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Nuklearmedizinische Diagnostik

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Kompendium der modernen Herzchirurgie beim Erwachsenen

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Zusammenfassung

Nuklearmedizinische Verfahren nehmen seit Jahren einen wichtigen Stellenwert in der Abklärung kardiologischer Krankheitsbilder ein und sind daher auch für den Herzchirurgen von Bedeutung. Nuklearkardiologische Untersuchungstechniken sind wegen ihrer diagnostischen und prognostischen Aussagekraft, Zuverlässigkeit und Reproduzierbarkeit besonders in der Abklärung der koronaren Herzerkrankung (KHK) ein wichtiger diagnostischer Parameter. Konsequenterweise wurden die nuklearmedizinischen Verfahren in die Empfehlungen und Richtlinien zur Abklärung der KHK der amerikanischen (AHA/JACC) und europäischen (ESC) kardiologischen Fachgesellschaften aufgenommen (Marcassa et al. 2008; Montalescot et al. 2013). In dieser Übersicht findet sich eine klinisch orientierte Zusammenstellung der beiden bedeutendsten Einsatzgebiete nuklearkardiologischer Verfahren, der Myokardperfusionsszintigraphie (MPS) und myokardialen Vitalitätsdiagnostik. Für jede Indikationsgruppe werden die Methodik, die Befundung, die Aussagekraft sowie die Limitationen des entsprechenden nuklearkardiologischen Verfahrens dargestellt.

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  1. Universitätsklinik für Nuklearmedizin und Endokrinologie, Uniklinikum Salzburg, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich

    Christian Pirich

  2. Universitätsklinik für Innere Medizin II, Abteilung für Kardiologie, Medizinische Universität Wien, Wien, Österreich

    Senta Graf

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  1. Helios Klinikum München West, Klinik für Gefäßchirurgie Aortenzentrum Süd, München, Germany

    Olaf Stanger

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Pirich, C., Graf, S. (2020). Nuklearmedizinische Diagnostik. In: Stanger, O. (eds) Kompendium der modernen Herzchirurgie beim Erwachsenen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0451-4_4

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