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Anamnese und Voruntersuchungen

  • L. Samek
  • H. Roskamm
  • M. Kaltenbach
  • H.-J. Becker
  • P. Rentrop
  • H. Schicha
  • G. Hör
  • R. Standke
  • P. Bubenheimer

Zusammenfassung

Sehr viele Ärzte verstehen unter Angina pectoris noch vorrangig und ausschließlich einen schweren Anfall im Ruhezustand; sie verbinden damit ein allzu dramatisches Geschehen. Die meisten der Angina-pectoris-Patienten bekommen Schmerzen nur bei Mehrarbeit des Herzens, vorwiegend bei körperlicher Belastung. Die dabei auftretenden Schmerzen werden in der Regel nicht als allzu bedrohend empfunden, wohl auch aus dem Grunde, weil der Patient immer wieder erfahren hat, daß er den Schmerz durch Beendigung der körperlichen Belastung in sehr kurzer Zeit zum Verschwinden bringen kann. Die typische Angina pectoris ist somit zunächst einmal eine Belastungs-Angina-pectoris. Dieser Gesichtspunkt wird ausführlich in der klassischen Beschreibung des Krankheitsbildes durch William Heberden (1768) herausgearbeitet. Leider erleben wir heutzutage sehr häufig eine Ungenauigkeit der Anwendung des Begriffes „Angina pectoris“, wenn „herzbezogene“Schmerzen und Mißempfindungen als „pektanginöse“oder „stenokardische“Beschwerden mit in das Krankheitsbild einbezogen werden.

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Copyright information

© Springer-Verlag Berlin · Heidelberg 1980

Authors and Affiliations

  • L. Samek
  • H. Roskamm
  • M. Kaltenbach
  • H.-J. Becker
  • P. Rentrop
  • H. Schicha
  • G. Hör
  • R. Standke
  • P. Bubenheimer

There are no affiliations available

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