Dekompensierte Rechtsherzinsuffizienz, Intensiv- und Perioperativ-Management bei Patienten mit pulmonaler Hypertonie: Empfehlungen der Kölner Konsensus Konferenz 2016

K. M. Olsson; M. Halank; B. Egenlauf; D. Fistera; H. Gall; C. Kaehler; K. Kortmann; T. Kramm; M. Lichtblau; A. Marra; C. Nagel; A. Sablotzki; H.-J. Seyfarth; D. Schranz; S. Ulrich; M. M. Hoeper; T. J. Lange

doi:10.1055/s-0042-114527

DMW - Deutsche Medizinische Wochenschrift, Table of Contents

Dtsch Med Wochenschr 2016; 141(S 01): S42-S47
DOI: 10.1055/s-0042-114527

Pulmonale Hypertonie: Empfehlungen der Kölner Konsensus-Konferenz 2016

Dekompensierte Rechtsherzinsuffizienz, Intensiv- und Perioperativ-Management bei Patienten mit pulmonaler Hypertonie: Empfehlungen der Kölner Konsensus Konferenz 2016

Decompensated right heart failure, intensive care and perioperative management in patients with pulmonary hypertension

K. M. Olsson

¹Klinik für Pneumologie, Medizinische Hochschule Hannover

²Deutsches Zentrum für Lungenforschung, Gießen

,

M. Halank

³Medizinische Klinik I, Universitätsklinikum Carl Gustav Carus an der TU Dresden

,

B. Egenlauf

⁴Thoraxklinik am Universitätsklinikum Heidelberg, Deutschland

,

D. Fistera

⁵Klinik für Pneumologie, Ruhrlandklinik / Universitätsklinikum Essen

,

H. Gall

⁶Klinik für Pneumologie, Universitätsklinikum Gießen

,

C. Kaehler

⁷Klinik für Pneumologie, Beatmungsmedizin und Allergologie, Lungenzentrum Süd-West, Fachkliniken Wangen

,

K. Kortmann

⁸Contilia Herz- und Gefäßzentrum, Klinik für Kardiologie, Elisabeth Krankenhaus Essen

,

T. Kramm

⁹Klinik für Thoraxchirurgie, Kerckhoff Klinik Bad Nauheim

,

M. Lichtblau

¹⁰Klinik für Pneumologie, Universitätsspital Zürich

,

A. Marra

¹¹SDN – Istituto di Ricerca Diagnostica e Nucleare, Neapel

,

C. Nagel

¹²Lungenzentrum Klinikum Mittelbaden, Baden-Baden

,

A. Sablotzki

¹³Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Klinikum St. Georg, Leipzig

,

H.-J. Seyfarth

¹⁴Department Innere Medizin, Neurologie und Dermatologie; Abteilung Pneumologie; Universitätsklinikum Leipzig

,

D. Schranz

¹⁵Klinik für Kinderkardiologie, Universitätsklinikum Gießen

,

S. Ulrich

¹⁰Klinik für Pneumologie, Universitätsspital Zürich

,

M. M. Hoeper

¹Klinik für Pneumologie, Medizinische Hochschule Hannover

,

T. J. Lange

¹⁶Klinik und Poliklinik für Innere Medizin II, Universitätsklinikum Regensburg

› Author Affiliations

Abstract

Zusammenfassung

Die 2015 veröffentlichen Europäischen Leitlinien zur Diagnostik und Therapie der pulmonalen Hypertonie sind nunmehr auch in Deutschland gültig. Die Leitlinien befassen sich eingehend mit der Therapie der pulmonal arteriellen Hypertonie (PAH). Für die praktische Umsetzung der Europäischen Leitlinien in Deutschland sind jedoch zahlreiche für Deutschland spezifische Gesichtspunkte und bereits wieder neue Daten bedeutsam, die eine ausführliche Kommentierung der Leitlinien und in einigen Punkten eine Aktualisierung notwendig machen. Im Juni 2016 fand in Köln eine Konsensus-Konferenz statt, die von den Arbeitsgruppen PH der Deutschen Gesellschaften für Kardiologie (DGK), Pneumologie (DGP) und Pädiatrische Kardiologie (DGPK) organisiert wurde. Die Konferenz befasste sich mit der Umsetzung der Europäischen Leitlinien in Deutschland. Dazu wurden verschiedene Arbeitsgruppen eingesetzt, von denen sich eine der dekompensierten Rechtsherzinsuffizienz, Intensiv- und Perioperativ-Management bei Patienten mit pulmonaler Hypertonie widmete. Die Ergebnisse und Empfehlungen dieser Arbeitsgruppe werden in dem vorliegenden Manuskript detailliert beschrieben.

Abstract

The 2015 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension are also valid for Germany. The guidelines contain detailed recommendations for the targeted treatment of pulmonary arterial hypertension (PAH). However, the practical implementation of the European Guidelines in Germany requires the consideration of several country-specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update already appears necessary. In June 2016, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to the management of decompensated right heart failure, intensive care management and perioperative management in patients with pulmonary hypertension. This article summarizes the results and recommendations of the working group on decompensated right heart failure, intensive care and perioperative management in patients with pulmonary hypertension.

Schlüsselwörter

pulmonale Hypertonie - pulmonal arterielle Hypertonie - Rechtsherzversagen - dekompensierte Rechtsherzinsuffizienz - Perioperativ-Management - Intensiv-Management

Keywords

pulmonary hypertension - pulmonary arterial hypertension - right heart dysfunction - decompensated right heart failure - perioperative management - intensive care management

Full Text

References

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