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Ganzheitliche Behandlung der chronischen Herzinsuffizienz

Holistic therapy of chronic heart failure

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Zusammenfassung

Die zunehmende Prävalenz und steigende krankheitsbedingte Kosten machen die chronische Herzinsuffizienz zu einer wachsenden sozioökonomischen Herausforderung. Nur durch ein therapeutisches Zusammenwirken von leitliniengerechter Herzinsuffizienztherapie und ganzheitlicher Patientenbetreuung können Mortalität, Morbidität, Leistungsfähigkeit und Lebensqualität verbessert werden. Eine ganzheitliche Patientenversorgung beinhaltet neben der medikamentösen und chirurgischen Therapie die Berücksichtigung von Komorbiditäten und individuellen Bedürfnissen, Lebensstilberatung und multidisziplinäre Managementprogramme bei Hochrisikopatienten. Darüber hinaus ist für eine optimale Patientenbetreuung wichtig, dass eine „nahtlose“ stationäre und ambulante Versorgungsstruktur gewährleistet wird. Bei Herzinsuffizienzpatienten müssen auch palliative Bedürfnisse berücksichtigt werden, die derzeit noch zu wenig Beachtung finden.

Abstract

The rising prevalence and increasing disease-related costs render chronic heart failure a rapidly growing socioeconomic challenge. The concerted action of guideline-adjusted therapy and holistic patient care is essential to achieve improvements in mortality, morbidity, functional status and quality of life of patients with symptomatic heart failure. Holistic care strategies comprise consideration of comorbidities and individual needs, lifestyle recommendations and multidisciplinary management programs for high-risk symptomatic patients in addition to basic medication and surgical therapies. For optimal patient care and coaching, seamless interaction is required between in-hospital treatment and outpatient facilities. Moreover, the palliative needs of heart failure patients need to be considered, a topic that is currently not receiving enough attention.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. C. Feldmann, G. Ertl und C.E. Angermann geben an, dass kein Interessenkonflikt besteht. Die wissenschaftliche Arbeit der Autoren wird oder wurde von folgenden Firmen/Einrichtungen finanziell unterstützt: Bundesministerium für Bildung und Forschung, Deutsche Forschungsgemeinschaft, Lundbeck, Merck, Sharp & Dohme, Novartis, Pfizer, ResMed, Roche, Siemens und Vifor. C.E. Angermann erhält Berater- oder Vortragshonorare von den Firmen Bayer, Biotronik, Merck, Sharp & Dohme, Servier, Novartis, Pfizer und ResMed. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Medizinische Klinik und Poliklinik I, Deutsches Zentrum für Herzinsuffizienz, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland

    C. Feldmann, G. Ertl &  C.E. Angermann

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  1. C. Feldmann
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  2. G. Ertl
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  3. C.E. Angermann
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Correspondence to C.E. Angermann.

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Der Erinnerung an Prof. Dr. Dr. h. c. mult. Kurt Kochsiek gewidmet.

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Feldmann, C., Ertl, G. & Angermann, C. Ganzheitliche Behandlung der chronischen Herzinsuffizienz. Internist 55, 676–686 (2014). https://doi.org/10.1007/s00108-013-3427-0

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