title: [Physiopathology and clinical aspects of myocardial insufficiency].
abstract: Myocardial failure is caused by cardiac lesions (specific heart muscle diseases, heart valve disease etc.) and by extracardiac disease (arterial hypertension, endocrinopathies etc.). For the quantification of cardiac function, the relationship between cardiac size or systolic wall stress respectively and ventricular function is important. For diagnostics except for physical examination results mostly non-invasive techniques (chest x-ray, echocardiography, radionuclide ventriculography etc.) are used. Therapy of myocardial failure has to consider primarily the potentially treatable internistic main disease (blood pressure reduction in arterial hypertension, heart valve operations in heart valve diseases etc.). Symptomatically, except dietetic and physical measures, digitalis glycosides, diuretics, vasodilators and newer positively inotropic drugs are used.
mesh_terms: D003937:Diagnosis, Differential; D004071:Digitalis Glycosides / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006333:Heart Failure / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D009200:Myocardial Contraction / Q000187:drug effects
chemical_list: D004071:Digitalis Glycosides
vernacular_title: Pathophysiologie und Klinik der Myokardinsuffizienz.