Skip to main content
SpringerLink
Log in

Kardiologische Krankheitsbilder

Cardiological diseases

  • Schwerpunkt
  • Published:
Der Internist Aims and scope Submit manuscript

Zusammenfassung

Die Kenntnis seltener kardiologischer Krankheitsbilder ist für den klinischen Alltag von großer Bedeutung, da sich durch eine frühe Diagnosestellung, optimales Monitoring der Patienten sowie eine frühzeitige adäquate Therapieeinleitung schwere Krankheitsverläufe und Todesfälle verhindern lassen. In diesem Beitrag werden eine wichtige rhythmologische Erkrankung, die arrhythmogene rechtsventrikuläre Kardiomyopathie, sowie mit der Tako-Tsubo-(Stress-)Kardiomyopathie und dem Aortenaneurysma bei Marfan-Syndrom 2 bedeutende strukturelle Erkrankungen vorgestellt. Direkte Implikationen für die klinische Praxis werden näher erläutert.

Abstract

Knowledge of rare but important clinical disease symptoms in cardiology is of vital importance in the daily routine as severe courses of disease as well as death may be prevented by early diagnosis, effective monitoring and timely initiation of an adequate therapy. In this article an important rhythmological disease, arrhythmogenic right ventricular cardiomyopathy, as well as two significant structural diseases, takotsubo (stress-related) cardiomyopathy and aortic aneurysm related to Marfan syndrome, as well as their implications for clinical practice will be presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Akashi YJ, Goldstein DS, Barbaro G, Ueyama T (2008) Takotsubo cardiomyopathy: a new form of acute, reversible heart failure. Circulation 118:2754–2762

    Article  PubMed  Google Scholar 

  2. Basso C et al (1997) Morbid anatomy. In: Nava A et al (Hrsg) Arrhythmogenic right ventricular cardiomyopathy – dysplasia. Elsevier, Amsterdam, S 71–86

  3. Brooke BS, Habashi JP, Judge DP et al (2008) Angiotensin II blockade and aortic-root dilation in Marfan’s syndrome. N Engl J Med 358:2787–2795

    Article  PubMed  CAS  Google Scholar 

  4. Corrado D, Fontaine G, Marcus FI et al (2000) Arrhythmogenic right ventricular dysplasia/cardiomyopathy: need for an international registry. Circulation 101:E101–106

    Article  PubMed  CAS  Google Scholar 

  5. Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339:364–369

    Article  PubMed  CAS  Google Scholar 

  6. Dalal D, Nasir K, Bomma C et al (2005) Arrhythmogenic right ventricular dysplasia: a United States experience. Circulation 112:3823–3832

    Article  PubMed  Google Scholar 

  7. Deac M, Alpendurada F, Fanaie F et al (2013) Prognostic value of cardiovascular magnetic resonance in patients with suspected arrhythmogenic right ventricular cardiomyopathy. Int J Cardiol. DOI 10.1016/j.ijcard.2013.04.208. (Epub ahead of print)

  8. Elesber AA, Prasad A, Lennon RJ et al (2007) Four-year recurrence rate and prognosis of the apical ballooning syndrome. J Am Coll Cardiol 50:448–452

    Article  PubMed  Google Scholar 

  9. Gemayel C, Pelliccia A, Thompson PD (2001) Arrhythmogenic right ventricular cardiomyopathy. J Am Coll Cardiol 38:1773–1781

    Article  PubMed  CAS  Google Scholar 

  10. Gianni M, Dentali F, Grandi AM et al (2006) Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 27:1523–1529

    Article  PubMed  Google Scholar 

  11. Gott VL, Greene PS, Alejo DE et al (1999) Replacement of the aortic root in patients with Marfan’s syndrome. N Engl J Med 340:1307–1313

    Article  PubMed  CAS  Google Scholar 

  12. Groenink M, de Roos A, Mulder BJ et al (2001) Biophysical properties of the normal-sized aorta in patients with Marfan syndrome: evaluation with MR flow mapping. Radiology 219:535–540

    PubMed  CAS  Google Scholar 

  13. Hiratzka LF, Bakris GL, Beckman JA et al (2010) 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine.. Circulation 121:e266–369

    Article  PubMed  Google Scholar 

  14. Hulot JS, Jouven X, Empana JP et al (2004) Natural history and risk stratification of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Circulation 110:1879–1884

    Article  PubMed  Google Scholar 

  15. Marcus F, McKenna WJ, Sherrill D et al (2010) Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation 121:1533–1541

    Article  PubMed  Google Scholar 

  16. Nava A, Bauce B, Basso C et al (2000) Clinical profile and long-term follow-up of 37 families with arrhythmogenic right ventricular cardiomyopathy. J Am Coll Cardiol 36:2226–2233

    Article  PubMed  CAS  Google Scholar 

  17. Paur H, Wright PT, Sikkel MB et al (2012) High levels of circulating epinephrine trigger apical cardiodepression in aβ2-adrenergic receptor/Gi-dependent manner: a new model of Takotsubo cardiomyopathy. Circulation 126(6):697–706

    Article  PubMed  CAS  Google Scholar 

  18. Prasad A, Lerman A, Rihal CS (2008) Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 155:408–417

    Article  PubMed  Google Scholar 

  19. Roguin A, Bomma CS, Nasir K et al (2004) Implantable cardioverter-defibrillators in patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy. J Am Coll Cardiol 43:1843–1852

    Article  PubMed  Google Scholar 

  20. Rybczynski M, Mir TS, Sheikhzadeh S et al (2010) Frequency and age-related course of mitral valve dysfunction in the Marfan syndrome. Am J Cardiol 106:1048–1053

    Article  PubMed  Google Scholar 

  21. Sharkey SW, Lesser JR, Zenovich AG et al (2005) Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 111:472–479

    Article  PubMed  Google Scholar 

  22. Tabib A, Loire R, Chalabreysse L et al (2003) Circumstances of death and gross and microscopic observations in a series of 200 cases of sudden death associated with arrhythmogenic right ventricular cardiomyopathy and/or dysplasia. Circulation 108:3000–3005

    Article  PubMed  CAS  Google Scholar 

  23. Tsuchihashi K, Ueshima K, Uchida T et al (2001) Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan. J Am Coll Cardiol 38:11–18

    Article  PubMed  CAS  Google Scholar 

  24. Turrini P, Corrado D, Basso C et al (2003) Noninvasive risk stratification in arrhythmogenic right ventricular cardiomyopathy. Ann Noninvasive Electrocardiol 8:161–169

    Article  PubMed  Google Scholar 

  25. Verma A, Kilicaslan F, Schweikert RA et al (2005) Short- and long-term success of substrate-based mapping and ablation of ventricular tachycardia in arrhythmogenic right ventricular dysplasia. Circulation 111:3209–3216

    Article  PubMed  Google Scholar 

  26. Wichter T, Paul M, Wollmann C et al (2004) Implantable cardioverter-defibrillator therapy in arrhythmogenic right ventricular cardiomyopathy: single-center experience of long-term follow-up and complication in 60 patients. Circulation 109:1503–1508

    Article  PubMed  Google Scholar 

  27. Wichter T, Schulze-Bahr E, Eckardt L et al (2002) Molecular mechanisms of inherited ventricular arrhythmias. Herz 27:712–739

    Article  PubMed  Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. L. Gross, S. Massberg und D. Sibbing geben an, dass kein Interessenkonflikt besteht. Das vorliegende Manuskript enthält keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

  1. Medizinische Klinik und Poliklinik I, Klinikum der Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland

    L. Gross, S. Massberg & D. Sibbing

Authors
  1. L. Gross
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Massberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. Sibbing
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to L. Gross.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gross, L., Massberg, S. & Sibbing, D. Kardiologische Krankheitsbilder. Internist 54, 1171–1184 (2013). https://doi.org/10.1007/s00108-013-3294-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00108-013-3294-8

Schlüsselwörter

Keywords

Search

Navigation