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Aktuelle Diagnostik und Therapie von Herzklappenerkrankungen

Current standard in diagnosis and therapy of heart valve lesions

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Summary

We present a survey of the current standard in diagnosis and therapy of the most frequent heart valve lesions. During the last 50 years there has been a dramatic shift concerning the etiology of valve lesions with a rise of the agedependent degenerative towards rheumatic valve diseases. The aim of the diagnostic evaluation of valve lesions is primarily the clinical and hemodynamic grading of the severity of the valve disease, the recognition of relevant coexisting cardiac and extracardiac diseases and furthermore, an optimal timing of surgery in close correlation with the cardiac surgeons.

Zusammenfassung

Die vorliegende Arbeit soll einen Überblick über den aktuellen Standard der Diagnostik und der Therapie der häufigsten Herzklappenvitien geben. In den letzten 50 Jahren kam es zu einem beträchtlichen Umschwung bezüglich der Ätiologie der Klappenvitien mit einem signifikanten Anstieg der altersabhängigen degenerativen Klappenerkrankung bei gleichzeitiger Abnahme der Häufigkeit rheumatischer Klappenfehler. Ziel der Diagnostik von Herzklappenerkrankungen sind v.a. die Erfassung des klinischen und hämodynamischen Schweregrads sowie das Erkennen relevanter kardialer und extrakardialer Komorbiditäten, um ein möglichst optimales Timing des Operationszeitpunkts bei niedrigen peri- und postoperativen Risiken zu entwickeln. Alle diese Schritte sind letztendlich nur in enger Kooperation mit den Kardiochirurgen denkbar.

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Authors and Affiliations

  1. Medizinische Klinik I, Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Germany

    Sebastian Reith,  Oliver Volk &  Heinrich G. Klues

  2. Abteilung für Herz- und Gefäßchirurgie, Herzzentrum NRW, Bad Oeynhausen, Germany

    Heinrich Körtke

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  1. Sebastian Reith
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  2. Heinrich Körtke
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Correspondence to Sebastian Reith.

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Reith, S., Körtke, H., Volk, O. et al. Aktuelle Diagnostik und Therapie von Herzklappenerkrankungen. Z Kardiol 90 (Suppl 6), 13–21 (2001). https://doi.org/10.1007/s003920170003

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  • DOI: https://doi.org/10.1007/s003920170003

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