Therapeutische Maßnahmen bei koronarer Herzkrankheit

  • M. Kaltenbach
  • H. J. Becker
  • H. Roskamm
  • A. Grüntzig

Zusammenfassung

Jede medikamentöse Behandlung der koronaren Herzkrankheit setzt die gleichzeitige Durchführung allgemeiner Therapieprinzipien — einschließlich Fragen der Ernährung, der Bewegung, der Genußmittel und der psychosozialen Situation — voraus. Das Therapiekonzept muß dem individuellen Patienten und seiner besonderen Erkrankung angepaßt sein. Da es sich fast immer um therapeutische Langzeitmaßnahmen handelt, sollten diese vor Einleitung mit dem Patienten besprochen werden. Es ist nicht entschuldbar, daß Kranke mit dem gesamten Arsenal der sogenannten koronarwirksamen Substanzen behandelt werden, ehe eine klare Diagnose gestellt und aufgrund dieser eine systematische Therapie geplant und dem Patienten verständlich gemacht wird.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Becker HJ, Walden G, Kaltenbach M (1976) Gibt es „Tachyphylaxie“bzw. Gewöhnung bei der Behandlung der Angina pectoris mit Nitrokörpern? Verh Dtsch Ges Inn Med 82: 1208–1210PubMedGoogle Scholar
  2. Brown BG, Bolson E, Frimer M, Dodge HT (1978) Angiographie distinction between variant angina and non-vaso- pastic chest pain. Circulation [Suppl II] 58: 122Google Scholar
  3. Brunton TL (1867) On the use of nitrite of amyl in angina pectoris. Lancet 11: 97CrossRefGoogle Scholar
  4. Bussmann WD, Kaltenbach M (1976 a) Wirkung von Nitroglycerin beim akuten Myokardinfarkt. Dtsch Med Wochenschr 101: 642Google Scholar
  5. Bussmann WD, Kaltenbach M (1976 b) Sublingual nitroglycerin in treatment of left ventricular failure and pulmonary edema. Eur J Cardiol 4: 327Google Scholar
  6. Franciosa JA, Nordstrom LA, Cohn JN (1978) Nitrate therapie for congestive heart failure. JAMA 240: 443–447PubMedCrossRefGoogle Scholar
  7. Ganz W, Cribier A, Chew, C, Kammatsuse K, Tzivoni D, Nair R, Swan HJC (1978) Effect of nitroglycerin on the acutely ischemic myocardium. In: Kaltenbach M, Lichtlen P, Balcón R, Bussmann W-D (eds) Coronary heart disease. Thieme, Stuttgart, p 256–261Google Scholar
  8. Kaltenbach M, Becker HJ, Krockow P von, Zimmermann D (1967) Zur medikamentösen Behandlung der Angina pectoris. Verh Dtsch Ges Inn Med 73: 591PubMedGoogle Scholar
  9. Kaltenbach M, Becker JH, Mitrou P, Petersen P, Kober G, Meier-Sydow J, Krehan L, Guldner N, Dierkesmann R, Böhlau V (1971) Comparable doses of different beta blockers in man, their effects on hemodynamics, heart rate, peripheral blood flow, heart size, bronchial resistance and angina pectoris. In: Coronary heart disease. Thieme, Stuttgart, p 198Google Scholar
  10. Martin KL, Böhmer H, Röckemann B, Kaltenbach M (1976) Neue Aspekte des Wirkungsmechanismus von Nitroglycerin, Veränderung des Wellenwiderstandes in den herznahen Arterien. Verh Dtsch Ges Inn Med 82: 1123Google Scholar
  11. Spies HF, Koch E, Appel E, Palm D, Kaltenbach M (1978) Einfluß oraler Langzeittherapie mit Verapamil und Metoprolol auf arteriellen Blutdruck, Herzfrequenz und Plasma katecholamine bei Hypertonikern. Verh Dtsch Ges Kreislaufforsch 44: 25Google Scholar
  12. Stauch M, Grewe N, Nissen H (1975) Die Wirkung von 2-und 5-Isosorbidmononitrat auf das Belastungs-EKG von Patienten mit Koronarinsuffizienz. Verh Dtsch Ges Kreislaufforsch 41: 182PubMedGoogle Scholar
  13. Bachmann K, Hegemann G, Niederer W, Von Der Emde J (1976) Kontraktilitätsverhalten nach Aneurysmektomie. Verh Dtsch Ges Kreislaufforsch 42: 106PubMedGoogle Scholar
  14. Cooley DA (1978) Ventricular aneurysms and akinesis. Cleve Clin 40: 130Google Scholar
  15. Cooley DA, Hallmann GL (1968) Surgical treatment of left ventricular aneurysm: Experience with excision of postin-farction lesions in 80 patients. Prog Cardiovasc Dis 11: 222PubMedCrossRefGoogle Scholar
  16. Favaloro RG (1968) Saphenous vein autograft replacement of severe segmental artery occlusion. Ann Thorac Surg 5: 334PubMedCrossRefGoogle Scholar
  17. Favaloro RG (1975) Discussion remark. 25th Anuual Scien-tific Session of the Amer College of Cardiology, Houston, 1975Google Scholar
  18. Flemma RJ (1979) The effects of aortocoronary bypass surgery on life expectancy — a nonrandomized study. In: Coronary Heart Surgery, — a Rehabilitation measure ( H. Roskamm, M. Schmuziger eds) p 18. Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  19. Green GE (1972) Internal mammery artery-to-coronary artery anastomosis. Ann Thorac Surg 14: 260PubMedCrossRefGoogle Scholar
  20. Grondin CM (1978) Factors influencing graft patency. Cleveland Clinic Quarterly 45: 107PubMedGoogle Scholar
  21. Klein H, Lichtlen Pr, Borst HG (1979): Does aneurysmektomy reduce life-threatening ventricular arrhythmias? In: Coronary heart surgery, a rehabilitation measure ( H. Roskamm, M. Schmuziger eds) p 165, Berlin Heidelberg New York: SpringerGoogle Scholar
  22. Likoff W, Bailey C (1955) Ventriculoplasty-excision of myocardial aneurysm. J Am Med Assoc 158: 915PubMedGoogle Scholar
  23. Lister JW, Gosselin AJ, Gentsch TO, Larsen PB, Traad EA, Swaye PS (1979) Tachyarrhythmia as an indication for cardiac surgery. In: Coronary Heart surgery, a rehabilitation measure ( H. Roskamm, M. Schmuziger eds) p 142. Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  24. Neuhaus KL, Bornikoel K, Schrage HJ (1979) Functional analysis of the left ventricle with postinfarction aneurysm. In: Coronary heart surgery — a rehabilitation measure ( H. Roskamm, M. Schmuziger eds) p 188, Berlin, Heidelberg, New York: SpringerGoogle Scholar
  25. Read RC, Murphy ML, Hultgren HN, Takaro T (1978) Survival of men treated for chronic stable angina pectoris. J Thorac Cardiovasc Surg 75: 1 (to be published)Google Scholar
  26. Rivers R, Delcan JL (1979) Factors influencing results in surgery of postinfarction vetricular aneurysms. In: Coronary heart surgery, a rehabilitation measure (H. Roskamm, M. Schmuziger eds) p 178. Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  27. Roskamm H, Rentrop R, Weisswange A, Hahn Ch, SchmuziGer M (1976) Improvement of ECG and hemodynamics during exercise after aortocoronary bypass surgery. 7th Congress of the European Society of Cardiology, Amsterdam, 1976Google Scholar
  28. Roskamm H, Weisswange A, Hahn Ch (1977) Hemodynamics at rest and during exercise in 222 patients with coronary heart disease before and after aortocoronary bypass surgery. Cardiology 62: 247PubMedCrossRefGoogle Scholar
  29. Roskamm H, Weisswange A, Hahn Ch, Jauch KW, Schmuziger M, Petersen J, Rentrop R, Schnellbacher K (1977) Hemodynamics at rest and during exercise in 222 patients with aortocoronary bypass surgery. Cardiology 62: 247PubMedCrossRefGoogle Scholar
  30. Swan H, Chatterjee K, Kaushik VS, Matloff EJ (1976) Functional and clinical effects of surgical treatment of ventricular aneurysm. In: Ventricular Function at Rest and During Exercise ( H. ROSKAMM, Ch. HAHN eds) p 148. Springer, Berlin, Heidelberg, New YorkCrossRefGoogle Scholar
  31. Takaro T, Hultgren HN, Lipton MJ, Detre KM (1976) The VA cooperative randomized study of surgery for coronary arterial occlusive disease; II. subgroup with significant left main lesions. Circulation [Suppl 3] 54: 107Google Scholar
  32. World Health Organization (1977) The long-term effects of coronary bypass surgery. Report on a Working Group, CopenhagenGoogle Scholar
  33. Bachmann K, Hegemann G, Niederer W, Von Der Emde J, (1976) Kontraktilitätsverhalten nach Aneurysmektomie. Verh Dtsch Ges Kreislaufforsch 42; 106PubMedGoogle Scholar
  34. Bailey CP, Nolton HE, Nochols H, Gilman RA (1958) Ventriculoplasty for cardiac aneurysm. J Thorac Cardiovasc Surg 35: 27Google Scholar
  35. Cheng TO (1971) Incidence of ventricular aneurysm in coronary artery disease. Am J Med 50: 340PubMedCrossRefGoogle Scholar
  36. Cooley DA (1978) Ventricular aneurysms and akinesis. Cleve Clin Q 40: 130Google Scholar
  37. Cooley Da, Hallmann GL (1968) Surgical treatment of left ventricular aneurysm. Expertience with excision in 80 patients.Google Scholar
  38. Cosgrove D (1978) Determinants of longterm survival after ventricular aneurysmectomy. Vortrag beim International Symposium Bad Krozingen 1978: Coronary Heart Surgery- a Rehabilitation measure.Google Scholar
  39. Davis RW, Ebert P (1972) Ventricular aneurysm. A clinical pathologic correlation. Am J Cardiol 29: 1Google Scholar
  40. Delius W, Cullhed I, Björk L, Hallen A (1973) Left ventricular aneurysmectomy. In: Kaltenbach M, Lichtlen P, Friesinger GC (eds). Coronary herat disease. Thieme, Stuttgart, P 223Google Scholar
  41. Diitrich H (1976) Indikation und Ergebnisse der Koronarchirurgie. Z. f. A. 50Google Scholar
  42. Dubnow M, Burchell HB, Tittus JL (1965) Postinfarction ventricular aneurysm. Am Heart J. 70: 753PubMedCrossRefGoogle Scholar
  43. Von Der Emde J, Hacker R, Weniger J (1974) Zur Therapiedes Herzwandaneurysmas. Klinikarzt 6: 170Google Scholar
  44. Favoloro RG (1968) Saphenous vein autograft replacement of severe segmental artery occlusion. Ann. Thorac Surg 5: 334CrossRefGoogle Scholar
  45. Favoloro RG (1975) Discussion remark. 25 th Annual Scientific Session of the Amer. College of Cardiology Houston 1975Google Scholar
  46. Favoloro RG, Effler DB, Groves LK, Wescott RN, Suarez E, Lozada J (1968) Ventricular aneurysm. Clinical experience. Ann Thorac Surg 6: 227Google Scholar
  47. Flemma RJ (1979) The effects of aortocoronary bypass surgery on life expectancy. In: Coronary, Heart Surgery — a Rehabilitation measure. ( H Roskamm, M Schmuziger, eds) p 18. Springer, Berlin, Heidelberg, New York.Google Scholar
  48. Green GE (1972) Internal mammary artery-to-coronary artery ananstomosis. Ann Thorac Surg 14: 260PubMedCrossRefGoogle Scholar
  49. Groves K (1968) Diskussion zu Key et al. (1968)Google Scholar
  50. Heberer GG, Rau P, Thiele E, Bültel (1968) Das Herzwandaneurysma nach Myokardinfarkt. Dtsch Med Wochenschr 93: 728Google Scholar
  51. Hunt D, Sloman G, Westlake G (1969) Ventricular aneurysmektomy for recurrent tachycardia. Br Heart J 31: 264PubMedCrossRefGoogle Scholar
  52. Key JA, Aldridge HE, Macgregor DC (1968) The selection of patients for resection of left ventricular aneurysm. J Thorac Cardiovasc Surg 56: 477PubMedGoogle Scholar
  53. Klein H, Lichtlen P, Borst HG (1979) Does aneurysmectomy reduce life-threatening ventricular arrhythmias? In: Coronary Heart Surgery — a Rehabilitation Measure ( H Roskamm, M Schmuziger, eds) p 165, Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  54. Kluge TH, Ullal SR, Hill JD, Kerth WJ, Gerbode F (1971) Dyskinesia and aneurysm of the left ventricle. J Cardiovasc Surg (Torino) 12: 273Google Scholar
  55. Likoff W, Bailey C (1955) Ventriculoplasty-excision of myocardial aneurysms. J Am Med Assoc 158: 915PubMedGoogle Scholar
  56. Lister JW, Gosselin AJ, Gentsch THO, Larsen PB, Traad EA, Swaye PS Tachyarrhythmia as an indication for cardiac surgery. In: Coronary Heart Surgery — a Rehabilitation measure (H Roskamm, M Schmuziger, eds) p 142, Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  57. Loop FD, Effler DB, Webster JI, Groves LK (1973 a) Posterior ventricular aneurysms. N Engl J Med 288: 237Google Scholar
  58. Loop FD, Effler DB, Navia JA, Sheldon WC, Groves LK (1973 b) Aneurysms of the left ventricle. Am J Surg 178: 399Google Scholar
  59. Neuhaus KL, Bornikel K, Schräge HJ (1979) Functional ananlysis of the left ventricle with postinfarction aneurysm. In: Coronary Heart Surgery — a Rehabilitation measure (H Roskamm, M Schmuziger, eds) PL88 Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  60. Rao G, Zikria EA, Miller WH, Samadam SR, Ford WB (1974) Experience with sixty consecutive ventricular aneurysm resections. Circulation [Suppl II] 49: 149Google Scholar
  61. Read RC, Murphy ML, Hultgren HN, Takarao T (1978) Survival of men treated for chronic stable angina pectoris J Thorac Cardiovasc Surg 75: 1Google Scholar
  62. Rivera R, Delcan JL (1979) Factors influencing results in surgery of postinfarction ventricular aneurysms. In: Coronary Heart Surgery — a Rehabilitation Measure ( H Roskamm, M Schmuziger, eds) p 178, Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  63. Ross J Jr, Peterson KL (1973) On the assessment of cardiac inotropic state. Circulation 47: 435PubMedGoogle Scholar
  64. Sadeghi H (1973) Experience with left ventricular aneurysmectomy. In: Kaltenbach M, Lichtlen P, Friesinger GC (eds) Coronary heart disease. Thieme, Stuttgart, P 212Google Scholar
  65. Schäfer GE, Kober G, Becker HJ, Guldner N, Kaltenbach M (1976) Die Resektion von Ventrikelaneurysmen. Dtsch Med Wochenschr 101: 734PubMedCrossRefGoogle Scholar
  66. Schlichter JH, Hellerstein K, Katz LN (1954) Aneurysm of the heart. Medicine (Baltimore) 33: 43CrossRefGoogle Scholar
  67. Schönbeck M, Senning A, Rutishauser W, Lichtlen P, Krayenbühl HP, Meier W, Müller M, Wellauer J (1975) Der Einfluß der Aneurysmektomie auf die linksventrikuläre Funktion. Dtsch Med Wochenschr 100: 77PubMedCrossRefGoogle Scholar
  68. Swan HJC, Chatterjee K, Kaushik VS, Malthoff EJ (1976) Functional and clinical effects of surgical treatment of ventricula aneurysm. In: Ventricular Function at Rest and During Exercise ( H Roskamm, Ch Hahn, eds) p 148, Springer, Berlin, Heidelberg, New YorkCrossRefGoogle Scholar
  69. Takaro TH, Hultgren N, Lipton MJ, Detre KM The VA cooperative randomized study of surgery for coronary artery occlusive disease. II. subgroup with significant left main lesionsGoogle Scholar
  70. Roskamm H, Rentrop R, Weisswange A, Hahn Ch, Schmuziger M Improvement of ECG and hemodynamics during exercise after aortocoronary bypass surgery. 7th Congress of the European Society of Cardiology, Amsterdam, 1976Google Scholar
  71. Roskamm H, Weisswange A, Hahn Ch, Hemodynamics at rest and during exercise in 222 patients with coronary heart disease before and after aorto-coronary bypass surgery. Cardiology 62: 247Google Scholar
  72. World Health Organization, Copenhagen: The long-term effects of coronary bypass surgery. Report on a Working Group, 1977Google Scholar
  73. Darling RC, Linton RL, Razzuk MA (1967) Saphenous vein bypass grafts for femoropopliteal occlusive disease: A re-appraisal Surgery 61: 31Google Scholar
  74. Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction. Description of a new technique in the preliminary report of its application. Circulation 30: 654Google Scholar
  75. Porstmann W (1973) Ein neuer Korsett-Ballon-Katheter zur transluminalen Rekanalisation nach Dotter unter besonderer Berücksichtigung von Obliterationen an den Beckenarterien. Radiol Diagn (Berb) 14: 239Google Scholar
  76. Grüntzig A (1976) Die perkutane Rekanalisation chronischer arterieller Verschlüsse mit einem doppellumigen Dilatationskatheter (Dotter-Prinzip). Roefo 124: 80CrossRefGoogle Scholar
  77. Grüntzig A (1977) Die perkutane transluminale Rekanalisation chronischer Arterienverschlüsse mit einer neuen Dilatationstechnik. Witzstrock, Baden-BadenGoogle Scholar
  78. Grüntzig A (1978) Transluminal dilatation of coronary arterystenosis. Lancet 1: 263PubMedCrossRefGoogle Scholar
  79. Grüntzig A, Myler R, Hanna E, Turina M (1977) Transluminal angioplasty of coronary artery stenosis. Circulation 56: 84Google Scholar
  80. Grüntzig A, Vetter W, Meier B, Kuhlmann U, Siegenthaler W (1978 a) Treatment of renovascular hypertension with percutaneous transluminal dilatation of a renalartery stenosis. Lancet 11: 801Google Scholar
  81. Grüntzig A, Hirzel H, Goebel N, Gattiker R, Turina M, Myler R, Stertzer S, Kaltenbach M (1978 b) Die perkutane transluminale Dilatation chronischer Koronarstenosen — erste Erfahrungen. Schweiz Med Wochenschr 108: 1721Google Scholar
  82. Klos J, Gottlob R, Denk H, Piza F (1972) Lysierbarkeit operativ gewonnener Thromben. Münch Med Wochenschr 114: 1927PubMedGoogle Scholar
  83. Kuhlmann U, Grüntzig A, Vetter W, Furrer J, Lütolf U, Siegenthaler W (1978) Renovaskuläre Hypertonie: Therapie durch perkutane transluminale Dilatation von Nierenarterienstenosen. Schweiz Med Wochenschr 108: 1847Google Scholar
  84. Leu HJ, Grüntzig A (1978) Histopathological aspect of transluminal recanalization. In: Zeitler E, Grüntzig A, Schoop W (eds) Percutaneous vascular recanalization. Springer, HeidelbergGoogle Scholar
  85. Zeitler E, Reichold J, Schoop W, Loew D (1973) Einfluß von Acetylsalicylsäure auf das Frühergebnis nach perkuta-ner Rekanalisation nach Dotter. Dtsch Med Wochenschr 98: 1285PubMedCrossRefGoogle Scholar
  86. Zeitler E, Grüntzig A, Schoop W (eds) (1978) Percutaneous vascular recanalization Springer, HeidelbergGoogle Scholar

Copyright information

© Springer-Verlag Berlin · Heidelberg 1980

Authors and Affiliations

  • M. Kaltenbach
  • H. J. Becker
  • H. Roskamm
  • A. Grüntzig

There are no affiliations available

Personalised recommendations