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Kardiomyopathien

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Sportkardiologie

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Zusammenfassung

Nach Definition der WHO und der International Society and Federation of Cardiology von 1995 umfassen die Kardiomyopathien alle Erkrankungen des Herzmuskels, die mit einer kardialen Funktionsstörung assoziiert sind [41]. Die beiden mit Abstand häufigsten Vertreter primärer Kardiomyopathien sind die hypertrophe Kardiomyopathie (HCM), die eine Prävalenz von fast 1:500 aufweist und die dilatative Kardiomyopathie (DCM, Prävalenz 36:100000). Die genaue Häufigkeit der weitaus selteneren arrhythmogenen rechtsventrikulären Kardiomyopathie (ARVC) ist nicht bekannt, während die restriktiven Kardiomyopathien nahezu eine Rarität darstellen [9, 26, 34].

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Literatur

  1. Basso C, Thiene G, Corrado D, Buja G, Melacini P, Nava A (2000) Hypertrophic cardiomyopathy and sudden death in the young: pathologic evidence of myocardial ischemia. Hum Pathol 31: 988–998

    Article  PubMed  CAS  Google Scholar 

  2. Briguori C, Betocchi S, Romano M, Manganelli F, Angela-Losi M, Ciampi Q, Gottilla R, Lombardi R, Condorelli M, Chiariello M (1999) Exercise capacity in

    Google Scholar 

  3. hypertrophic cardiomyopathy depends on left ventricular diastolic function. Am J Cardiol 84:309–315

    Google Scholar 

  4. Burke AP, Farb A, Tashko G, Virmani R (1998) Arrhythmogenic rigth ventricular cardiomyopathy and fatty replacement. Circulation 97: 1571–1580

    Article  PubMed  CAS  Google Scholar 

  5. Cannon RO, McIntosh CL, Schenke WH, Maron BJ, Bonow RO, Epstein SE (1989) Effect of surgical reduction of left ventricular outflow obstruction on hemodynamics, coronary flow, and myocardial metabolism in hypertrophic cardiomyopathy. Circulation 79: 766–775

    Article  PubMed  Google Scholar 

  6. Cappato R, Negroni S, Bentivegna S, Bianchetti F, Pecora D, Morandi F, Furlanello F (2002) Role of implatable cardioconverter defibrillators in dilated cardiomyopathy. J Cardiovasc Electrophysiol 13: 5106 - S109

    Google Scholar 

  7. Charron P, Dubourg O, Desnos M, Isnard R, Hagege A, Millaire A, Carrier L, Bonne G, Tesson F, Richard P, Bouhour JB, Schwartz K, Komajda M (1997) Diagnostic value of electrocardiography and echocardiography for familial hypertrophic cardiomyopathy in a genotyped adult population. Circulation 96: 214–219

    Article  PubMed  CAS  Google Scholar 

  8. Corrado D, Basso C, Thiene G, McKenna WJ, Davies MJ, Fontaliran F, Nava A, Silvestri F, Blomstrom-Lundquist C, Wlodarska EK, Fontaine G, Camerini F (1997) Spectrum of clinicopathologic manifestations of arrhythmogenic right ventricular cardiomyopathia/dysplasia: a multicenter study. JACC 30: 1512–1520

    PubMed  CAS  Google Scholar 

  9. Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339: 364–369

    Article  PubMed  CAS  Google Scholar 

  10. Corrado D, Fontaine G, Marcus FI, McKenna WJ, Nava A, Thiene G, Wichter T (2000) Arrhythmogenic right ventricular cardiomyopathia/dysplasia - Need for international registry. Circulation 101:e101-el06

    Google Scholar 

  11. Dec WG, Fuster V (1994) Idiopathic dilated cardiomyopathy. N Engl J Med 331: 1564–1575

    Article  PubMed  CAS  Google Scholar 

  12. Deng MC, Roeder N, Plenz G, Erren M, Brisse B, Soeparwata R, Scheid HH (1997) Proinflammatorische Zytokine and kardiale Pumpfunktion. Z Kardiol 86: 788–802

    Article  PubMed  CAS  Google Scholar 

  13. Dickhuth HH, Hipp A, Niess A, Röcker K, Mayer F, Horstmann T (2001) Differenzialdiagnostik der physiologischen Herzhypertrophie ( Sportherz ). Dtsch Z Sportmed 52: 205–210

    Google Scholar 

  14. Elliott PM (2001) The role of pharmacologic treatment to prevent sudden death in the implantable cardioverter defibrillator era. Curr Cardiol Rep 3: 167–172

    Article  PubMed  CAS  Google Scholar 

  15. Elliott PM, Poloniecki J, Dickie S, Sharma S, Monserrat L, Varnava A, Mahon NG, McKenna WJ (2000) Sudden death in hypertrophic cardiomyopathy: Identification of high risk patients. J Am Coll Cardiol 36: 2212–2218

    Google Scholar 

  16. Elliott PM, Gimeo Blanes JR, Mahon NG, Poloniecki J, McKenna WJ (2001) Relation between severity of left-ventricular hyperthrophy and prognosis in patients with hypertrophic cardiomyopathy. Lancet 357: 420–424

    Article  PubMed  CAS  Google Scholar 

  17. Franciosa JA, Park M, Levine TB (1981) Lack of correlation between exercise capacity and indexes of resting left ventricular performance in heart failure. Am J Cardiol 47: 33–39

    Article  PubMed  CAS  Google Scholar 

  18. Jansson K, Dahlstrom U, Karlsson E, Nylander E, Walfridsson H, Sonnhag C (1990) The value of exercise test, Holter monitoring, and programmed electrical stimulation in detection of ventricular arrhythmias in patients with hypertrophic cardiomyopathy. Pacing Clin Electrophysiol 13: 1261–1267

    Google Scholar 

  19. Klues HG, Schiffers A, Maron BJ (1995) Phenotypic spectrum and patterns of left ventricular hypertrophy in hypertrophic cardiomyopathy: Morphologic ob-

    Google Scholar 

  20. servations and significance as assessed by two-dimensional echocardiography in 600 patients. J Am Coll Cardiol 26:1699–1708

    Google Scholar 

  21. Manyari DE, Paulsen W, Boughner DR, Purves P, Kostuk WJ (1983) Resting and exercise left ventricular function in patients with hypertrophic cardiomyopathy. Am Heart J 105: 980–987

    Article  PubMed  CAS  Google Scholar 

  22. Marcus FI, Fontaine G (1995) Arrhythmogenic right ventricular dyplasia/cardiomyopathy: A review. Pacing Clin Electrophysiol 18: 1298–1314

    Google Scholar 

  23. Marcus FI, Fontaine G, Guiraudon G, Frank R, Laurenceau JL, Malergue C, Grosgogeat Y (1982) Right ventricular dysplasia: A report of 24 adult cases. Circulation 65: 384–398

    Article  PubMed  CAS  Google Scholar 

  24. Maron BJ (2001) The electrocardiogram as a diagnostic tool for hypertrophic cardiomyopathy: revisited. Ann Noninvasive Electrocardiol 6: 277–279

    Article  PubMed  CAS  Google Scholar 

  25. Maron BJ (2002) Hypertrophic cardiomyopathy–A systematic review. JAMA 13: 1308–1320

    Article  Google Scholar 

  26. Maron BJ, Gottdiener JS, Epstein SE (1981) Patterns and significance of the distribution of left ventricular hypertrophy in hypertrophic cardiomyopathy: A wide-angle, two-dimensional echocardiographic study of 125 patients. Am J Cardiol 48: 418–428

    Article  PubMed  CAS  Google Scholar 

  27. Maron BJ, Isner JM, McKenna WJ (1994) Task Force 3: Hypertrophic cardiomyopathy, myocarditis and other myocardial diseases and mitral valve prolapse. J Am Coll Cardiol 24: 880–885

    Google Scholar 

  28. Maron BJ, Gardin JM, Flack JM, Gidding SS, Kurosaki TT, Bild DE (1995) Prevalence of hypertrophic cardiomyopathy in a general population of young adults. Echocardiographic analysis of 4111 subjects in the CARDIA Study. Circulation 92: 785–789

    Article  PubMed  CAS  Google Scholar 

  29. Maron BJ, Shirani J, Poliac LC, Mathenge R, Roberts WC, Mueller FO (1998) Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 276: 199–204

    Google Scholar 

  30. Maron BJ, Niimura H, Casey SA, Soper MK, Wright GB, Seidman JG, Seidman CE (2001) Development of left ventricular hypertrophy in adults in hypertrophic cardiomyopathy caused by cardiac myosin-binding protein C gene mutations. J Am Coll Cardiol 38: 315–321

    Article  PubMed  CAS  Google Scholar 

  31. McKenna WJ, Thiene G, Nava A, Fontaliran F, Blomstrom-Lundquist C, Fontaine G, Camerini F (1994) Diagnosis of right ventricular dysplasia/cardiomyopathy. Br Heart J 71: 215–218

    Article  PubMed  CAS  Google Scholar 

  32. Meyer K, Peters K, Roskamm H (1998) Verbesserung der aeroben Kapazität bei chronischer Herzinsuffizienz–Welche Trainingsmethode ist geeignet? Z Kardiol 87: 8–14

    Article  PubMed  CAS  Google Scholar 

  33. Nava A, Bauce B, Basso C, Muriago M, Rampazzo A, Villanova C, Daliento L, Buja G, Corrado D, Danieli GA, Thiene G (2000) Clinical profile and long-term follow-up of 37 families with arrhythmogenic right ventricular cardiomyopathy. J Am Coll Cardiol 36: 2226–2233

    Article  PubMed  CAS  Google Scholar 

  34. Nelson GS, Curry CW, Wyman.BT, Kramer A, Declerck J, Talbot M, Douglas MR, Berger RD, McVeigh ER, Kass DA (2000) Predictors of systolic augmentation from left ventricular preexcitation in patients with dilated cardiomyopathy and intraventricular conduction delay. Circulation 101: 2703–2709

    CAS  Google Scholar 

  35. Norman MW, McKenna WJ (1999) Arrhythmogenic right ventricular cardiomyopathy: Perspectives on disease. Z Kardiol 88: 550–554

    Google Scholar 

  36. Olbrich H-G (2001) Epidemiologie - Ätiologie der dilatativen Kardiomyopathie. Z Kardiol 90 (Suppl I):I/2-I/7

    Google Scholar 

  37. Olivotto I, Cecchi F, Casey SA, Dolara A, Traverse JH, Maron BJ (2001) Impact of atrial fibrillation on the clinical course of hypertrophic cardiomyopathy. Circulation 104: 2517–2524

    Article  PubMed  CAS  Google Scholar 

  38. Pellicia A, Maron BJ, Spatato A, Proschan MA, Spirito P (1991) The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes. N Engl J Med 324: 295–301

    Article  Google Scholar 

  39. Peters S, Peters H, Thierfelder L (1999) Risk stratification of sudden cardiac death and malignant ventricular arrhythmias in right ventricular dysplasia-cardiomyopathy. Int J Cardiol 71: 243–250

    Article  PubMed  CAS  Google Scholar 

  40. Pollick C (1982) Muscular subaortic stenosis: hemodynamic and clinic improvement after disopyramide. N Engl J Med 307: 997–999

    Article  PubMed  CAS  Google Scholar 

  41. Rector TS, Olivari MT, Levine TB, Francis GS, Cohn JN (1987) Predicting survival for an individual with congestive heart failure using the plasma norepinephrine concentration. Am Heart J 114: 148–152

    Article  PubMed  CAS  Google Scholar 

  42. Ricci C, Longo R, Pagnan L, Dalla Palma L, Pinamonti B, Camerini F, Bussani R, Silvestri F (1992) Magnetic resonance imaging in right ventricular dysplasia. Am J Cardiol 70: 1589–1595

    Article  PubMed  CAS  Google Scholar 

  43. Richardson P, McKenna W, Bristow M, Maisch B, Mautner B, O’Connell J, Olsen E, Thiene G, Goodwin J, Gyarfas I, Martin I, Nordet P (1996) Report of the 1995 World Health Organization/International Society and Federation of Cardiology Task Force on the definition and classification of cardiomyopathies. Circulation 93: 841–842

    Article  PubMed  CAS  Google Scholar 

  44. Rost R, Hollmann W (1983) Athlete’s Heart–a review of its historical assessment and new aspects. Int J Sports Med 4: 147–165

    Article  PubMed  CAS  Google Scholar 

  45. Sharma S, Firozzi S, McKenna WJ (2001) Value of exercise testing in assessing clinical state and prognosis in hypertrophic cardiomyopathy. Cardiol Rev 9: 7076

    Article  Google Scholar 

  46. Spirito P, Seidman CE, McKenna W, Maron BJ (1997) The management of hypertrophic cardiomyopathy. N Engl J Med 336: 775–785

    Article  PubMed  CAS  Google Scholar 

  47. Spirito P, Rapezzi C, Bellone P, Betocchi S, Autore C, Conte MR, Bezante GP, Bruzzi P (1999) Infective endocarditis in hypertrophic cardiomyopathy: prevalence, incidence, and indications for antibiotic prophylaxis. Circulation 99: 21322137

    Google Scholar 

  48. St. John-Sutton MG, Lie JT, Anderson KR, O’Brien PC, Frye RL (1980) Histopathological specificity of hypertrophic obstructive cardiomyopathy. Myocardial fibre disarray and myocardial fibrosis. Br Heart J 44: 433–443

    Article  Google Scholar 

  49. Sugrue DD, Rodeheffer RJ, Codd MB, Ballard DJ, Fuster V, Gersh BJ (1992) The clinical course of idiopathic dilated cardiomyopathy: A population-based study. Ann Intern Med 117: 117–123

    Google Scholar 

  50. Takagi E, Yamakado T, Nakano T (1999) Prognosis of completely asymptomatic adult patients with hypertrophic cardiomyopathy. J Am Coll Cardiol 33: 206–211

    Article  PubMed  CAS  Google Scholar 

  51. Takeichi Y, Yokota M, Iwase M, Izawa H, Nishizawa T, Ishiki R, Somura F, Naga-ta K, Isobe S, Noda A (2001) Biphasic changes in left ventricular end-diastolic pressure during dynamic exercise in patients with nonobstructive hypertrophic cardiomyopathy. J Am Coll Cardiol 38: 335–343

    Article  PubMed  CAS  Google Scholar 

  52. Thierfelder L (2000) Genetisches Screening bei Kardiomyopathien. Z Kardiol 89: 638–640

    Article  PubMed  CAS  Google Scholar 

  53. Thomson HL, Morris-Thurgood J, Atherton J, Frenneaux M (1998) Reduced cardiopulmonary baroreflex sensitivity in patients with hypertrophic cardiomyopathy. J Am Coll Cardiol 31: 1377–1382

    Article  PubMed  CAS  Google Scholar 

  54. Turrini P, Corrado D, Basso C, Nava A, Bauce B, Thiene G (2001) Dispersion of ventricular depolarization-repolarization–A noninvasive marker for risk stratification in arrhythmogenic right ventricualar cardiomyopathy. Circulation 103: 3075–3080

    Article  PubMed  CAS  Google Scholar 

  55. Urhausen A, Kindermann W (1992) Echocardiographic findings in strength-and endurance-trained athletes. Sports Med 13: 270–284

    Article  PubMed  CAS  Google Scholar 

  56. Urhausen A, Monz T, Kindermann W (1997) Echocardiographic criteria of physiological hypertrophy in combined strength-and endurance-trained athletes. Int J Card Imaging 13: 43–52

    Article  PubMed  CAS  Google Scholar 

  57. Van Camp SP, Bloor CM, Mueller FO, Cantu RC, Olson HG (1995) Nontraumatic sports death in high school and college athletes. Med Sci Sports Exerc 27: 641647

    Google Scholar 

  58. Varnava AM, Elliott PM, Mahon N, Davies MJ, McKenna WJ (2001) Relation between myocyte disarray and outcome in hypertrophic cardiomyopathy. Am J Cardiol 88: 275–279

    Article  PubMed  CAS  Google Scholar 

  59. Watkins H, McKenna WJ, Thierfelder L, Suk HJ, Anan R, O’Donoghue A, Spirito P, Matsumori A, Moravec CS, Seidman JG, Seidman, CE (1995) Mutations in the genes for cardiac troponin T and alpha-tropomyosin in hypertrophic cardiomyopathy. N Engl J Med 332: 1058–1064

    Article  PubMed  CAS  Google Scholar 

  60. Wichter T, Borggrefe M, Haverkamp W, Chen X, Breithart G (1992) Efficacy of antiarrhythmic drugs in patients with arrhythmogenic right ventricualar disease: results in patients with inducible and noninducible ventricular tachycardia. Circulation 86: 29–37

    Article  PubMed  CAS  Google Scholar 

  61. Wichter T, Hindricks G, Lerch H, Bartenstein P, Borggrefe M, Schober O, Breithart G (1994) Regional myocardial sympathetic dysinnervation in arrhythmogenic right ventricualar cardiomyopathy. Circulation 89: 667–683

    Article  PubMed  CAS  Google Scholar 

  62. Yoshida N, Ikeda H, Wada T, Matsumoto A, Maki S, Muro S, Shibata A, Imaizumi T (1998) Exercise-induced abnormal blood pressure responses are related to subendicardial ischemia in hypertrophic cardiomyopathy. J Am Coll Cardiol 32: 1938–1942

    Article  PubMed  CAS  Google Scholar 

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Niess, A. (2003). Kardiomyopathien. In: Sportkardiologie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-13020-9_7

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  • DOI: https://doi.org/10.1007/978-3-662-13020-9_7

  • Publisher Name: Steinkopff, Heidelberg

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