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Zeitschrift für Gerontologie und Geriatrie
Erschienen in:

01.06.2010 | Übersicht

Evidenzbasierte Empfehlungen zur Basisdiagnostik der peripheren arteriellen Verschlusskrankheit bei geriatrischen Patienten

verfasst von: Dr. C. Ploenes, H. Görtz, T. Heimig, M. Meisel, C. Naumann, R. Sultzer

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 3/2010

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Zusammenfassung

Die Prävalenz der peripheren arteriellen Verschlusskrankheit (PAVK) im Alter ist hoch, die klinische Manifestation oft untypisch und die Begleit- und Folgemorbidität erheblich. Dies begründet das Erfordernis einer Basisdiagnostik bei dieser Patientengruppe. Gestützt auf eine Literaturrecherche wurden evidenzbasierte Empfehlungen formuliert. Obligater Bestandteil der Primärdiagnostik sind Pulspalpation und Anamneseerhebung auch dann, wenn typische Beschwerden fehlen. Bei pathologischen und nicht verwertbaren Befunden sollte als nächster Schritt eine Doppler-Knöcheldruckmessung durchgeführt werden. Folgende Faktoren bestimmen das weitere Vorgehen: das Vorliegen von Wunden an dem durchblutungsgestörten Bein, insbesondere im Fuß- und Unterschenkelbereich, das Ausmaß PAVK-bedingter Beschwerden, schließlich geplante operative Eingriffe am betroffenen Bein aus anderen Gründen.
Vorheriger Artikel Posturale Defizite und Sturzrisiko bei älteren Personen mit Verdacht auf Osteoporose
Nächster Artikel Entwicklung eines neuen Depressionsscreenings für den Einsatz in der Geriatrie
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Metadaten
Titel
Evidenzbasierte Empfehlungen zur Basisdiagnostik der peripheren arteriellen Verschlusskrankheit bei geriatrischen Patienten
verfasst von
Dr. C. Ploenes
H. Görtz
T. Heimig
M. Meisel
C. Naumann
R. Sultzer
Publikationsdatum
01.06.2010
Verlag
Springer-Verlag
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 3/2010
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-009-0051-7

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