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Vasoaktive Substanzen bei Herzinsuffizienz pp 101–111Cite as

Wirkung des selektiven Alpha1-Blockers Urapidil auf die Hämodynamik von Patienten mit chronischer Herzinsuffizienz ohne arterielle Hypertonie

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Zusammenfassung

Bei Patienten mit fortgeschrittener Herzinsuffizienz findet das Prinzip der medikamentösen Entlastung mit Vasodilatatoren als „dritte Säule“ neben Digitalis und Diuretika zunehmend Anwendung [6, 7, 10, 18, 30, 32, 38, 55]. Hierzu kommen entweder überwiegend arteriell angreifende, d. h. die Nachlast senkende Vasodilatatoren (z. B. Minoxidil, Hydralazin, Nifedipin, Phentolamin) oder Nitrate, die über eine Venodilatation die Vorlast reduzieren, in Betracht. Eine Mittelstellung nehmen Substanzen wie Natriumnitroprussid und Captopril ein, die sowohl im arteriellen als auch im venösen Bereich dilatierend wirken.

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Authors and Affiliations

  1. Herzkatheterlabor, Medizinische Klinik Innenstadt der Universität, Ziemssenstraße 1, D-8000, München 2, Germany

    S. Silber

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  1. S. Silber
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  2. F. Hany
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  3. M. Weber
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  4. K. Theisen
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  5. H. Jahrmärker
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Editors and Affiliations

  1. Zentrum der Inneren Medizin, Abteilung für Kardiologie, Klinikum der Johann-Wolfgang-Goethe Universität, Theodor-Stern-Kai 7, D-6000, Frankfurt, Germany

    Wulf-Dirk Bussmann

  2. Innere Medizin III, Medizinische Universitätsklinik, Hugstetter Str. 55, D-7800, Freiburg i. Br., Germany

    H. Just

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Silber, S., Hany, F., Weber, M., Theisen, K., Jahrmärker, H. (1986). Wirkung des selektiven Alpha1-Blockers Urapidil auf die Hämodynamik von Patienten mit chronischer Herzinsuffizienz ohne arterielle Hypertonie. In: Bussmann, WD., Just, H. (eds) Vasoaktive Substanzen bei Herzinsuffizienz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71486-3_13

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  • DOI: https://doi.org/10.1007/978-3-642-71486-3_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-16946-8

  • Online ISBN: 978-3-642-71486-3

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