Pneumologie 2013; 67(01): 16-34
DOI: 10.1055/s-0032-1325901
Empfehlungen
© Georg Thieme Verlag KG Stuttgart · New York

Belastungsuntersuchungen in der Pneumologie

Empfehlungen der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e. V.Exercise Testing in Respiratory MedicineDGP Recommendations
F. J. Meyer*
1   Klinik für Pneumologie, Gastroenterologie, Internistische Intensiv- und Beatmungsmedizin, Städtisches Klinikum Harlaching, München
,
M. M. Borst
2   Medizinische Klinik I, Caritas-Krankenhaus, Bad Mergentheim
,
H. C. Buschmann
3   Klinik für Pneumologie und Allgemeine Innere Medizin, Brüderkrankenhaus St. Josef Paderborn
,
R. Ewert
4   Klinik für Innere Medizin B; Bereich Pneumologie/Infektiologie, Universitätsmedizin, Greifswald
,
B. Friedmann-Bette
5   Abt. Innere Medizin VII, Universitätsklinikum, Heidelberg
,
U. Ochmann
6   Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsklinikum Innenstadt, München
,
W. Petermann
3   Klinik für Pneumologie und Allgemeine Innere Medizin, Brüderkrankenhaus St. Josef Paderborn
,
A. M. Preisser
7   Zentralinstitut für Arbeitsmedizin und Maritime Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg
,
D. Rohde
8   Abt. Innere Medizin III, Universitätsklinikum, Heidelberg
,
K.-H. Rühle
9   HELIOS-Klinik Ambrock, Universität Witten-Herdecke, Hagen-Ambrock
,
S. Sorichter
10   Abt. Pneumologie, Medizinische Universitätsklinik, Freiburg
,
G. Stähler
11   Medizinische Klinik I, Klinik Löwenstein, Löwenstein
,
M. Westhoff
12   Klinik für Pneumologie, Lungenklinik, Hemer
,
H. Worth*
13   Medizinische Klinik I, Klinikum Fürth
› Author Affiliations
Further Information

Publication History

Publication Date:
16 January 2013 (online)

Zusammenfassung

Dieses Dokument der DGP ersetzt die Empfehlungen von 1998. Anhand der aktuellen Datenlage und einer Konsensuskonferenz wurden Empfehlungen zu Indikationen, zur Auswahl und Durchführung der geeigneten Untersuchungstechniken sowie zu den technischen und personellen Voraussetzungen formuliert. Detaillierte Angaben werden zur Blutgasanalyse unter Belastung, zum 6-Minuten-Gehtest und Rechtsherzkatheter mit Belastung sowie zur Spiroergometrie und Stressechokardiografie gemacht. Der richtige Einsatz von Belastungsuntersuchungen bei anstrengungsinduziertem Asthma, bei sportmedizinischen bzw. arbeitsmedizinischen Fragestellungen, bei der präoperativen Risikostratifizierung und beim Therapiemonitoring pneumologischer Erkrankungen wird dargestellt.

Abstract

This document replaces the DGP recommendations published in 1998. Based on recent studies and a consensus conference, the indications, choice and performance of the adequate exercise testing method in its necessary technical and staffing setting are discussed. Detailed recommendations are provided: for arterial blood gas analysis and right heart catherterization during exercise, 6-minute walk test, spiroergometry, and stress echocardiography. The correct use of different exercise tests is discussed for specific situations in respiratory medicine: exercise induced asthma, monitoring of physical training or therapeutical interventions, preoperative risk stratification, and evaluation in occupational medicine.

* federführend


 
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