrington D et al. (1997) Elevated Chlamidia pneumoniae antibodies, cardiovascular events and azachromycin in male survivors of myocardial infarction. Circulation 96:404–407
Gurfinkel E, Bozovich G, Daroca A et al. for the Roxis Study Group (1997) Randomised trial of roxythromycin in non-Q-wave coronary syndromes. Roxis pilot study. Lancet 350:404–407
Hayes KC (1996) Designing a cholesterol-removed fat blend for frying and baking. Food Technology; April, 92–97
Henning B et al. (1996) Nutritional implications in vascular endothelial cell metabolism. J Am Coll Nutr 15: 345–358
Hunninghake DB et al. (1993) The efficacy of intensive dietary therapy alone or combined with lovastatin in outpatients with hypercholesterolemia. N Engl J Med 328:1213–1219
Jacobs DR et al. (1992) Report on the Conference on Low Blood Cholesterol: Mortality associations. Circulation 86:1046–1060
Kaltenbach M (1995) Ist erhöhtes Cholesterin die Ursache der Ateriosklerose? Versicherungsmedizin 47: 112–116
Katan MB et al. (1994) Effects of fats and fatty acids on blood lipids in humans: An overview. Am J Clin Nutr 60 (suppl): 1017S–1022S
Kober G, Klepzig H, Kaltenbach M (1986) Left predominant coronary circulation in patients with valvular aortic stenosis. Clin Cardiol 9:383–387
Kretschmann HJ, Kaltenbach M (1970) Anatomy and nomenclature of Coronary arteries. In: Kaltenbach M, Lichtlen P (eds) Coronary heart disease. Thieme, Suttgart, S 32–37
Kromhout D et al. (1984) Diet, prevalence and 10-Year mortality from coronary heart disease in 871 middle-aged men: the Zutphen Study. Am J Epidemiol 119:733–741
Kuo CC, Gown AM, Benditt EP, Grayston JT (1993) Detection of Chlamidia pneumoniae in aortic lesions of coronary arteries. J Infect Dis 167: 841–849
Kushi LH et al. (1985) Diet and 20-Year mortality from coronary heart disease: The Ireland-Boston Diet-Heart Study. N Engl J Med 312: 811–818
Lichtlen PR (1990) Koronarangiographie. 2. Aufl., perimed Fachbuch-Verl.-Ges., Erlangen
Louheranta A et al. (1996) Linoleic acid intake and susceptibility of very-low-density and lowdensity lipoproteins to oxidation in men. Am J Clin Nutr 63: 698–703
McGee DL et al. (1984) Ten-Year incidence of coronary heart disease in the honolulu heart program: relationship to nutrient intake. Am J Epidemiol 119:667–676
Mensink R, Katan MB (1992) Effect of dietary fatty acids on serum lipids and lipoproteins — A meta-analysis of 27 trials. Arterioscler Thromb 12:1310–1313
Posner BM et al. (1991) Dietary lipid predictors of coronary heart disease in men: The Framingham Study. Arch Int Med 151:1181–1187
Ridker PM, Cushman M, Stampfer MJ et al. (1997) Inflammation, Aspirin, and the risk of cardiovascular disease in apparently healthy men. N Engl J Med 336:973–979
Ridker PM, Cushman M, Stampfer MJ et al. (1998) Plasma concentration of c-reactive protein and risk of developing peripheral vascular disease. Circulation 97:425–428
Saikku P, Leinonen M, Mattila K et al. (1988) Serological evidence of an association of a novel Chlamydia TWAR with chronic coronary heart disease and acute myocardial infarction. Lancet 2: 983–986
Schaefer EJ et al. (1995) Efficacy of a National Cholesterol Education Program Step 2 Diet in normolipidemic and hypercholesterolemic middle-aged and eldery men and woman. Arterioscler Thromb Vasc Biol 15:1079–1085
Schaefer EJ et al. (1995) Body weight and low-density lipoprotein changes after consumption of a low fat ad libidum diet. JAMA 274:1450–1455
Schaefer EJ et al. (1996) Effects of National Cholesterol Program Step 2 Diets relatively high or relatively low in fish-derived fatty acids on plasma lipoproteins in middle-aged and elderly subjects. Am J Clin Nutr 63:234–241
Shekelle RB et al. (1981) Diet, serum cholesterol, and death from coronary heart disease: The Western Electric Study. N Engl J Med 304:65–70
Sundram K et al. (1995) Both dietary 18:2 and 16:0 may be required to improve the serum LDL/HDL cholesterol ratio in normocholesterolemic men. J Nutr Biochem 6:179–187
Worm M (1998) Diätlos glücklich. Hallwag Bern
Worm N (1995) Ernährung und koronare Herzkrankheit. Vers.medizin 47:116–122
Wood D, Becker GD, Faergeman O et al. (1998) Prevention of coronary heart disease in clinical practice. Task Force Report Eur Heart J 1a: 1434–1503
Yarnell JWG et al. (1993) Trends in cardiovascular mortality in industrialised countries since 1950: Are There any hypotheses to fit the data? Card Risk Factors 3:344–353
Braunwald E (1989) Unstable angina: A classification. Clurculation 80:410
Braunwald E, Fuster V (1996) Unstable angina. Definition, pathogenesis, and classification. In: Fuster V, Ross R, Topol EJ (eds) Atherosclerosis and Coronary Artery Disease. Philadelphia JB Lippincott, pp 1285–1298
Calvin JE, Klein LW, VandenBurg BJ et al. (1995) Risk stratification in unstable angina: Prospective validation of the Braunwald classification. JAMA 273:136
Gersh BJ, Braunwald E, Rutherford J (1997) Chronic coronary disease. In: Braunwald E (ed) Heart disease: a textbook of cardiovascular medicine. 5th ed, WB Saunders Company Philadelphia, London, Toronto, Montreal, Sydney, Tokyo, pp 1290–1349
Kaltenbach M, Roskamm H (1980) Vom Belastungs-EKG zur Koronarangiographie. Springer Berlin, Heidelberg, New York
Kemp HG, Kronmal RA, Vlietstra RE, Frye RL (1986) Seven-year survival of patients with normal and near normal coronary arteriograms: A CASS registry study. J Am Coll Cardiol 7: 479
Leesar MA, Stoddard M, Ahmed M et al. (1997) Preconditioning of human myocardium with adenosine during coronary angioplasty. Circulation 95:2500–2507
Papanicolaou MN, Califf RM, Hlatky MA et al. (1986) Prognostic implications of angiographically normal and insignificantly narrowed coronary arteries. Am J Cardiol 58:1181
Fischmann D, Leon MB, Baim DS, Schatz RA et al. (1994) A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease (STRESS). N Engl J Med 331:496–501
Grüntzig A (1978) Transluminal dilatation of coronary artery stenosis. Lancet I:263
Grüntzig A, Hirzel H, Goebel N et al. (1978) Die perkutane transluminale Dilatation chronischer Koronarstenosen. Erste Erfahrungen. Schweiz Med Wochenschr 108: 1721–1723
Hamm C, Reimers J, Ischinger T, Rupprecht H (1994) A randomized study of coronary angioplasty compared with bypass surgery in patients with symptomatic multivessel disease. N Engl J Med 331:1037–1943
Hueb WA, Belotti G, de Oliveira SA et al. (1995) The Medicine, Angioplasty, or Surgery Study (MASS). A prospective randomized trial of medicale therapy, balloon angioplasty, or bypass surgery for simple proximal LAD stenoses. J Am Coll Cardiol 26:1600–1605
King SB, Lembo NJ, Weintraub WS et al. (1994) A randomized trial comparing coronary angioplasty with coronary bypass surgery. N Engl J Med 331:1044
Losordo DW, Vale PR, Sames JF, Isner M (1998) Gene therapy for myocardial angiogenesis. Circ 98: 2800–2804
Meier B, Urban P, Dorsazs PA, Favre J (1992) Surgical standby for coronary balloon angioplasty. JAMA 268:741–745
Reifart N, Preusler W, Schwarz F et al. (1995) A large center experience of coronary angioplasty without on-site surgical standby. In: Topol EJ, Serruys PW (eds) Interventional Cardiology. Current Medicine, Philadelphia, pp 295–303
Reifart N, Satter P, Störger H, Schwarz F (1997) The Frankfurt Angioplasty versus Bypass Surgery Trial (FAB). 8th Course on Interventional Cardiology Frankfurt 1997
Reifart N, Vandormael M, Krajcar M et al. (1997) Randomized comparison of angioplasty of complex coronary lesions at a single center. Ecimer laser, rotational atherectomy, and balloon angioplasty comparison (ERBAC) study. Circulation 96: 91–98
Ryan TJ et al. (1993) Guidelines for percutaneous transluminals coronary angioplasty: A report of the ACC/AHA task force. J Am Coll Cardiol 22:2033
Serruys P, de Jaegere P, Kiemeneij F et al. (1994) A comparison of balloon expandable stent implantation with balloon angioplasty in patients with coronary artery disease (Benestent). N Engl J Med 331:489–495
Topol E, Leya F, Pinkerton C et al. (1993) A comparison of directional atherectomy with coronary angioplasty in patients with coronary artery disease. N Engl J Med 329:221–227
CABRI Trial Participants (1995) First-year results of CABRI (coronary Angioplasty versus Bypass revascularization Investigation). Lancet 346:1179–1184
Fischmann D, Leon MB, Bairn DS et al. (1994) A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease (STRESS). N Engl J Med 331: 496–501
Hamm C, Reimers J, Ischinger T, Rupprecht H (1994) A randomized study of coronary angioplasty compared with bypass surgery in patients with symptomatic multivessel disease. N Engl J Med 331:1037–1043
Hueb WA, Belotti G, de Oliveira SA et al. (1995) The Medicine, Angioplasty, or Surgery Study (MASS). A prospective randomized trial of medicla therapy, balloon angioplasty, or bypass surgery for simple proximal LAD stenoses. J Am Coll Cardiol 26:1600–1605
Kadel C (1996) Die Bewertung von Indikationen zur PTCA. Herz 21:347–358
King SB, Lembo NJ, Weintraub WS et al. (1994) A randomized trial comparing coronary angioplasty with coronary bypass surgery. N Engl J Med 331:1044
Meier B, Urban P, Dorsazs PA, Favre J (1992) Surgical standby for coronary balloon angioplasty. JAMA 268: 741–745
Reifart N, Preusler W, Schwarz F et al. (1995) A large center experience of coronary angioplasty without on-site standby. In: Topol EJ, Serruys PW (eds.) Interventional Cardiology, Current Medicine. Philadelphia, pp. 295–303
Reifart N, Satter P, Störger H, Schwarz F (1997) The Frankfurt Angioplasty versus Bypass Surgery Trial (FAB). 8th Course on Interventional Cardiology Frankfurt
Reifart N, Vandormael M, Krajcar M et al. (1997) Randomized comparison of angioplasty of complex coronary lesions at a single center. Ecimer laser, rotational atherectomy, and balloon angioplasty comparison (ERBAC) study. Circulation 96:91–98
RITA Trial Participants (1993) Coronary angioplasty versus coronary artery bybass surgery: the Randomized Intervention Treatment of Angina (RITA) trial. Lancet 341: 573–580
Ryan TJ et al. (1993) Guidelines for percutaneous transluminals coronary angioplasty: A report of the ACC/AHA task force. J Am Coll Cardiol 22:2033
Serruys P, de Jaegere P, Kiemeneij F et al. (1994) A comparison of balloon expandable stent implantation with balloon angioplasty in patients with coronary artery disease (Benestent). N Engl J Med 331:489–495
The Bypass Angioplasty Revascularization Investigation (BARI) Investigators (1996) Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. N Engl J Med 335:217–225
Antman EM (1994) General hospital management. In: Julian DG, Braunwald E (eds) Management of acute myocardial infarction. WB Saunders, London, pp 63
Braunwald E (1996) Acute myocardial infarction — the value of beeing prepared. N Engl J Med 334:51
Braunwald E (1997) Heart disease. WB Saunders, London, p 1217
Califf RM, Bengston JR (1994) Cardiogenic shock. N Engl J Med 330:1724
Cardiac Arrhythmia Supression Trial (CAST) Investigators (1989) Preliminary report: Effect of encainide and flecainide on mortality in a randomised trial of arrhythmia supression after myocardial infarction. N Engl J Med 321:406
Gibson RS (1989) Non-Q-wave myocardial infarction: Pathophysiology, prognosis and therapeutic strategy. Ann Rev Med 40:395
Gibson RS, Boden WE, Theroux P et al. (1986) Diltiazem and reinfarction in patients with non-Q-wave myocardial infarction. N Engl J Med 315:423
Grines CL, Browne KF, Marco J et al. (1993) A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. N Engl J Med 328:673
ISIS-2 (Second International Study of Infarct Survival) Collaborative Group (1988) Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17, 187 cases of suspected acute myocardial infarction: ISIS-2 Lancet, 2: 349
Hillis L, Foreman D, Braunwald E (1990) Risk stratification before thrombolytic therapy in patients with acute myocardial infarction. J Am Coll Cardiol 16:313
Killip T, Kimball JT (1967) Treatment of myocardial infarction in a coronary care unit: A two year experience with 250 patients. Am J Cardiol 20: 457
Lamas GV, Flaker GC, Mitchell G et al. (1995) Effects of infarct artery patency on prognosis after acute myocardial infarction. Circulation 92:1101
Maynard C, Weaver D, Litwin PE et al. (1993) Hospital mortality in acute myocardial infarction in the era of reperfusion therapy (the Myocardial Infarction Triage and Intervention Project). Am J Cardiol 78:877
Norwegian Multicenter Study Group (1981) Timolol-induced reduction in mortality and reinfarction in patients surviving acute myocardial infarction. N Engl J Med 304:808
Pfeffer M (1995) ACE inhibition in acute myocardial infarction. N Engl J Med 332:118
Ryan TJ, Anderson JL, Antman EM et al. (1996) ACC/AHA guidelines for the management of patients with acute myocardial infarction: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 94:2341–2350
Schröder R, Neuhaus KL, Leizorovicz A et al. (1987) A prospective placebo-controlled doubleblind multicenter trial of intravenous streptokinase in acute myocardial infarction (ISAM): Long-term mortality and morbidity. J Am Coll Cardiol 9:197
Theroux P, Waters DD, Halphen C et al. (1979) Prognostic value of exercise testing soon after myocardial infarction. N Engl J Med 301:341
Topol EJ (1994) Mechanical interventions for acute myocardial infarction. In: Topol EJ (ed) Textbook of Interventional Cardiology. WB Saunders Company, Philadelphia, p 192
Vogt A, von Essen R, Tebbe U et al. (1993) Impact of early perfusion status of the infarct-related artery on short-term mortality after thrombolysis for acute myocardial infarction: Retrospective analysis of four German multicenter studies. J Am Coll Cardiol 21:1391
Yusuf S, Collins R, MacMahon S et al. (1988) Effect of intravenous nitrates on mortality in acute myocardial infarction: An overview of the randomized trials. Lancet 1:1088
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Kaltenbach, M., Reifart, N. (2000). Arteriosklerose. In: Kaltenbach, M. (eds) Kardiologie kompakt. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57728-4_4
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