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Präoperative kardiale Diagnostik in der Thoraxchirurgie

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Thoraxchirurgie

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Zusammenfassung

Kardiale Komplikationen, wie Myokardinfarkt bzw. Myokardverletzung ohne Infarkt („myocardial injury“), Lungenödem, Kammerflimmern, akuter Herzstillstand oder plötzlicher Herztod, sind für ca. 40–50 % der perioperativen Morbidität und Mortalität bei Patienten mit nichtkardialen Operationen verantwortlich. Thorax- bzw. gefäßchirurgische Operationen zählen in diesem Zusammenhang zu den Hochrisikoeingriffen. Ein strukturiertes und individualisiertes präoperatives Risikomanagement berücksichtigt die kardiale Vorgeschichte, Medikation, strukturelle Herzerkrankungen, Komorbiditäten, Alter des Patienten, Biomarker und die Schwere des geplanten operativen Eingriffs. Etablierte Risiko-Scores und Stufen-Algorithmen helfen das prä- und perioperative Operationsrisiko einzuschätzen. Präoperative nichtinvasive Untersuchungen bleiben, auch unter Berücksichtigung von Umsetzbarkeit und Kosteneffektivität, im Wesentlichen Patienten mit einem bedeutsamen Risiko vorbehalten.

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Authors and Affiliations

  1. Department of Cardiology and Angiology, Klinikum Merheim, University Witten/Herdecke/Germany, Köln, Deutschland

    Axel Meissner

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  1. Axel Meissner
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Correspondence to Axel Meissner .

Editor information

Editors and Affiliations

  1. Sektion Thoraxchirurgie, Klinikum rechts der Isar der Technischen Universität München, München, Bayern, Deutschland

    Hans Hoffmann

  2. Klinik für Thoraxchirurgie, Florence-Nightingale-Krankenhaus, Düsseldorf, Nordrhein-Westfalen, Deutschland

    Corinna Ludwig

  3. Klinik für Thoraxchirurgie, Universitätsklinikum Freiburg, Freiburg im Breisgau, Baden-Württemberg, Deutschland

    Bernward Passlick

Section Editor information

  1. Klinik für Thoraxchirurgie, Florence Nightingale Krankenhaus, Düsseldorf, Deutschland

    Corinna Ludwig

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© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Meissner, A. (2021). Präoperative kardiale Diagnostik in der Thoraxchirurgie. In: Hoffmann, H., Ludwig, C., Passlick, B. (eds) Thoraxchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59159-8_13-1

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  • DOI: https://doi.org/10.1007/978-3-662-59159-8_13-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-59159-8

  • Online ISBN: 978-3-662-59159-8

  • eBook Packages: Springer Referenz Medizin

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