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Ergometrie pp 255–266Cite as

Vitien im Erwachsenenalter

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Zusammenfassung

Bei Patienten mit erworbenen oder kongenitalen operierten und nichtoperierten Vitien im Erwachsenenalter wird die individuelle Lebensqualität entscheidend durch die körperliche Leistungsfähigkeit beeinflußt. Da im Einzelfall eine erhebliche Diskrepanz zwischen subjektiver Leistungseinschätzung und objektiven klinischen sowie hämodynamischen Parametern beobachtet werden kann, ist eine Objektivierung der individuellen Leistungsfähigkeit mittels Belastungsuntersuchungen oft hilfreich [18, 22]. Darüber hinaus sind Belastungstests wichtig bei der Verlaufs-und Therapiekontrolle, der differentialdiagnostischen Abklärung belastungsinduzierter Symptome, bei der Indikationsstellung zur weiteren invasiven Diagnostik oder zur Operation sowie der Wahl des optimalen Operationszeitpunktes (Tabelle 1). Besonders bei Adoleszenten und jungen Erwachsenen können Belastungsuntersuchungen eine Entscheidungshilfe bei der Berufswahl und der Wahl geeigneter sportlicher Freizeitaktivitäten bieten [27]. Außerdem sind objektive Belastungsergebnisse gutachterlich, z. B. bei der Beurteilung von Berufs-bzw. Erwerbsunfähigkeit von Interesse. Zur umfassenden Diagnostik bei Vitienpatienten kommen neben der Ergometrie die Spiroergometrie, die Streßechokardiographie, nuklearmedizinische Belastungstests sowie Einschwemmkatheterverfahren zur Anwendung.

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Authors
  1. U. C. Hoppe
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  2. U. Sechtem
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Editors and Affiliations

  1. Medizinische Klinik I, Kardiologie/Pneumologie, Intensivmedizin, Burgerstraße 211, 42859, Remscheid, Deutschland

    Herbert Löllgen

  2. Klinik III, Innere Medizin, Universität zu Köln, Joseph-Stelzmann-Straße 9, 50924, Köln, Deutschland

    Erland Erdmann

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© 2001 Springer-Verlag Berlin Heidelberg

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Hoppe, U.C., Sechtem, U. (2001). Vitien im Erwachsenenalter. In: Löllgen, H., Erdmann, E. (eds) Ergometrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07083-3_20

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  • DOI: https://doi.org/10.1007/978-3-662-07083-3_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-67320-0

  • Online ISBN: 978-3-662-07083-3

  • eBook Packages: Springer Book Archive

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