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Vom Belastungs-EKG Zur Koronarangiographie by P. Bubenheimer, M. Kaltenbach, H. J. Engel

Vom Belastungs-EKG Zur Koronarangiographie

by P. Bubenheimer , M. Kaltenbach , H. J. Engel
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Book cover type: Paperback
  • ISBN13: 9783642675478
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 360
  • Original Price: EUR 70.08
  • Language: German
  • Edition: Softcover Repri
  • Item Weight: 844 grams
  • BISAC Subject(s): Cardiology

Die koronare Herzkrankheit fordert in allen zivilisierten Ländern einen hohen Zoll an Mortalität und Morbidität. Es ist deshalb notwendig, nach Wegen zu suchen, dieser - zumindest in Deutsch- land ungebrochenen -Entwicklung Einhalt zu gebieten. In manchen Fällen genügt allein schon eine Anamnese, um relativ früh und mit hoher Treffsicherheit eine Myokardischämie auf dem Boden einer stenosierenden Koronarsklerose zu diagnostizieren. In den meisten Fällen sind jedoch wei- tergehende diagnostische Schritte zum Ausschlu oder zur Bestätigung einer koronaren Herz- krankheit erforderlich. Das vorliegende Buch will praktische Wege aufzeigen, die mit möglichst geringem Aufwand zu einer adäquaten Diagnose führen. Deshalb ist bei der Darstellung der verschiedenen Krankheits- stadien bzw. Symptomkonstellationen stets auf ein ausgewogenes Verhältnis zwischen diagnosti- schem Aufwand und möglichen therapeutischen Konsequenzen abgehoben. Entsprechend ihrer diagnostischen Wertigkeit werden zunächst die nichtinvasiven Methoden dargestellt. Dabei gilt dem Belastungs-EKG als dem wohl wichtigsten Parameter unser besonderes Augenmerk. Neben zahlreichen subtilen technischen Details findet der Leser Angaben über Treffsicherheit und Gren- zen dieser Methode. Besondere Aufmerksamkeit wird auch dem Stellenwert eventuell notwendi- ger ergänzender Untersuchungsmethoden gewidmet, wie u. a. der konventionellen Röntgendia- gnostik, der Echokardiographie und der Nuklearmedizin. Die Verfasser sind der Meinung, da die Koronarangiographie in jedem Falle einer strengen Indikation bedarf. Andererseits darf den Patienten, für die lebenswichtige therapeutische Ma - nahmen von dieser Untersuchung abhängen, die Koronarangiographie nicht vorenthalten werden.

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