Stone heart
The term stone heart , in German literature under the anglicized stone heart known, refers to a contracture of the heart . The associated arrest of the heart is also referred to as contractile cardiac arrest .
The cause can be insufficient blood flow or a greatly increased calcium level . A spastic contraction of the left ventricle during systole leaves the left ventricle remain in the ejection phase and leads to a sustained collapse of the cavity of the left ventricle.
Pathoanatomically, the stone heart is characterized by a concentrically hypertrophied and edematous left ventricle. The heart seems stiff and immobile.
This condition occurs z. B. after open heart surgery , after repeated failed attempts at resuscitation or after a heart attack . The heart function rarely responds to the administration of agents to improve the heart function or to a manual massage of the heart.
The stone heart was first described in 1972 by the American heart surgeon Denton Cooley (* 1920).
Individual evidence
- ↑ H. Pucher: Dictionary of Imaging Procedures / Dictionary of Medical Imaging: German English / English German. Springer, 2000, ISBN 3-540-64821-6 , pp. 160 and 822, (online) .
- ^ R. Larsen: Anesthesia. Urban & Fischer-Verlag, 2006, ISBN 3-437-22501-4 , p. 939.
- ^ R. Larsen: Anesthesia. Urban & Fischer-Verlag, 2006, ISBN 3-437-22501-4 , p. 1272, (online) .
- ^ F. Kehl et al.: Anesthesia. Questions and Answers: 1500 facts for the specialist examination and the European Diploma in Anaesthesiology and Intensive Care Medicine (DEAA / DESA). Springer, 2007, ISBN 978-3-540-46579-9 , p. 257, (online) .
- ↑ DA Cooley, GJ Reul, DC Wukasch: Ischemic contracture of the heart: "stone heart". In: Am J Cardiol. 1972, 29, pp. 575-577, PMID 5016840 .