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Pulmonale Basisdiagnostik

Die Auskultation bei COPD hat noch immer ihren Stellenwert

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Pneumo News Aims and scope

Die Auskultation der Lunge ist einfach, schnell, gut verfügbar und informativ. Durch die hohe Untersucherabhängigkeit und dadurch bedingt geringe Sensitivität und Spezifität wird sie allerdings zunehmend aus der in den Leitlinien empfohlenen Basisdiagnostik verdrängt. Neue computergestützte Techniken bieten zudem neue Perspektiven.

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Literatur zum Beitrag: Pulmonale Basisdiagnostik: Die Auskultation bei COPD hat noch immer ihren Stellenwert (Dr. Schwarz, Prof. Windisch, Köln)

  1. Laënnec RTH. Ou Traite du diagnostic sur maladies des poumons et du coeur, fonde princi-palement sur ce nouveau moyen d’exploration. De l’auscultation mediate. 1819;1:457–64

    Google Scholar 

  2. Roguin A. Rene Theophile Hyacinthe Laennec (1781-1826): The Man behind the Stethoscope. Clin Med Res. 2006;4:230–5

    Article  PubMed  PubMed Central  Google Scholar 

  3. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of COPD. 2017; http://www.goldcopd.org/

  4. National Institute for Health and Care Excellence. Chronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care. 2010. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0033903/

  5. Oshaug K, Halvorsen PA, Melbye H. Should chest examination be reinstated in the early diagnosis of chronic obstructive pulmonary disease? Int J Chron Obstruct Pulmon Dis. 2013;8:369–77

    PubMed  PubMed Central  Google Scholar 

  6. Vogelmeier C, Buhl R, Criee CP et al. Leitlinie der Deutschen Atemwegsliga und der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin zur Diagnostik und Therapie von Patienten mit chronisch obstruktiver Bronchitis und Lungenemphysem (COPD). Pneumologie. 2007;61:e1–e40

    Article  CAS  PubMed  Google Scholar 

  7. Koehler U, Hildebrandt O, Kerzel S et al. Atemgeräusche und Atem-Nebengeräusche. Nomenklatur und visuelle Darstellung. Pneumologie. 2016;70:397–404

    Article  CAS  PubMed  Google Scholar 

  8. Pramono RXA, Bowyer S, Rodriguez-Villegas E. Automatic adventitious respiratory sound analysis: A systematic review. PLoS One. 2017;12:e0177926, https://doi.org/10.1371/journal.pone.0177926

    Article  PubMed  PubMed Central  Google Scholar 

  9. Hogg JC, Chu F, Utokaparch S et al. The nature of small-airway obstruction in chronic obstructive pulmonary disease. N Engl J Med. 2004;350:2645–53

    Article  CAS  PubMed  Google Scholar 

  10. Schreur HJW, Sterk PJ, Vanderschoot J et al. Lung sound intensity in patients with emphysema and in normal subjects at standardized airflows. Thorax. 1992;47:674–79

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Broekhuizen BD, Sachs AP, Verheij TJ et al. Accuracy of symptoms, signs, and C-reactive protein for early chronic obstructive pulmonary disease. Br J Gen Pract. 2012;62:e632–e638

    Article  PubMed  PubMed Central  Google Scholar 

  12. Grotberg JB, Davis SH. Fluid-dynamic flapping of a collapsible channel: sound generation and flow limitation. J Biomech. 1980;13:219–30

    Article  CAS  PubMed  Google Scholar 

  13. Meslier N, Charbonneau G, Racineux JL. Wheezes. Eur Respir J. 1995;8:1942–8

    Article  CAS  PubMed  Google Scholar 

  14. Shim CS, Williams MH Jr. Evaluation of the severity of asthma: patients versus physicians. Am J Med. 1980;68:11–3

    Article  CAS  PubMed  Google Scholar 

  15. Huang WC, Tsai YH, Wei YF et al. Wheezing, a significant clinical phenotype of COPD: experience from the Taiwan Obstructive Lung Disease Study. Int J Chron Obstruct Pulmon Dis. 2015;10:2121–6

    Article  PubMed  PubMed Central  Google Scholar 

  16. Charbonneau G, Sudraud M, Racineux JL et al. Forced expirations in normal subjects. Is the shape of the flow rate curve related to existence of a wheeze? Chest. 1987;92:825–31

    Article  CAS  PubMed  Google Scholar 

  17. Gavriely N, Kelly KB, Grotberg JB, Loring SH. Forced expiratory wheezes are a manifestation of airway flow limitation. J Appl Physiol. 1987;62:2398–403

    CAS  PubMed  Google Scholar 

  18. Reichert S, Gass R, Brandt C, Andrès E. Analysis of respiratory sounds: state of the art. Clin Med Circ Respirat Pulm Med. 2008;2:45–58

    PubMed  PubMed Central  Google Scholar 

  19. Murphy RL, Vyshedskiy A, Power-Charnitsky VA et al. Automated lung sound analysis in patients with pneumonia. Respir Care. 2004;49:1490–7

    PubMed  Google Scholar 

  20. Fagnano M, Bayer AL, Isensee CA et al. Nocturnal asthma symptoms and poor sleep quality among urban school children with asthma. Acad Pediatr. 2011;11:493–9

    Article  PubMed  PubMed Central  Google Scholar 

  21. Jácome C, Marques A. Computerized Respiratory Sounds Are a Reliable Marker in Subjects With COPD. Respir Care. 2015;60:1264–75

    Article  PubMed  Google Scholar 

  22. Schwarz SB, Pläcking M, Magnet FS et al. Zirkadiane Verteilung von obstruktiven Atemgeräuschen bei akut exazerbierten und stabilen COPD-Patienten. Somnologie. 2017;21:45–138

    Article  Google Scholar 

  23. Koehler U, Gross V, Reinke C. Akustische Therapieverlaufskontrolle nächtlicher Bronchialobstruktionen. Pneumologie. 2003;7:198–201

    Article  Google Scholar 

  24. Fernandez-Granero MA, Sanchez-Morillo D, Leon-Jimenez A. Computerised Analysis of Telemonitored Respiratory Sounds for Predicting Acute Exacerbations of COPD. Sensors. 2015;15:26978–96

    Article  PubMed  PubMed Central  Google Scholar 

  25. Connors AF Jr, Dawson NV, Thomas C et al. Outcomes following acute exacerbation of severe chronic obstructive lung disease. Am J Respir Crit Care Med. 1996;154:959–67

    Article  PubMed  Google Scholar 

  26. von Heydebrand M, Hildebrandt O, Cassel W et al. Apnea Detection by Means of Respiratory Sound Recordings and Polysomnography - A Comparative Study. Pneumologie. 2017;71:594–9

    Article  Google Scholar 

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Authors and Affiliations

  1. Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Universität Witten/Herdecke, Köln, Deutschland

    Sarah B. Schwarz &  Wolfram Windisch (Chefarzt der Lungenklinik)

  2. Kliniken der Stadt Köln gGmbH, Abt. f. Pneumologie, Universität Witten/Herdecke; Fakultät für Gesundheit, Ostmerheimer Straße 200, 51109, Köln, Deutschland

    Sarah B. Schwarz

  3. Kliniken der Stadt Köln gGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin, Ostmerheimer Straße 200, 51109, Köln, Deutschland

    Wolfram Windisch (Chefarzt der Lungenklinik)

Authors
  1. Sarah B. Schwarz
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  2. Wolfram Windisch
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Correspondence to Sarah B. Schwarz.

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Schwarz, S.B., Windisch, W. Die Auskultation bei COPD hat noch immer ihren Stellenwert. Pneumo News 9, 42–47 (2017). https://doi.org/10.1007/s15033-017-0837-z

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  • DOI: https://doi.org/10.1007/s15033-017-0837-z

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