Kardiopulmonale Komorbiditäten

Zusammenfassung

Kardiale und pulmonale Erkrankungen gehören zu den Hauptursachen globaler Morbidität und Mortalität. Erkrankungen beider Organsysteme treten angesichts ihrer hohen Prävalenz insbesondere bei alten Menschen häufig als Komorbiditäten auf. Aufgrund der engen (patho-) physiologischen Beziehung von Herz und Lunge beeinflussen sich Erkrankungen beider Organsysteme gegenseitig und weit über eine reine Koinzidenz hinaus. Gleichzeitig wird in der klinischen Praxis aufgrund der häufig ähnlichen Leitsymptome (insbes. Luftnot) eine Differenzierung erschwert, und Komorbiditäten können leicht übersehen werden. In diesem Artikel sollen die Besonderheiten kardiopulmonaler Komorbiditäten auf Basis ihrer jeweils eigenen, aber auch gemeinsamen Pathophysiologie näher erläutert werden.

Abstract

Cardiac and pulmonary diseases are primary causes of global morbidity and mortality. Since the prevalence of both cardiac and pulmonary diseases increases with age, cardiopulmonary comorbidities inflict especially the elderly. Due to the tight physiological connection of the heart and the lung, diseases of both organs affect each other beyond a mere coincidence. At the same time, due to the similarity of their respective symptoms, their differentiation is challenging in clinical practice and therefore, comorbidities can be easily overlooked. This article provides an overview on the characteristics of cardiopulmonary comorbidities and their specific-, but also mutual pathophysiology.

Schlüsselwörter

Herzinsuffizienz - pulmonale Hypertonie - KHK - COPD

Keywords

heart failure - pulmonary hypertension - coronary artery disease - COPD

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