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Arthritis und Rheuma 2012; 32(06): 361-366
DOI: 10.1055/s-0037-1618147
Sekundäre Formen der Osteoporose
Schattauer GmbH

Osteoporose nach Herztransplantation

Osteoporosis after cardiac transplantation
U. Lange
1   Universität Gießen
2   Abteilung Rheumatologie, Klinische Immunologie, Physikalische Medizin, Osteologie, Kerckhoff-Klinik, Bad Nauheim
› Author Affiliations
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Publication History

Publication Date:
23 December 2017 (online)

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Zusammenfassung

Die Transplantation stellt eine etablierte Therapie im Endstadium von Herzerkrankungen dar. Ein Knochenverlust zählt zu den häufigen Komplikationen nach Herztransplantation. Die kritische Phase des Knochenmasseverlustes und für Frakturen ist der frühe Zeitraum nach der Herztransplantation im Rahmen einer hoch dosierten immunsuppressiven Therapie. Die Pathogenese, das Management des Knochenmasseverlustes nach Herztransplantation und Empfehlungen werden in dem vorliegenden Übersichtsartikel präsentiert.

Summary

Transplantation has become an established therapy for end-stage heart disease. However, bone loss and fractures are common complications after cardiac transplantation. The critical time for the occurrence of vertebral fractures is the early post-transplantation period, when patients receive high doses of immune suppressive medications. The pathogenesis, management of bone loss after cardiac transplantation and recommendations are presented in this current overview.

Schlüsselwörter

Herztransplantation - Immunsuppression - Knochenmasseverlust - Osteoporose

Keywords

Heart transplantation - immune suppression - bone loss - osteoporosis
 

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