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Kardiologische Therapie bei Hochbetagten

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Geriatrische Notfallversorgung

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Zusammenfassung

Angesichts der demografischen Bevölkerungsentwicklung ist die Kardiologie immer häufiger aufgefordert, sich mit Therapieentscheidungen bei hochbetagten Menschen zu beschäftigen. Dabei sind neben Komorbiditäten stets auch Patientenwünsche besonders zu berücksichtigen. Therapieziele verlagern sich mit zunehmendem Alter regelmäßig von Morbiditäts- bzw. Mortalitätsreduktion hin zu Verbesserung der Lebensqualität . Diese komplexen Anforderungen an kardiologische Behandlungsstrategien implizieren die Intensivierung eines interdisziplinären Vorgehens bei verschiedenen Krankheitsentitäten. Folgendes Kapitel setzt sich vorwiegend mit den verschiedenen Manifestationsformen der koronaren Herzkrankheit auseinander, da diese die häufigste Ursache kardiologischer Notfälle in einem geriatrischen Patientenkollektiv ist. Diverse andere Erkrankungen des Herzens sind im fortgeschrittenen Alter natürlich ebenfalls von großer Bedeutung, bedürfen aber seltener einer Notfallversorgung, sondern erfordern eher ein elektives oder zumindest semi-elektives Patientenmanagement. Aus diesem Grund werden sie in diesem Kapitel nicht im Detail beleuchtet, weshalb dieser Beitrag keinesfalls einen Anspruch auf Gesamtheit stellen kann. Zu den hier nicht ausführlich behandelten Erkrankungen gehören z. B. die im Folgenden aufgeführten.

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Author information

Authors and Affiliations

  1. Reha-Zentrum Münster in Tirol, Department für Kardiologie, Gröben 700 , A-6232, Münster, Österreich

    Hannes Alber PD Dr.

  2. Universit?tsklinik für Innere Medizin III (Kardiologie), Medizinische Universität Innsbruck, Anichstr. 35, A-6020, Innsbruck, Österreich

    Otmar Pachinger Prof. Dr.

Authors
  1. Hannes Alber PD Dr.
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  2. Otmar Pachinger Prof. Dr.
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Editor information

Editors and Affiliations

  1. Abteilung für Akutgeriatrie/Remobilisati, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria

    Georg Pinter

  2. Intensivmedizin, Landeskrankenhaus Klagenfurt (LKH) Abt. Anaesthesiologie und, Klagenfurt, Austria

    Rudolf Likar

  3. Abteilung für Innere Medizin, Albert Schweitzer Klinik, Graz, Austria

    Walter Schippinger

  4. Institut für Psychologie, Alpen-Adria-Universität Klagenfurt, Klagenfurt, Austria

    Herbert Janig

  5. Gesundheits- und Pflegemanagement, Fachhochschule Kärnten, Klagenfurt, Austria

    Olivia Kada

  6. Stabstelle Multiprojektmanagement, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria

    Karl Cernic

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Alber, H., Pachinger , O. (2013). Kardiologische Therapie bei Hochbetagten. In: Pinter, G., Likar, R., Schippinger, W., Janig, H., Kada, O., Cernic, K. (eds) Geriatrische Notfallversorgung. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1581-7_27

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  • DOI: https://doi.org/10.1007/978-3-7091-1581-7_27

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1580-0

  • Online ISBN: 978-3-7091-1581-7

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