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Monitoring der myokardialen Pumpfunktion — Methoden und ihr Stellenwert

  • Chapter
Der kardiale Risikopatient in der operativen Medizin

Zusammenfassung

Das Herzzeitvolumen (HZV) wird durch die 4 Faktoren Vorlast, Nachlast, Kontraktilität und Herzfrequenz beeinflußt. Für das Monitoring der myokardialen Pumpfunktion ergeben sich hieraus 2 Ansatzpunkte:

  1. 1)

    Man kann das HZV direkt messen.

  2. 2)

    Man kann versuchen, die Determinanten des HZV zu quantifizieren. Allerdings erlaubt erst die Kombination der beiden Ansätze Aussagen über den Funktionszustand des Myokards.

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  1. B. Zwissler
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  1. Abteilung Medizin, Deutsche Abbott GmbH, Max-Planck-Ring 2, W-6200, Delkenheim, Wiesbaden, Deutschland

    Jonny Hobbhahn

  2. Institut für Anästhesiologie, Ludwig-Maximilians-Universität München Klinikum Großhadern, Marchioninistraße 15, W-8000, München 70, Deutschland

    Peter Conzen  & Klaus Peter  & 

  3. Institut für Anästhesiologie, Universität Regensburg, Universitätsstraße 31, W-8400, Regensburg, Deutschland

    Kai Taeger

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Zwissler, B. (1992). Monitoring der myokardialen Pumpfunktion — Methoden und ihr Stellenwert. In: Hobbhahn, J., Conzen, P., Peter, K., Taeger, K. (eds) Der kardiale Risikopatient in der operativen Medizin. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 222. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77007-4_7

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