Skip to main content
SpringerLink
Log in

Herzfunktion bei COPD-Patienten

  • Chapter
Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen

  • 3019 Accesses

Zusammenfassung

Die Atmung ist die einzige Vitalfunktion, die willkürlich beeinflussbar ist. Sie erfordert eine genau aufeinander abgestimmte Zusammenarbeit zwischen den verschiedenen Facetten der Atempumpe und spielt eine herausragende Rolle bei der Aufrechterhaltung der körpereigenen Homöostase. Aus pathophysiologischer Sicht ist die COPD durch eine chronisch-progressive exspiratorische Flussbehinderung charakterisiert, die durch chronische endo- und exobronchiale Atemwegsobstruktion verursacht ist. Im fortgeschrittenen Stadium kommt es durch

  • die periphere Atemwegsobstruktion,

  • die Parenchym veränderungen und

  • die Umbauprozesse im pulmonalen Gefäßsystem

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Benesch L, Cordes C, Franz IW, Grunze M, Gysan D, Hoberg E, Hoffmann K, Karoff M, Klein G, Schröder K, Theisen F, Tönnesmann U, Völler H, Volger E, Willemsen D, Wirt A, Witt T (2004) Chronischobstruktive Bronchitis und Emphysem (COPD): Umsetzungsempfehlung von Leitlinien. Herzmedizin 21/1: 42–48

    Google Scholar 

  2. Roca J, Rabinovich R (2005) Clinical exercise testing. Eur Respir Mon 31: 146–165

    Google Scholar 

  3. Steward RI, Lewis M (1986) Cardiac Output during Exerdise in Patients with COPD. Chest 89: 199–205

    Article  Google Scholar 

  4. Aliverti A, Macklem PT (2001) How and why exercise is impaired in COPD. Respiration 68: 229–239

    Article  CAS  PubMed  Google Scholar 

  5. Ranieri VM, Dambrosio M, Brienza N (1996) Intrinsic PEEP and cardiopulmonary interaction in patients with COPD and acute ventilatroy failure. Eur Respir J 9: 1283–1292

    Article  CAS  PubMed  Google Scholar 

  6. Pinsky MR (2005) Cardiovascular Issues in respiratory care. Chest 128: 592–597

    Article  Google Scholar 

  7. Stark-Leyva KN, Beck KC, Johnson BD (2000) Influence of Expiratory Loading and Hyperinflation on Cardiac Output During Exercise. J Appl Physiol 96: 1920–1927

    Article  Google Scholar 

  8. Decramer M, Gosselink R, Troosters T, Verschueren M, Evers G (1997) Muscle weakness is related to utilization of health care resources in COPD patients. Eur Respir J 10: 417–423

    Article  CAS  PubMed  Google Scholar 

  9. Lindemann H (1998) Respiratorische Insuffizienz und Sauerstoffthe rapie. Monatsschr Kinderheilkd 146: 896–903.

    Article  Google Scholar 

  10. Olschewski H, Seeger W, Grimminger F (1990) Physiologie und Pathophysiologie der pulmonalen Zirkulation. Internist 40: 696–709

    Article  Google Scholar 

  11. Rasche K, Orth M, Kutscha A, Duchna HW (2006) Lungenerkrankungen und Herzfunktion. Der Internist 48: 276–283

    Article  Google Scholar 

  12. Aalkjaer C, Poston L (1996) Effects of pH on vascular tension: which are the important mechanisms? J Vasc Res 33: 347–359

    Article  CAS  PubMed  Google Scholar 

  13. Jörgensen K, Houlthz E, Westfelt U et al. (2003) Effects of Lung Volume Reduction Surgery on Left Ventricular Diastolic Filling and Dimensions in Patients with Severe Emphysema. Chest 124: 1863–1870

    Article  PubMed  Google Scholar 

  14. Scharf SM, Lobal M, Keller C (2002) Hemodynamic characterization of patients with severe emphysema. Am J Respir Crit Care Med 166: 314–322

    Article  PubMed  Google Scholar 

  15. Vizza CD, Lynch JP, Ochoa LL (1998) Right and left ventricular dysfunction in patients with severe pulmonary disease. Chest 113: 576–583

    Article  CAS  PubMed  Google Scholar 

  16. Montes de Oca M, Rassulo J, Celli BR (1996) Respiratory muscle and cardiopulmonary function during exercise in very severe COPD. Am J Respir Crit Care Med 154: 1284–1289

    CAS  PubMed  Google Scholar 

  17. Butler J (1983) The hearts is in good hands. Circulation 67: 1163–1168

    CAS  PubMed  Google Scholar 

  18. Mughal MM, Omar AM, Culver DA, Arroliga AC (2005) Auto-positive end-expiratory pressure: mechanisms and treatment. Cleveland Clin J Med 72: 801–809

    Article  Google Scholar 

  19. Hout RJ v d, Lamb HJ, Aardweg JG v d et al. (2003) Real-Time MR Imaging of Aortic Flow: Influence of Breathing on Left Ventricular Stroke Volume in Chronic Obstructive Pulmonary Disease. Radiology 229: 513–519

    Article  PubMed  Google Scholar 

  20. Watz H, Magnussen H (2006) Komorbiditäten bei COPD. Der Internist 47: 895–900

    Article  CAS  PubMed  Google Scholar 

  21. Wasserman K, Hansen JE, Sue DY, Stringer WW, Whipp JB (2006) Principles of exercise testing and interpretation. Lippincott Williams & Wilking, Philadelphia

    Google Scholar 

  22. Stein PK, Nelson P, Rottman JN et al. (1998) Heart rate variability reflects severity of COPD in PiZ a1-antritrypsin deficiency. Chest 113: 327–333

    Article  CAS  PubMed  Google Scholar 

  23. Bartels MN, Jelic S, Ngai P, Basner RC, DeMeersman RE (2003) High-Frequency Modulation of Heart Rate Variability during Exercise in Patients with COPD. Chest 124: 863–869

    Article  PubMed  Google Scholar 

  24. Stewart AG, Waterhouse JC, Howard P (1991) Cardiovascular autonomic nerve function in patients with hypoxaemic chronic obstructive pulmonary disease. Eur Respir J 4, 1207–1214

    CAS  PubMed  Google Scholar 

  25. Volterrani M, Scalvini S, Mazzuero G (1994) Descreased heart rate variability in patients with chronic obstructive pulmonary disease. Chest 106: 1432–1437

    Article  CAS  PubMed  Google Scholar 

  26. Scalvini S, Porta R, Zanelli E (1999) Effects of oxygen on autonomic nervous system dysfunction in patients with chronic obstructive pulmonary disease. Eur Respir J 13: 119–124

    Article  CAS  PubMed  Google Scholar 

  27. Tukek T, Yildiz P, Atilgan D et al. (2003) Effect of diurnal variability of heart rate on development of arrhythmia in patients with chronic obstructive pulmonary disease. Int J Cardiol 88: 199–206

    Article  PubMed  Google Scholar 

  28. Köhler D, Schönhofer B, Haidl P, Kemper P (2000) Ursache und Therapie der Hyperkapnie. Pneumologie 54: 434–439

    Article  PubMed  Google Scholar 

  29. Oczenski W, Andel H, Werba A (2005) Atmen und Atemhilfen. Thieme, Stuttgat New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departement Gesundheit, Zürcher Hochschule für Angewandte Wissenschaften (ZHAW), Technikumstrasse 71, CH-8401, Winterthur

    Dr. rer. medic. A. J. R. van Gestel PT (Hochschuldozent: innere Organe und Gefässe)

  2. Facharzt für Innere Medizin und Pneumologie Ruhrlandklinik, Westdeutsches Lungenzentrum, Tüschener Weg 40, D-45239, Essen

    Dr. med. Jörg Steier (ERS Senior Clinical Research Fellow)

  3. King’s College London School of Medicine, Denmark Hill Campus, London, SE5 9RS, UK

    Dr. med. Jörg Steier (ERS Senior Clinical Research Fellow)

  4. Abt. Pneumologie, Ruhrlandklinik Westdeutsches Lungenzentrum, Tüschener Weg 40, 45239, Essen, Deutschland

    Univ. Prof. Dr. med. Dipl. Ing. Helmut Teschler (Direktor)

Authors
  1. Dr. rer. medic. A. J. R. van Gestel PT
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. med. Jörg Steier
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Univ. Prof. Dr. med. Dipl. Ing. Helmut Teschler
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

van Gestel, A.J.R., Steier, J., Teschler, H. (2010). Herzfunktion bei COPD-Patienten. In: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01435-2_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-01435-2_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-01434-5

  • Online ISBN: 978-3-642-01435-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation