73. Coronare Herzkrankheit und Bypass-Chirurgie aus der Sicht des Internisten

作者: P. Lichtlen

DOI: 10.1007/BF01257558

关键词: Cardiothoracic surgeryCardiac surgeryMedicineVascular surgeryGynecologyAbdominal surgery

摘要: Ziele der Bypass-Chirurgie (BPCH) sind die Verbesserung Angina pectoris (AP), Leistungsfdhigkeit, LV-Funktion sowie Prognose AP. Neuere Statistiken deuten auf eine sign. Besserung letzteren nach BPCH hin, vor allem bei 2- and 3-Gefaserkrankungen. Primdre Indikation stellt wie schwere AP mit Leistungseinbuse dar, prognostische Aspekte konnen jedoch mitbestimmend sein. Die Zone regionaler Ischdmie sollte durch LV-Angiographie unter Stress regionale Flusmessungen (Szintigraphie etc.) abgegrenzt, „kritische” Stenose exakter objektiviert werden.

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