Zusammenfassung
Eine Verbesserung der chirurgischen Technik sowie eine Weiterentwicklung des anästhesiologischen Managements haben zu einer Erweiterung der Operationsindikation auch für früher „inoperable“ Patienten geführt. Die Überalterung der Bevölkerung hat zudem die Zahl der Patienten mit Herzinsuffizienz nicht nur erheblich ansteigen lassen, sie hat auch in 10 Jahren zu einer Verdopplung der hospitalisierten Patienten in diesem Krankengut geführt. Angaben über die Inzidenz der postoperativen Herzinsuffizienz bei nichtherzchirurgischen Eingriffen variieren zwischen 0,2 bis zu 7,0%. Die Letalität dieses Ereignisses liegt dabei erschreckend hoch (zwischen 20 und 40%). Die Therapie der (akuten oder chronischen) kardiozirkulatorischen Insuffizienz stellt somit auch heute noch eine Herausforderung dar.
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Boldt, J., Hammermann, H., Hempelmann, G. (1993). Therapie des akuten Herzversagens. In: Refresher Course — Aktuelles Wissen für Anästhesisten. Refresher Course — Aktuelles Wissen für Anästhesisten, vol 19. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78493-4_13
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DOI: https://doi.org/10.1007/978-3-642-78493-4_13
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