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Ruhe-EKG

  • Chapter
Koronarerkrankungen

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

Zusammenfassung

Das EKG dient in der Klinik nach wie vor zur Erkennung und Lokalisation von frischen und alten Infarkten. Ein normales EKG in Ruhe schließt aber das Vorliegen einer schweren stenosierenden Koronarsklerose nicht aus. So haben etwa 50% der Patienten mit schwerer koronarer Herzkrankheit ein normales Ruhe-EKG. Dies gilt auch, wenn man neben den üblichen Ableitungen wie die Einthoven-Ableitungen I, II, III die Goldberger-Ableitungen aVR, aVL, aVF sowie die Wilson-Ableitungen V1–V6, Zusatzableitungen wie z.B. die Wilson-Ableitungen V1–V6 2 Interkostalräume höher bzw. tiefer oder die Ableitungen nach Nehb wählt. Die Erkennung von Infarkten wird zwar durch die Zusatzableitungen verbessert, dennoch bleibt ein großer Anteil von Patienten mit schweren Koronarveränderungen, die ein normales Ruhe-EKG aufweisen.

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  1. H.-J. Becker
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  2. W. A. Fach
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  3. B. V. Mai
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Editors and Affiliations

  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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Becker, HJ., Fach, W.A., Mai, B.V. (1984). Ruhe-EKG. 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_8

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  • DOI: https://doi.org/10.1007/978-3-642-69451-6_8

  • Publisher Name: Springer, Berlin, Heidelberg

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