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Dtsch Med Wochenschr 2005; 130(12): 677-682
DOI: 10.1055/s-2005-865079
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Kardiologie
© Georg Thieme Verlag Stuttgart · New York

Kardiologische Intensivmedizin - das akute Koronarsyndrom

Intensive care in cardiovascular medicine - acute coronary syndromeM. G. Hennersdorf1 , S. Steiner1 , M. Kelm1 , B.-E Strauer1
  • 1Klinik für Kardiologie, Pneumologie und Angiologie, Heinrich-Heine-Universität, Düsseldorf
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Publication History

eingereicht: 8.12.2004

akzeptiert: 9.3.2005

Publication Date:
18 March 2005 (online)

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Die internistische Intensivmedizin wird in einem breiten Bereich durch kardiologische Krankheitsbilder mitbestimmt. Dadurch betroffen sind das akute Koronarsyndrom/ der akute Myokardinfarkt, schwerwiegende Arrhythmien, die akute und akut dekompensierte chronische Herzinsuffizienz, das akute Cor pulmonale/ die akute Lugenembolie, aber auch Mitreaktionen des Herz-Kreislauf-Systems im Rahmen von Systemerkankungen (Sepsis, die verschiedenen Schockformen). Für diesen Artikel wurden stellvertretend die Therapie des akuten Koronarsyndromes/ des akuten Herzinfarktes und schwerwiegender Arrhythmien ausgewählt. Das akute Koronarsyndrom nimmt eine wichtige Stellung ein. Bei steigender Prävalenz der koronaren Herzerkrankung stellen Patienten mit diesen Krankheitsbildern einen Großteil kardiologisch kranker Patienten in der Intensivmedizin dar. Das akute Koronarsysndrom umfasst die instabile Angina pectoris, den nicht-transmuralen und den transmuralen Myokardinfarkt. Die diagnostischen und therapeutischen Möglichkeiten dieser Entität sowie von supraventrikulären und ventrikulären Arrhythmien werden in diesem Artikel dargestellt und der aktuelle Stand vermittelt.

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Priv.-Doz. Dr. med. Marcus G. Hennersdorf

Medizinische Kinik und Poliklinik B, Klinik für Kardiologie, Pneumologie und Angiologie, Heinrich-Heine-Universität

Moorenstraße 5

40225 Düsseldorf

Phone: 0211/8118800

Fax: 0211/8119520

Email: hennersdorf@med.uni-duesseldorf.de