Dtsch Med Wochenschr 2010; 135: S67-S77
DOI: 10.1055/s-0030-1263314
Konsensus | Review article
Pneumologie, Kardiologie
© Georg Thieme Verlag KG Stuttgart · New York

Nicht-invasive Diagnostik der pulmonalen Hypertonie

ESC/ERS-Leitlinien mit Kommentierung der Kölner Konsensus-Konferenz 2010Non-invasive diagnosis of pulmonary hypertensionESC/ERS Guidelines with commentary of the Cologne Consensus Conference 2010E. Grünig1 , A. Barner2 , M. Bell3 , M. Claussen4 , M. Dandel5 , D. Dumitrescu6 , M. Gorenflo7 , S. Holt8 , G. Kovacs9 , S. Ley10 , J. F. Meyer11 , S. Pabst12 , G. Riemekasten13 , J. Saur14 , M. Schwaiblmair15 , C. Seck16 , L. Sinn17 , S. Sorichter18 , J. Winkler19 , H. H. Leuchte20
  • 1Zentrum für pulmonale Hypertonie, Thoraxklinik Heidelberg
  • 2Abteilung Kardiologie und Pneumologie, Klinikum Fürth
  • 3Elisabeth Krankenhaus Essen
  • 4Abteilung Pneumologie, Klinikum Großhansdorf
  • 5Deutsches Herzzentrum Berlin
  • 6Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
  • 7Department of Pediatric Cardiology, UZ Leuven, Belgien
  • 8Abteilung Kardiologie und Angiologie, Uniklinik Bergmannsheil Bochum
  • 9Abteilung für Pulmonologie, Universitätsklinik Graz
  • 10Diagnostische und Interventionelle Radiologie, Universitätsklinik Heidelberg
  • 11Klinik für Pneumologie und Gastroenterologie, Städtisches Klinikum München Harlaching
  • 12Abteilung Pneumologie, Universitätsklinik Bonn
  • 13Abteilung Rheumatologie, Charité Berlin
  • 14Abteilung für Pneumologie, Universitätsklinik Mannheim
  • 15Herzzentrum, Klinikum Augsburg
  • 16Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
  • 17Kardiologische Praxis, Bad Säckingen
  • 18Abteilung Pneumologie, Universitätsklinik Freiburg
  • 19Pneumologische Fachpraxis Leipzig
  • 20II. Medizinische Abteilung, Krankenhaus Neuwittelsbach, München
Further Information

Publication History

eingereicht: 5.8.2010

akzeptiert: 9.9.2010

Publication Date:
22 September 2010 (online)

Zusammenfassung

Die 2009 veröffentliche Europäischen Leitlinien zur Diagnostik und Therapie der pulmonalen Hypertonie sind nunmehr auch in Deutschland gültig. Die Leitlinien befassen sich eingehend mit der Diagnostik der pulmonalen Hypertonie. Für die praktische Umsetzung der Europäischen Leitlinien in Deutschland sind jedoch zahlreiche spezifische Gesichtspunkte und neue Daten bedeutsam, die eine ausführliche Kommentierung der Leitlinien und in einigen Punkten eine Aktualisierung notwendig machen. Im Juni 2010 fand in Köln eine Konsensuskonferenz statt, die von den Arbeitsgruppen PH der Deutschen Gesellschaften für Kardiologie (DGK), Pneumologie (DGP) und Pädiatrische Kardiologie (DGPK) organisiert wurde. Die Konferenz befasste sich mit der Umsetzung der Europäischen Leitlinien in Deutschland. Dazu wurden verschiedene Arbeitsgruppen eingesetzt, von denen sich eine gezielt der nicht-invasiven Diagnostik der pulmonalen Hypertonie widmete. Die Ergebnisse und Beschlüsse dieser Arbeitsgruppe werden in dem vorliegenden Manuskript detailliert beschrieben.

Abstract

The 2009 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension have been adopted for Germany. The guidelines contain detailed recommendations for the diagnosis of pulmonary hypertension. However, the practical implementation of the European Guidelines in Germany requires the consideration of several country-specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update y appears necessary. In June 2010, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to non-invasive diagnosis of PH. This commentary summarizes the results and recommendations of the working group on treatment of PAH.

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Prof. Dr. med. Ekkehard Grünig

Zentrum für pulmonale Hypertonie
Thoraxklinik am Universitätsklinikum Heidelberg

Amalienstr. 5

69126 Heidelberg

Phone: 06221/396-8076

Fax: 06221/396-1209

Email: ekkehard.gruenig@thoraxklinik-heidelberg.de

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