Therapie des akuten und chronischen Rechtsherzversagens

Medizinische Klinik - Intensivmedizin und Notfallmedizin - Tập 111 Số 5 - Trang 463-480 - 2016
Kramm, T.1, Guth, S.1, Wiedenroth, C. B.1, Ghofrani, H. A.2,3, Mayer, E.1
1Abteilung für Thoraxchirurgie, Kerckhoff Klinik gGmbH, Bad Nauheim, Deutschland
2Abteilung für allgemeine Pneumologie, Kerckhoff-Klinik gGmbH, Bad Nauheim, Deutschland
3Medizinische Klinik II, Mitglied des Deutschen Zentrums für Lungenforschung (DZL), Universitätsklinikum Gießen und Marburg GmbH, Gießen, Deutschland

Tóm tắt

Ein akutes oder chronisches Rechtsherzversagen wird als Ursache einer kardiopulmonalen Insuffizienz häufig nicht oder zu spät diagnostiziert. Neben klinischen Symptomen und laborchemischen Parametern sind v. a. Echokardiographie und invasive Messungen der Hämodynamik im Rechtsherzkatheter für Diagnose und Therapiekontrolle entscheidend. In der Akutsituation ist zunächst eine symptomatische Therapie des vital bedrohlichen Zustands notwendig. Hauptziele sind die Optimierung der Koronarperfusion und damit der myokardialen Sauerstoffversorgung sowie die Nachlastsenkung des rechten Ventrikels. Bei anhaltendem Rechtsherzversagen kommen zunehmend passagere, extrakorporale oder implantierbare intrakorporale Organersatzverfahren zum Einsatz. Prognostisch entscheidend ist die zielgerichtete Therapie der auslösenden Grunderkrankung.

Tài liệu tham khảo

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