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Dtsch Med Wochenschr 2003; 128(27): 1489-1493
DOI: 10.1055/s-2003-40292
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© Georg Thieme Verlag Stuttgart · New York

Die chronische Herzinsuffizienz - ein oft vermeidbares Schicksal

Congestive heart failure - often a preventable conditionA. Baessler1 , M. Fischer1 , H. Schunkert2
  • 1Human & Molecular Genetics Center, Medical College of Wisconsin und Klinik und Poliklinik für Innere Medizin II, Universität Regensburg
  • 2Medizinische Klinik 2, Universität Lübeck
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Publication History

eingereicht: 3.2.2003

akzeptiert: 6.3.2003

Publication Date:
03 July 2003 (online)

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In industrialisierten Ländern stellt die chronische Herzinsuffizienz ein quantitativ bedeutsames und kontinuierlich wachsendes Gesundheitsproblem dar [6] [15]. Die Gründe hierfür sind multifaktoriell; hauptsächlich scheinen jedoch die veränderte Altersstruktur mit der immer älter werdenden Bevölkerung sowie das längere Überleben nach Herzinfarkt beteiligt zu sein. In Anbetracht der unvermeidbaren Verschiebung der demografischen Struktur und der erwünschten Erfolge in der Akutbehandlung des Herzinfarktes stellt sich die Frage, ob die epidemieartig steigende Prävalenz der Herzinsuffizienz unausweichlich ist.

Überraschend sind vor diesem Hintergrund kürzlich publizierte Daten aus der Framingham-Studie [19], die hinsichtlich der Neuerkrankungsrate der chronischen Herzinsuffizienz bei Frauen in den 60er und 70er Jahren einen leichten Rückgang dokumentieren. Es stellt sich die Frage, welche Mechanismen dieser aktuellen Entwicklung zugrunde lagen. Ziel unserer Übersicht ist es daher, unter klinisch-epidemiologischer Sicht die Ursachen der Herzinsuffizienz zu beleuchten und Ansätze zu einer möglichen Prävention aufzuzeigen.

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Prof. Dr. med. Heribert Schunkert

Medizinische Klinik 2, Universität Lübeck

Ratzeburger Allee 160

23538 Lübeck

Phone: 0451/500-2501

Fax: 0451/500-6437