Positionspapier zur Durchführung von Qualitätskontrollen bei Ruhe-, Belastungs- und Langzeit-EKG

Sauer, G.; Andresen, Dietrich; Cierpka, R; Lemke, Bernd; Mibach, Frank; Perings, Ch.; Vaerst, R.

doi:10.1007/s00392-005-0320-4

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…Die Struktur-und Qualitätsvoraussetzungen sowie die Interpretationshilfen für das Belastungs-EKG [18,19], die Stressechokardiographie [20], Myokardszintigraphie [21] sowie für das Kardio-MR [16,22] und Kardio-CT [23] sind ausführlich publiziert. Es ist unbestritten, dass das Belastungs-EKG im Vergleich zu den bildgebenden Verfahren die geringste Aussagekraft besitzt: So ergab die Analyse von 132 Studien an insgesamt 24 074 Patienten für das Belastungs-EKG eine Sensitivität von 68% bei einer Spezifität von 77% [24].…”

Section: Methodische Grundlagenunclassified

“…The "late enhancement" was normal, so the findings in the septum may be interpreted as a "susceptibility artifact" (Figure 1), whereas the findings in the lateral wall can be seen as "true" adenosine-induced relative hypoperfusion. The aimed heart rate is individually variable and can be estimated by subtracting age (years) from 220 with a tolerable deviation range of 10-12 bpm (valid only for patients not on heart rate-influencing medication) [19]. Flow chart for conventional clarification of chest pain when chronic stable stenosing CAD is suspected.…”

Section: Klassische Stufendiagnostik Der Stenosierenden Khkmentioning

confidence: 99%

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Evidenzbasierter Einsatz von Kardio-MR und Kardio-CT in der Primärdiagnostik der stabilen koronaren Herzkrankheit unter besonderer Berücksichtigung des Disease-Management-Programms (DMP) KHK und der Nationalen Versorgungsleitlinie

Silber

Richartz

2007

Herz

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The prim ary objective in cardiovascular primary prevention is the avoidance of a first myocardial infarction and/or a first stroke. Current guidelines for prevention of cardiovascular diseases recommend administration of acetylsalicylic acid (ASA) and a statin when risk>20%/10 years (recommendation I A). The coronary calcium score has a strong predictive power which is independent of conventional risk factors and thus offers the most relevant information in addition to Framingham, PROCAM or ESC scores regarding coronary risk. For patients initially showing "intermediate" coronary risk (10-20%), guidelines suggest the determination of the coronary calcium score, which leads to better risk assessment and to identification of patients needing more aggressive lipid lowering (recommendation IIb B). Thus, the cardiac CT, on the one hand, aims the intense risk reduction needed in primary prevention to the high-risk patients, on the other hand, it avoids "superfluous" cardiac catheterizations, unnecessary statin therapies and potentially harmful ASA administrations. However, the proof of coronary calcium must not be confused with the presence of coronary artery stenoses: a positive calcium score in an asymptomatic person does not by itself indicate the need for a cardiac catheterization.

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