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Belastungs-EKG

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Herzkrankheiten

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Zusammenfassung

Seit der Einführung des Belastungs-EKG in den frühen 30er Jahren (Goldhammer u. Scherf 1932; Dietrich u. Schwiegk 1933) entwickelte sich diese Untersuchungsmethode zu einer der brauchbarsten diagnostischen Hilfen für die objektive und quantitative Erfassung der Belastungskoronarinsuffizienz.

Pathophysiologisch liegt der Belastungskoro­narinsuffizienz ein vorübergehendes Mißerhaltnis zwischen Sauerstoffangebot und -bedarf zugrun­de. Morphologisch liegt bei der überwiegenden Anzahl der Patienten eine stenosierende Koronar­sklerose vor.

Die Koronarangiographie hat wesentlich dazu beigetragen, die Interpretation des Belastungs­EKG zu verbessern. Dabei darf man aber nicht ver­gessen, daß zwischen beiden Methoden ein grund­satzlicher Unterschied besteht: Die Koronarangio­graphie erfaBt die morphologischen Veränderun­gen der Herzkranzgefalßt, das Belastungs-EKG die funktionellen Auswirkungen (Dynamik der Steno- se, Durchblutung über Kollateralen, Koronarre­serve).

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Authors
  1. L. Samek
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  2. H. Roskamm
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© 1996 Springer-Verlag Berlin Heidelberg

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Samek, L., Roskamm, H. (1996). Belastungs-EKG. In: Herzkrankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97605-6_14

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  • DOI: https://doi.org/10.1007/978-3-642-97605-6_14

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