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Psychosoziale Aspekte des Herzinfarktes

  • Chapter
Book cover Koronarerkrankungen

Part of the book series: Handbuch der inneren Medizin ((INNEREN 9,volume 9 / 3))

Zusammenfassung

Im 20. Jahrhundert ist in den meisten entwickelten Industrieländern ein erheblicher Anstieg der koronaren Herzkrankheiten (KHK) festzustellen, der sich weder ausschließlich mit einer verbesserten kardiologischen Diagnostik, noch mit einer Erhöhung des Lebensalters, noch etwaigen genetischen Veränderungen zufriedenstellend erklären läßt (Michaels 1966; White 1974). Nach dem zweiten Weltkrieg wurde aus verschiedenen amerikanischen epidemiologischen Studien das multifaktorielle ätiologische Konzept der physiko-chemischen koronaren Risikofaktoren (Schaefer u. Blohmke 1977 a) entwickelt, dessen allerdings begrenzte Aussagekraft sich darin zeigt, daß es die in verschiedenen Ländern sehr unterschiedliche Inzidenz an KHK nicht zufriedenstellend erklärt (Keys 1970). Es wurde geschätzt, daß diese Risikofaktoren insgesamt lediglich 25% bis 50% der Varianz aufklären (Marmot u. Winkelstein 1975). Ausgehend von dieser relativ niedrigen Prognosegenauigkeit wurde vermutet, daß es weitere Variablen geben müsse, die als Determinanten für die Entstehung von KHK in Frage kommen könnten (Jenkins 1977). Da die weithin akzeptierte Hypothese einer multifaktoriellen Gense der KHK (Epstein 1965) keineswegs eine Beschränkung auf physiko-chemische Risikofaktoren erfordert, wurde die Zusatzhypothese aufgestellt, daß psychosoziale Variablen ebenfalls das koronare Erkrankungsrisiko erhöhen könnten.

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  1. W. Langosch
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  1. Rehabilitationszentrum für Herz- und Kreislaufkranke Bad Krozingen, Südring 15, D-7812, Bad Krozingen, Germany

    Helmut Roskamm , P. Bubenheimer , C. Droste , A. Frey , L. Görnandt , H. Gohlke , Christa Gohlke-Bärwolf , P. Harnasch , K. Huesmann , D. Kalusche , W. Langosch , J. Petersen , B. Ritter , L. Samek , M. Schmuziger , K. Schnellbacher , P. Stürzenhofecker , A. Weisswange  & B. Wille , , , , , , , , , , , , , , , , ,  & 

  2. Lehrstuhl für Angewandte Physiologie der Universität, Hermann-Herder-Str. 7, D-7800, Freiburg, Germany

    E. Bassenge

  3. Medizinische Klinik I, Stadtkrankenhaus, Leimenstr. 20, D-6450, Hanau 1, Germany

    H.-J. Becker , W. A. Fach  & B. V. Mai ,  & 

  4. I. Medizinische Klinik B der Universität, Moorenstr. 5, D-4000, Düsseldorf, Germany

    G. Breithardt

  5. Abteilung Klinische Sozialmedizin, Klinikum der Universität, Bergheimerstr. 58, D-6900, Heidelberg 1, Germany

    L. Buchholz , W. Morgenstern , E. Nüssel  & R. Scheidt , ,  & 

  6. Strahlenklinik und Poliklinik, Abteilung für Radiologie mit Poliklinik, Universitätsklinikum Charlottenburg (FB 3), Spandauer Damm 130, D-1000, Berlin 19, Germany

    C. D. Claussen

  7. Abteilung Innere Medizin — Kardiologie, Universitätsklinikum Charlottenburg, Spandauer Damm 130, D-1000, Berlin 19, Germany

    H. Eichstädt

  8. Strahlenklinik und Poliklinik (WE 07), Abteilung Radiologie mit Poliklinik, Universitätsklinikum Charlottenburg, Spandauer Damm 130, D-1000, Berlin 19, Germany

    R. Felix  & D. Köhler  & 

  9. Kerckhoff-Klinik, Benekestr. 4-6, D-6350, Bad Nauheim, Germany

    M. Gottwik

  10. Emory University Hospital, Interventional Cardiovascular Medicine, Emory University School of Medicine, 1364 Clifton Road, 30322, N.E., Atlanta, Georgia, USA

    A. R. Gruentzig

  11. Cardiac Catheterization Laboratory, St. Louis University Medical Center, 1325 S. Grand Blvd., 63104, Mo., USA

    Th. Ischinger

  12. Zentrum der Inneren Medizin, Abteilung für Kardiologie, Klinikum der Universität, Theodor-Stern-Kai 7, D-6000, Frankfurt/Main 70, Germany

    M. Kaltenbach  & W. Schneider  & 

  13. Innere Abteilung der Kurklinik der LVA, D-6552, Bad Münster a. St. Ebernburg, Germany

    M. Keck

  14. Medizinische Poliklinik, Universität München, Pettenkoferstr. 8a, D-8000, München 2, Germany

    G. Lohmöller

  15. Innere Abteilung, Kreiskrankenhaus, Oßwaldstr. 1, D-8130, Starnberg, Germany

    H. Lydtin

  16. II. Medizinische Klinik, Abteilung Kardiologie, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Germany

    D. G. Mathey

  17. Kardiologische Universitätsklinik, Allgemeines Krankenhaus der Stadt Wien, Garnisongasse 13, A-1097, Wien, Austria

    O. Pachinger  & H. Sochor  & 

  18. Pathologisches Institut, Städtische Krankenanstalten Mitte, Oelmühlenstr. 26, D-4800, Bielefeld 1, Germany

    R. Poche

  19. Röteweg 9, D-7800, Freiburg, Germany

    H. Reindell

  20. Max-Planck-Institut für Physiologische und Klinische Forschung, W.G. Kerckhoff-Institut, Parkstr. 1, D-6350, Bad Nauheim, Germany

    W. Schaper  & M. Siebes  & 

  21. I. Innere Abteilung, Krankenhaus Moabit, D-1000, Berlin 21, Germany

    K. P. Schüren

  22. Abteilung Innere Medizin III, Medizinische Klinik der Universität, Otfried-Müller-Straße, D-7400, Tübingen 1, Germany

    L. Seipel

  23. Departement Innere Medizin, Kantonsspital, Petersgraben 6, CH-4031, Basel, Switzerland

    E. Steinmann

  24. Pathologisches Institut, Städtische Krankenanstalten, Kulmbacher Str. 23, D-8580, Bayreuth, Germany

    M. Stolte

  25. Herz- und Gefäßchirurgische Abteilung, Rehabilitationszentrum für Herz- und Kreislaufkranke Bad Krozingen, Südring 15, D-7812, Bad Krozingen, Germany

    P. Tollenaere

  26. Internistisch-Kardiologische Abteilung, Theresienklinik, Brunnenallee 13, D-7812, Bad Krozingen, Germany

    H. Weidemann

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Langosch, W. (1984). Psychosoziale Aspekte des Herzinfarktes. In: Roskamm, H., et al. Koronarerkrankungen. Handbuch der inneren Medizin, vol 9 / 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69451-6_6

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  • DOI: https://doi.org/10.1007/978-3-642-69451-6_6

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