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Belastungs-EKG

  • L. Samek
  • H. Roskamm

Zusammenfassung

Seit der Einführung des Belastungs-EKG in den frühen 30er Jahren (Goldhammer u. Scherf 1932; Dietrich u. Schwiegk 1933) entwickelte sich diese Untersuchungsmethode zu einer der brauchbarsten diagnostischen Hilfen für die objektive und quantitative Erfassung der Belastungskoronarinsuffizienz.

Pathophysiologisch liegt der Belastungskoro­narinsuffizienz ein vorübergehendes Mißerhaltnis zwischen Sauerstoffangebot und -bedarf zugrun­de. Morphologisch liegt bei der überwiegenden Anzahl der Patienten eine stenosierende Koronar­sklerose vor.

Die Koronarangiographie hat wesentlich dazu beigetragen, die Interpretation des Belastungs­EKG zu verbessern. Dabei darf man aber nicht ver­gessen, daß zwischen beiden Methoden ein grund­satzlicher Unterschied besteht: Die Koronarangio­graphie erfaBt die morphologischen Veränderun­gen der Herzkranzgefalßt, das Belastungs-EKG die funktionellen Auswirkungen (Dynamik der Steno- se, Durchblutung über Kollateralen, Koronarre­serve).

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • L. Samek
  • H. Roskamm

There are no affiliations available

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