Frühpostoperative Re-Koronarangiographie heute: Pathologien und therapeutische Konsequenzen
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis Book |
| Language: | German |
| Published: |
Regensburg
2017
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | 178 Seiten Diagramme |
Staff View
MARC
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Record in the Search Index
| _version_ | 1804177714167414784 |
|---|---|
| adam_text | GLIEDERUNG
1.
ABKUERZUNGSVERZEICHNIS............................................................................................................5
2. EINLEITUNG UND
ZIELSETZUNG......................................................................................................7
2.1 DIE KORONARE HERZKRANKHEIT
......................................................................................
9
2.1.1 AETIOLOGIE, RISIKOFAKTOREN UND PATHOGENESE
...............................................
9
2.1.2 DIE
DIAGNOSTIK...........................................................................................10
2.1.3 DAS AKUTE
KORONARSYNDROM.......................................................................10
2.1.4 THERAPIEMOEGLICHKEITEN DER
KHK.............................................................12
2.2 DIE
KORONARANGIOGRAPHIE.........................................................................................13
2.2.1
ALLGEMEINES............................................................................................13
2.2.2 DIE
DURCHFUEHRUNG......................................................................................14
2.2.3 INDIKATIONEN UND KONTRAINDIKATIONEN
.......................................................
14
2.2.4
KOMPLIKATIONEN.........................................................................................16
2.3 DIE PERKUTANE TRANSLUMINALE KORONARE ANGIOPLASTIE
...............................................
18
2.4 DIE AORTOKORONARE
BYPASS-OPERATION.......................................................................19
2.4.1
THERAPIEVERFAHREN......................................................................................19
2.4.2 INDIKATIONEN FUER EINE ACVB
....................................................................
21
2.4.3 KOMPLIKATIONEN
........................................................................................
21
3. MATERIAL UND
METHODIK...........................................................................................................23
3.1 UNTERSUCHTE
PARAMETER............................................................................................
24
3.2
DATENQUELLEN............................................................................................................
26
3.3 STATISTISCHE
AUSWERTUNG..........................................................................................
26
4.
ERGEBNISSE..............................................................................................................................28
4.1
BASISPARAMETER..............................................................................................
.
..........28
4.1.1
GRUPPENVERTEILUNG....................................................................................28
4.1.2
GESCHLECHT................................................................................................
31
4.1.3
ALTER..........................................................................................................
34
4.2 PRAEOPERATIVE
PARAMETER..........................................................................................35
4.2.1 KARDIOVASKULAERE
RISIKOFAKTOREN...............................................................35
4.2.2
KOMORBIDITAETEN.........................................................................................38
4.2.3 ANGINA
PECTORIS.........................................................................................41
4.2.4
NYHA-KLASSIFIKATION...............................................................................44
4.2.5
EUROSCORE..................................................................................................
47
4.2.6 ACB-OPERATION IN DER
VORGESCHICHTE......................................................50
4.2.7 PTCA UND STENTIMPLANTATION IN DER VORGESCHICHTE
................................
53
4.2.8 HERZRHYTHMUS
PRAEOPERATIV........................................................................56
4.2.9 PRAEOPERATIVE LINKSVENTRIKULAERE EJEKTIONSFRAKTION (LVEF)
...........
.
........
60
4.2.10
HAUPTSTAMMSTENOSE................................................................................61
4.2.11 GRAD DER
KHK........................................................................................64
4.2.12 AKUTER
MYOKARDINFART.............................................................................67
4.2.13 PRAEOPERATIVE LABORCHEMISCHE
PARAMETER.................................................70
4.3 INTRAOPERATIVE
PARAMETER.........................................................................................73
4.3.1 DRINGLICHKEIT DES OPERATIVEN
EINGRIFFS.....................................................73
4.3.2 OPERATIONSVERFAHREN
.......
*........................................................................76
4.3.3
CARDIOPLEGIELOESUNG...................................................................................79
4.3.4 WICHTIGE
OPERATIONSDATEN........................................................................82
4.3.5 VERWENDETE
GRAFTS....................................................................................85
4.3.6 VERSORGTE
KORONARARTERIEN........................................................................88
4.3.7 INTRAOPERATIVER BEDARF AN ERYTHROZYTEN- UND FRESH-FROZEN-PLASMA
EINHEITEN............................................................................................................91
4.3.8
KATECHOLAMINBEDARF.................................................................................94
4.4 POSTOPERATIVE
PARAMETER...........................................................................................97
4.4.1 POSTOPERATIVER BEDARF AN ERYTHROZYTEN- UND
THROMBOZYTEN-KONZENTRATEN
SOWIE AN EINHEITEN VON
FRESH-FROZEN-PLASMA.................................................. 97
4.4.2 DRAINAGENVERLUSTE
.....................................................................................
99
4.4.3 DAUER DER BEATMUNG UND DER INTENSIVMEDIZINISCHEN THERAPIE
..............
101
4.4.4 POSTOPERATIVE LABORCHEMISCHE PARAMETER
...............................................
104
4.4.5 INDIKATIONEN ZUR POSTOPERATIVEN HERZKATHETERUNTERSUCHUNG
..................
110
4.4.6 POSTOPERATIVE HERZKATHETERUNTERSUCHUNG - BYPASSQUALITAET
....................
113
4.4.7 POSTOPERATIVE HERZKATHETERUNTERSUCHUNG - ERUIERUNG DER
PATHOLOGIEN. 116
4.4.8 POSTOPERATIVE
KOMPLIKATIONEN................................................................122
4.4.9 DAUER DES POSTOPERATIVEN STATIONAEREN AUFENTHALTES
...............................
126
4.4.10
FRUEHMORTALITAET........................................................................................127
5.
DISKUSSION.........................................................................................................................130
5.1 HAEUFIGKEIT EINES PERIOPERATIVEN MYOKARDINFARKTS
.................................................
130
5.2 ANZEICHEN DES PERIOPERATIVEN MYOKARDINFARKTS
...................................................
130
5.3 PERKUTANE TRANSLUMINALE ANGIOPLASTIE
...................................................................
133
5.4.
REVISIONSOPERATION................................................................................................134
5.5
FRUEHMORTALITAET.........................................................................................................136
5.6 PRAEOPERATIVE PARAMETER UND RISIKOFAKTOREN
..........................................................
138
5.6.1
EUROSCORE.................................................................................................138
5.6.2
ALTER.,......................................................................................................
140
5.6.3
GESCHLECHT...............................................................................................141
5.6.4
ADIPOSITAS................................................................................................141
5.6.5
KHK........................................................................................................142
5.7 PERIOPERATIVER VERBRAUCH AN ERYTHROZYTENKONZENTRATEN UND
FRESH-FROZEN-
PLASMA..........................................................................................................................142
5.8 OPERATIVES
VORGEHEN...............................................................................
144
5.9 POSTOPERATIVE
PARAMETER.........................................................................................144
3
5.9.1 POSTOPERATIVER
KREATININ-WERT.................................................... 144
5.9.2 DAUER DER BEATMUNG, DES INTENSIVMEDIZINISCHEN AUFENTHALTES SOWIE
DES
POSTSTATIONAEREN
AUFENTHALTES...........................................................................
147
6.
SCHLUSSFOLGERUNG..................................................................................................................149
7.
ZUSAMMENFASSUNG................................................................................................................150
8.
ANLAGE..................................................................................................................................152
8.1 ANLAGE 1 (TABELLE
EUROSCORE)...............................................................................
152
8.2 ANLAGE 2 (TABELLE STADIENEINTEILUNG
NYHA-KLASSIFIKATION)...............................154
9.
LITERATURVERZEICHNIS............................................................................................................
155
10.
DANKSAGUNG........................................................................................................................176
11. EIDESSTATTLICHE
ERKLAERUNG..................................................................................................
177
12.
LEBENSLAUF.........................................................................................................................
178
|
| any_adam_object | 1 |
| author | Exner, Viktoria 1988- |
| author_GND | (DE-588)1137058854 |
| author_facet | Exner, Viktoria 1988- |
| author_role | aut |
| author_sort | Exner, Viktoria 1988- |
| author_variant | v e ve |
| building | Verbundindex |
| bvnumber | BV044419676 |
| classification_rvk | YI 8004 YR 5004 |
| ctrlnum | (OCoLC)1005900851 (DE-599)BVBBV044419676 |
| discipline | Medizin |
| format | Thesis Book |
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| genre | (DE-588)4113937-9 Hochschulschrift gnd-content |
| genre_facet | Hochschulschrift |
| id | DE-604.BV044419676 |
| illustrated | Not Illustrated |
| indexdate | 2024-07-10T07:52:28Z |
| institution | BVB |
| language | German |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-029821305 |
| oclc_num | 1005900851 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | 178 Seiten Diagramme |
| publishDate | 2017 |
| publishDateSearch | 2017 |
| publishDateSort | 2017 |
| record_format | marc |
| spelling | Exner, Viktoria 1988- Verfasser (DE-588)1137058854 aut Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen vorgelegt von Viktoria Exner Regensburg 2017 178 Seiten Diagramme txt rdacontent n rdamedia nc rdacarrier Dissertation Universität Regensburg 2017 Perioperative Phase (DE-588)4173783-0 gnd rswk-swf Herzinfarkt (DE-588)4024654-1 gnd rswk-swf Koronarographie (DE-588)4165331-2 gnd rswk-swf Aortokoronarer Bypass (DE-588)4199054-7 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Aortokoronarer Bypass (DE-588)4199054-7 s Perioperative Phase (DE-588)4173783-0 s Herzinfarkt (DE-588)4024654-1 s Koronarographie (DE-588)4165331-2 s DE-604 DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029821305&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Exner, Viktoria 1988- Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen Perioperative Phase (DE-588)4173783-0 gnd Herzinfarkt (DE-588)4024654-1 gnd Koronarographie (DE-588)4165331-2 gnd Aortokoronarer Bypass (DE-588)4199054-7 gnd |
| subject_GND | (DE-588)4173783-0 (DE-588)4024654-1 (DE-588)4165331-2 (DE-588)4199054-7 (DE-588)4113937-9 |
| title | Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen |
| title_auth | Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen |
| title_exact_search | Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen |
| title_full | Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen vorgelegt von Viktoria Exner |
| title_fullStr | Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen vorgelegt von Viktoria Exner |
| title_full_unstemmed | Frühpostoperative Re-Koronarangiographie heute Pathologien und therapeutische Konsequenzen vorgelegt von Viktoria Exner |
| title_short | Frühpostoperative Re-Koronarangiographie heute |
| title_sort | fruhpostoperative re koronarangiographie heute pathologien und therapeutische konsequenzen |
| title_sub | Pathologien und therapeutische Konsequenzen |
| topic | Perioperative Phase (DE-588)4173783-0 gnd Herzinfarkt (DE-588)4024654-1 gnd Koronarographie (DE-588)4165331-2 gnd Aortokoronarer Bypass (DE-588)4199054-7 gnd |
| topic_facet | Perioperative Phase Herzinfarkt Koronarographie Aortokoronarer Bypass Hochschulschrift |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029821305&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT exnerviktoria fruhpostoperativerekoronarangiographieheutepathologienundtherapeutischekonsequenzen |