Koronare Herzkrankheit und Herzklappenerkrankungen bei Patienten mit terminaler Niereninsuffizienz
| العنوان: | Koronare Herzkrankheit und Herzklappenerkrankungen bei Patienten mit terminaler Niereninsuffizienz |
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| المؤلفون: | Walter Land, Hans J. Gurland, Berthold Höfling, R. Hässler, E. Erdmann, G. Hillebrand, L. Castro |
| المصدر: | DMW - Deutsche Medizinische Wochenschrift. 112:714-718 |
| بيانات النشر: | Georg Thieme Verlag KG, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | medicine.medical_specialty, Framingham Risk Score, business.industry, medicine.medical_treatment, Cardiomyopathy, Hemodynamics, General Medicine, Disease, medicine.disease, Transplantation, Angina, Valve replacement, Internal medicine, medicine, Cardiology, business, Dialysis |
| الوصف: | Cardiac catheterisation and coronary angiography were performed in 100 patients preceding a planned renal transplantation. Coronary heart disease was revealed in 64 patients: stenoses of 50-70% in 28, 71-90% in 16, over 90% in 20 patients. For stenoses above 50% the sensitivity of clinical symptoms was 0.52, their specificity 0.64. For stenoses over 70% the specificity was 0.58; over 90% it was 0.70. Typical symptoms of angina were less common in dialysis patients with coronary heart disease than is usual in other patients with coronary heart disease. Total duration of dialysis as well as frequency and severity of coronary heart disease did not correlate. In 19 of the 100 patients valvar disease was also present, with a discrepancy between the severity of clinical and of hemodynamic findings. Incidence and severity of valvar disease increased with the duration of dialysis. Transplantation was postponed in 11 patients (bypass operation in 3, balloon dilatation in 2, valve replacement in 6). Transplantation was advised against in four (severe coronary heart disease in 2, cardiomyopathy in 2). |
| تدمد: | 1439-4413 0012-0472 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::32242333539980671e4b4ffbdd6a5489 https://doi.org/10.1055/s-2008-1068126 |
| رقم الأكسشن: | edsair.doi...........32242333539980671e4b4ffbdd6a5489 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14394413 00120472 |
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