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Pulmonal verursachte Herzerkrankungen

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Kardiologie

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Zusammenfassung

Das Herz wird über die Lungen hauptsächlich durch Veränderungen des pulmonalen Gefäßbetts mitgeschädigt. Dabei bestehen gegenseitige Wechselwirkungen. Einerseits können Herzkrankheiten die Lungengefäße (Venen, Kapillaren, Arteriolen) beeinträchtigen und dadurch eine Schädigung des Lungenparenchyms auslösen, andererseits wirken Erkrankungen des Lungenparenchyms ebenfalls auf die Lungengefäße und somit auch auf das Herz, wobei hauptsächlich der rechte Ventrikel betroffen ist. Die pulmonalen Gefäße können selbst primärer Sitz der Erkrankung sein. Beispiele sind: Schistosomiasis (Bilharziose), primäre pulmonale Hypertonie, pulmonale Arteriovenöse Fistel und Lungenembolie. Die Auswirkungen von Lungenembolien hängen entscheidend von einer gleichzeitig bestehenden Herzerkrankung ab. Die Lungen besitzen über die A.pulmonalis sowie über die Bronchialarterien eine doppelte Blutversorgung. Normalerweise entsteht somit bei Verschluß einer Pulmonalarterie kein Lungeninfarkt. Bei Vorliegen einer Herzerkrankung mit pulmonaler Stauung kommt es im Falle einer Lungenembolie zur hämorrhagischen Infarzierung des betroffenen Lungenbezirks.

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Authors and Affiliations

  1. University of California, San Francisco, CA, USA

    Maurice Sokolow (MD, Professor of Medicine Emeritus Senior staff member,cardiovascular Research Institute;formerly Chief of Cardiology and Program Director of the USPHS Clinical Cardiology Trining Program)

  2. Cardiovascular Research Institute, University of California, San Francisco, CA, USA

    Malcolm B. Mcllroy (MD, Professor of Medicine senior Staff member)

Authors
  1. Maurice Sokolow
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  2. Malcolm B. Mcllroy
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© 1985 Springer-Verlag, Berlin · Heidelberg

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Sokolow, M., Mcllroy, M.B. (1985). Pulmonal verursachte Herzerkrankungen. In: Kardiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69607-7_19

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  • DOI: https://doi.org/10.1007/978-3-642-69607-7_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69608-4

  • Online ISBN: 978-3-642-69607-7

  • eBook Packages: Springer Book Archive

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