Differenzialdiagnose der linksventrikulären Hypertrophie

Von einer linksventrikulären Hypertrophie (LVH) spricht man, wenn die Muskelmasse des linken Ventrikels vergrößert ist. Diese Veränderung tritt bei verschiedenen Ursachen auf, die zu einer Druck- oder Volumenbelastung des linken Ventrikels führen. Zudem gehen auch (infiltrative) Kardiomyopathien mit einer linksventrikulären Wandverdickung einher. Die häufigsten Ursachen einer LVH werden im Folgenden behandelt.

Kernaussagen

• Eine linksventrikuläre Hypertrophie (LVH) kommt am häufigsten bei einer Hypertonie vor.

• Ein EKG kann Hinweise auf eine LVH liefern, hat aber eine geringe Sensitivität.

• Bildgebende Verfahren wie Echokardiografie und MRT sind die wesentlichen diagnostischen Verfahren in der Abklärung und Differenzierung der Ursachen.

• Die Wanddicke kann und sollte mit jeder Bildgebung des Herzens bestimmt werden. Allerdings sind die absoluten Messwerte der verschiedenen Verfahren nicht übertragbar.

Schlüsselwörter

linksventrikuläre Hypertrophie - hypertrophe Kardiomyopathie - Sportlerherz - Amyloidose

Keywords

left ventricular hypertrophy - hypertrophic cardiomyopathy - athletic heart syndrome - amyloidosis

Publikationsverlauf

Artikel online veröffentlicht:
06. Dezember 2024

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