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Funktion des Perikards für die Pumpleistung des Herzens unter physiologischen und pathologischen Bedingungen

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Herzinsuffizienz

Part of the book series: Handbuch der inneren Medizin ((INNEREN 9,volume 9 / 4))

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Zusammenfassung

Bereits Hippokrates beschrieb das Perikardium als eine weiche, das Herz umschließende Hülle, die eine urinähnliche Flüssigkeit enthält. Über die Bedeutung und die Funktion dieser Hülle sind in den letzten 300 Jahren stark differierende Meinungen zum Ausdruck gebracht worden (Spodick 1970). Da das angeborene Fehlen des Perikards oder der Zustand nach operativer Dekortikation nicht mit einer wesentlichen Einschränkung der kardialen Pumpleistung einhergeht (Moore U. Shumacker 1953), ist es nicht verwunderlich, daß dem Perikard eine geringe funktioneile Bedeutung zugeschrieben wird. Andererseits gibt es Überlegungen, daß das Bild der kardialen Dekompensation zu einem großen Teil Ausdruck einer perikardialen Konstriktion, zumindest im Sinne einer diastolischen Dehnungslimitierung ist (Holt 1970; Shabetai et al. 1979).

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Authors
  1. G. Biamino
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  2. Th. Linderer
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  3. R. Schröder
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Editor information

G. Autenrieth R. Bayer D. W. Behrenbeck G. Biamino H.-D. Bolte F. Burkart W.-D. Bussmann J. Cyran E. Erdmann B. Heierli F. Krück Th. Linderer G. Rahlf G. Riecker R. Schröder G. Steinbeck B. E. Strauer K. O. Stumpe E. Uhlich J. Zähringer

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© 1984 Springer-Verlag Berlin Heidelberg

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Biamino, G., Linderer, T., Schröder, R. (1984). Funktion des Perikards für die Pumpleistung des Herzens unter physiologischen und pathologischen Bedingungen. In: Autenrieth, G., et al. Herzinsuffizienz. Handbuch der inneren Medizin, vol 9 / 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82183-7_11

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  • DOI: https://doi.org/10.1007/978-3-642-82183-7_11

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