Kardiologie [2 / 2]

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Specialized company of the German Kardiologen is "„the German society for Kardiologie - heart and cycle research registered association "“, which were created 1927 as a first kardiologische society in Europe. It has 2005 more than 5700 members in the year, of it about 15% women. In Austria more than 1000 physicians in the 1968 created "„Austrian Kardiologi society are "“organized.

Activity emphasis

The large majority of the cared for patients suffers today from the koronaren heart illness (KHK), so that the recognition, treatment and aftercare of angina Pectoris, cardiac infarcts and infarktbedingter heart myasthenia the principal activity of most Kardiologen became.

Apart from the medicamentous therapy in the last two decades the invasiven therapies gained ever more here significance. It concerns the bypass operation accomplished by heart surgeons and the Ballondilatation made by interventional Kardiologen. A condition for both procedures is the exact knowledge of the coronary anatomy, which is won during the Koronarangiografie in the framework a link heart catheter investigation. From the beginning of the systematic data acquisition in the year 1984 up to the year 2004 an immense rise of the appropriate investigation and treatment numbers shows up in German catheter laboratories.

In the year 2004 in Germany per 1 million inhabitants of 8695 diagnostic link heart catheters and 3022 Ballondilatationen were made. These numbers lie in the comparison with other countries (see table) quite highly, which in view of the costs of roughly 573 millions euro for the link heart catheters and 871 millions euro for the Ballondilatation is also of health-economic importance.

Beside the KHK play for the today's Kardiologie heartbeat disturbances a large role, whereby that outweighs forecourt flares in terms of figures and life-threatening rhythm disturbances tachycardia and ventricular fibrillations) are particularly important. Illnesses of the Herzklappen, primary illnesses of the heart muscle (Kardiomyopathien) and the inflammatory heart diseases (Endokarditis, myocarditis and Perikarditis) play against it today quantitatively a role rather subordinated.

A special problem represents the kardiologische supply of patients with innate complex heart errors, which reached the adult age. Their number constantly rises. After operations in the newborn child and infancy they need a further support - usually lifelong. The transition of the Kinderkardiologie to the Erwachsenenkardiologie is not so far (2005) finally regulated, since these disease pictures are new and continue to develop by new operation procedures. As possible solutions a special certifying of departments and/or hospitals and again more creatively "„a specialist for innate heart errors "“by the specialized companies are discussed.

Training

Annually locks their further training successfully in Germany about 300 to 350 physicians to the Kardiologen with an examination with the national physician chambers. The Kardiologie came out from a specialization within the internal medicine and was organized over decades as one of their emphasis (like Gastroenterologie or Nephrologie). So nearly all today active Kardiologen is also specialists for internal medicine.

Controversially initiatives of the last years are judged to regard and establish the Kardiologie accordingly as independent technical discipline beside "„the general "“internal medicine and its other subsections. In Germany the 2003 plan discharged sample training further order one "„specialist for internal medicine and emphasis Kardiologie "“with at least six-year further training (of it three years in the internal medicine) beside the specialist inside and general medicine. In Switzerland "„a specialist for Kardiologie is already intended "“with an at least six-year further training (of it the first two years in the internal medicine) since 2001, while the Austrian physician training program plans "„the auxiliary subject Kardiologie "“with three-year auxiliary training after the final specialist training for internal medicine (6 years).

Related links

• German society for Kardiologie
• Swiss society for Kardiologie
• Austrian Kardiologi society
• U.S. National Institue OF Health (NIH)
• European Society OF Cardiology
• American college OF Cardiology
• American Heart Association