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Stufendiagnostik — Von der Verdachtsdiagnose zur Prognose

  • H. Katus
Part of the Aktuelle Therapieprinzipien in Kardiologie und Angiologie book series (THERAPIEPRINZ.)

Zusammenfassung

Die Gründe für eine invasive Diagnostik bei Patienten mit Herzinsuffizienz können am Beispiel eines 48jährigen Patienten dargestellt werden. Dieser Patient wurde mit Zeichen einer akuten Herzinsuffizienz mit grenzwertigen Erhöhungen kardialer Enzyme (CK, LDH) und Kammerendteilabweichungen im EKG aufgenommen. Die Ventrikulographie (Abb. la) zeigte eine erheblich eingeschränkte linksventrikuläre Funktion. Bei der Koronarangiographie (Abb. lb) konnte eine hochgradige Hauptstammstenose und ein Verschluß der rechten Herzkranarterie nachgewiesen werden. Die globale Funktionseinschränkung des linken Ventrikels, die grenzwertigen Enzymerhöhungen und Ischämiezeichen im EKG mußten demnach als ausgeprägte globale Ischämie des Herzens bei schwerer koronarer Herzkrankheit interpretiert werden. Dieser Patient wurde deshalb umgehend in der thoraxchirurgischen Abteilung vorgestellt.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • H. Katus

There are no affiliations available

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