Kardiale Beteiligungen bei rheumatologischen Erkrankungen – eine Übersicht

Zusammenfassung

Rheumatische Erkrankungen gehen mit einem erhöhten kardiovaskulären Risiko einher, können darüber hinaus jedoch im Bereich aller kardialen Strukturen zu spezifischen entzündlichen Veränderungen führen. Symptome wie Dyspnoe, Tachykardie und Leistungsminderung stehen patientenseitig im Vordergrund, wenngleich kardiale Beteiligungen nicht selten asymptomatisch verlaufen. Diagnostisch werden neben der klinischen Untersuchung und laborchemischen Verfahren apparative Diagnostiken wie Echokardiografie und Kardio-MRT aber auch invasive Verfahren wie die Herzkatheteruntersuchung und Myokardbiopsie angewendet. Die Therapie richtet sich nach der Grunderkrankung, den betroffenen kardialen Strukturen und reicht von einer medikamentösen Therapie bis zu interventionell-operativem Vorgehen.

Abstract

Rheumatic diseases lead to increased cardiovascular risk, possibly with specific inflammatory changes in every part of the heart. Symptoms like dyspnoea, tachycardia and general impairment are frequent, but asymptomatic cardiac changes are not uncommon. Diagnostic tools range from physical examination and laboratory testing to imaging techniques like echocardiography or cardiac MRI. Invasive procedures like heart catheterisation including myocardial biopsy are additional options. Therapy depends on the underlying disease, and structural involvement and varies from medication to surgical or interventional procedures.

Schlüsselwörter

Herz - Rheumatologie - Perikarditis - Myokarditis - Echokardiografie

Key words

HeartRheumatology - Pericarditis - Myocarditis - Echokardiography

Publikationsverlauf

Artikel online veröffentlicht:
02. Dezember 2021

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