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21.12.2017 | Herzinsuffizienz | CME

Akute perioperative Rechtsherzinsuffizienz

Diagnostik und Therapie

verfasst von: Dr. B. Schäfer, Prof. Dr. C.-A. Greim

Erschienen in: Die Anaesthesiologie | Ausgabe 1/2018

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Zusammenfassung

Das akute Rechtsherzversagen wird als Ursache einer kardiopulmonalen Insuffizienz häufig übersehen. Die verschiedenen Krankheitsbilder, die dem Rechtsherzversagen ätiologisch auf den Ebenen der Nach‑, Vorlast und Kontraktilität zugrunde liegen, können mithilfe einer zielgerichteten Diagnostik abgeklärt werden. Neben klinischen Symptomen und laborchemischen Parametern ist v. a. die Echokardiographie für die Diagnosestellung relevant. Die symptomatische Behandlung des akut vital bedrohten Patienten ist essenziell. Im Vordergrund stehen die Senkung des rechtsventrikulären Drucks und der Nachlast, eine Korrektur der systemischen Hypotension und die positiv-inotrope Unterstützung des Ventrikels. Mechanische Organersatz- bzw. Unterstützungsverfahren kommen zunehmend bei anhaltendem Rechtsherzversagen zum Einsatz und erweitern die Behandlungsmöglichkeiten. Prognostisch entscheidend ist eine auf die auslösende Grunderkrankung abgestimmte kausale Therapie.

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Titel: Akute perioperative Rechtsherzinsuffizienz
Diagnostik und Therapie
verfasst von: Dr. B. Schäfer
Prof. Dr. C.-A. Greim
Publikationsdatum: 21.12.2017
Verlag: Springer Medizin
Schlagwörter: Herzinsuffizienz
Echokardiografie
Echokardiografie
Erschienen in: Die Anaesthesiologie / Ausgabe 1/2018
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-017-0394-1

Springer Medizin

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