{"id":10691,"date":"2019-12-31T04:55:34","date_gmt":"2019-12-31T03:55:34","guid":{"rendered":"http:\/\/news-papers.eu\/?p=10691"},"modified":"2019-12-15T12:05:55","modified_gmt":"2019-12-15T11:05:55","slug":"hypertriglyceridaemien-klinische-auspraegung","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=10691","title":{"rendered":"Hypertriglycerid\u00e4mien: Klinische Relevanz, Diagnostik und Therapie"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"10692\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=10692\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/12\/horizontal-162952_1920-e1576407863556.jpg?fit=1000%2C750&amp;ssl=1\" data-orig-size=\"1000,750\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"horizontal-162952_1920\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/12\/horizontal-162952_1920-e1576407863556.jpg?fit=300%2C225&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/12\/horizontal-162952_1920-e1576407863556.jpg?fit=1024%2C768&amp;ssl=1\" class=\"size-medium wp-image-10692 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/12\/horizontal-162952_1920.jpg?resize=300%2C225\" alt=\"Adipositas\" width=\"300\" height=\"225\" \/>Klaus Parhofer und Ulrich Laufs<\/strong> haben gerade eine \u00dcbersichtsarbeit zur Hypertriglycerid\u00e4mie publiziert:<\/p>\n<blockquote><p><strong>Parhofer K, et al. Diagnose und Therapie der Hypertriglycerid\u00e4mie. Dtsch Arztebl Int 2019; 116: <span class=\"nobr\">825-32<\/span>; DOI: 10.3238\/arztebl.2019.0825 (<a href=\"https:\/\/www.aerzteblatt.de\/archiv\/211099\/Diagnose-und-Therapie-der-Hypertriglyceridaemie\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p><strong>Die wichtigsten Kernaussagen:<\/strong><\/p>\n<div class=\"page\" title=\"Page 5\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<ul>\n<li>Hypertriglycerid\u00e4mien k\u00f6nnen in <strong>moderate<\/strong> (TG-Werte von 150 mg\/dL bis circa 1.000 mg\/dL) und <strong>schwere Formen<\/strong> (TG- Werte &gt;1.000 mg\/dL unterteilt werden.<\/li>\n<li>Bei einer <strong>moderaten Hypertriglycerid\u00e4mie<\/strong> steht das erh\u00f6hte <strong>kardiovaskul\u00e4re Risiko<\/strong>, bei <strong>schweren Formen<\/strong> das erh\u00f6hte <strong>Pankreatitisrisiko<\/strong> im Vordergrund.<\/li>\n<li>Urs\u00e4chlich kommen<strong> Lebensstilfaktoren und Komorbidit\u00e4ten<\/strong> (Diabetes mellitus) auf dem Boden einer genetischen Pr\u00e4disposition zum Tragen.<\/li>\n<li><strong>Lebensstilma\u00dfnahmen<\/strong> (u.a. Verzicht auf Alkohol; Reduktion schnell verstoffwechselbarer Kohlenhydrate; Gewichtsreduktion; k\u00f6rperliche Aktivit\u00e4t) sind die Eckpunkte der Therapie<\/li>\n<li>Der <strong>Einsatz medikament\u00f6ser Ma\u00dfnahmen<\/strong> erfolgt in Abh\u00e4ngigkeit von dem individuellen Risiko f\u00fcr kardiovaskul\u00e4re Erkrankungen und Pankreatitis.<\/li>\n<\/ul>\n<p><strong>Sekund\u00e4re Ursachen f\u00fcr Hypertriglycerid\u00e4mien:<\/strong><\/p>\n<ul>\n<li>\u00dcbergewicht\/Adipositas<\/li>\n<li>metabolisches Syndrom<\/li>\n<li>Diabetes mellitus<\/li>\n<li>vermehrter Alkoholkonsum<\/li>\n<li>exzessive Kalorienzufuhr (als Fett oder schnell verstoffwechselbare Kohlenhydrate)<\/li>\n<li>Hypothyreose<\/li>\n<li>Nierenerkrankungen (vor allem nephrotisches Syndrom)<\/li>\n<li>Paraprotein\u00e4mie<\/li>\n<li>systemischer Lupus erythematodes<\/li>\n<li>Anorexia nervosa<\/li>\n<li>Glykogenosen<\/li>\n<li>Sepsis<\/li>\n<li>Schwangerschaft<\/li>\n<li>Medikamente wie beispielsweise Steroide, \u00d6strogene, Anabolika, Tamoxifen, Thiazide, nichtkardioselektive Betablocker, Cyclophosphamid, Cyclosporine, Proteaseninhibitoren, Gallens\u00e4urebinder, Clozapin, atypische Antipsychotika, Antidepressiva etc.<\/li>\n<\/ul>\n<p>Lesen Sie die gesamte \u00dcbersichtarbeit hier: <strong><a href=\"https:\/\/www.aerzteblatt.de\/archiv\/211099\/Diagnose-und-Therapie-der-Hypertriglyceridaemie\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>.<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Klaus Parhofer und Ulrich Laufs haben gerade eine \u00dcbersichtsarbeit zur Hypertriglycerid\u00e4mie publiziert: Parhofer K, et al. Diagnose und Therapie der Hypertriglycerid\u00e4mie. Dtsch Arztebl Int 2019; 116: 825-32; DOI: 10.3238\/arztebl.2019.0825 (PDF) [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":10692,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1079],"tags":[1777],"class_list":["post-10691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kardiovaskulaerer-notfall","tag-hypertriglyceridaemie"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/12\/horizontal-162952_1920-e1576407863556.jpg?fit=1000%2C750&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2Mr","jetpack-related-posts":[{"id":14393,"url":"https:\/\/news-papers.eu\/?p=14393","url_meta":{"origin":10691,"position":0},"title":"Perioperative Blutzuckereinstellung","author":"Michael Bernhard","date":"Oktober 14, 2021","format":false,"excerpt":"Blutzuckertherapie in der operativen Medizin ist weiterhin ein umstrittenes Thema. Im Deutschen \u00c4rzteblatt wurde die aktuelle Evidenz dazu noch einmal aufgearbeitet: Roth J et al.\u00a0Blutglukoseziele in der operativen Intensivmedizin.\u00a0Management und Besonderheiten bei Menschen mit Diabetes. Deutsche \u00c4rzteblatt. Dtsch Arztebl Int 2021; 118: 629-36; DOI: 10.3238\/arztebl.m2021.0221 (PDF) Hintergrund: Bei 30\u201380\u00a0% der\u2026","rel":"","context":"In &quot;Elektrolytst\u00f6rung&quot;","block_context":{"text":"Elektrolytst\u00f6rung","link":"https:\/\/news-papers.eu\/?cat=143"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-300x275.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":4286,"url":"https:\/\/news-papers.eu\/?p=4286","url_meta":{"origin":10691,"position":1},"title":"Gicht &#8211; Wie im Anfall therapieren?","author":"Michael Bernhard","date":"Mai 21, 2017","format":false,"excerpt":"In die Notaufnahme kommt am Sonntagnachmittag ein 60-j\u00e4hriger Patient mit einem geschwollenen und ger\u00f6teten Gro\u00dfzehengrundgelenk. Der Patient ist schmerzgeplagt und sucht bei Ihnen Hilfe. Schnell stellen Sie die Diagnose einer \"Podagra\", also eines akuten \"Gichtanfalls\", aber was jetzt? Engel B et al.\u00a0Therapieoptionen bei Gicht.\u00a0Dtsch Arztebl Int 2017; 114: 215\u201322.\u00a0DOI: 10.3238\/arztebl.2017.0215\u2026","rel":"","context":"In &quot;Management&quot;","block_context":{"text":"Management","link":"https:\/\/news-papers.eu\/?cat=9"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Gicht-e1491063148838.jpg?fit=500%2C375&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":7924,"url":"https:\/\/news-papers.eu\/?p=7924","url_meta":{"origin":10691,"position":2},"title":"Diagnostik und Therapie von Infektionen kardialer elektronischer Implantate","author":"Michael Bernhard","date":"August 28, 2018","format":false,"excerpt":"Nicht f\u00fcr die Pr\u00e4klinik, aber in der Notaufnahme immer wieder relevant: D\u00f6ring M et al.\u00a0Diagnostik und Therapie von Infektionen kardialer elektronischer Implantate.\u00a0Dtsch Arztebl Int 2018; 115(26): 445-52; DOI: 10.3238\/arztebl.2018.0445 (PDF) Das Res\u00fcmee der Autoren lautet: \"Infektionen kardialer elektronischer Implantate treten in\u00a0zunehmendem Ma\u00dfe auf und sind ohne ad\u00e4quate Behandlung\u00a0mit einer hohen\u2026","rel":"","context":"In &quot;Herz-Kreislauf&quot;","block_context":{"text":"Herz-Kreislauf","link":"https:\/\/news-papers.eu\/?cat=8"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/09\/Uhr-e1474386177430.jpg?fit=500%2C375&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":13852,"url":"https:\/\/news-papers.eu\/?p=13852","url_meta":{"origin":10691,"position":3},"title":"Ketoazidose nach Immuncheckpoint-Inhibitoren","author":"Michael Bernhard","date":"Juni 25, 2021","format":false,"excerpt":"Gerade in der Notfallmedizin fallen Situationen, die man klinisch erlebt des \u00f6fteren mit Situationen zusammen in denen man etwas liest, wer h\u00e4tte gedacht, dass die folgende Publikation dazugeh\u00f6rt ? Mai K, et al. Diagnostik und Management\u00a0endokriner Nebenwirkungen von\u00a0Immuncheckpoint-Inhibitoren. Dtsch Arztebl Int 2021; 118: 389\u201396. DOI: 10.3238\/arztebl.m2021.0143 (PDF) In der Notaufnahme\u2026","rel":"","context":"In &quot;allgemein&quot;","block_context":{"text":"allgemein","link":"https:\/\/news-papers.eu\/?cat=2"},"img":{"alt_text":"Ketoazidose","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/pexels-anna-shvets-3786215-scaled.jpg?fit=800%2C1200&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/pexels-anna-shvets-3786215-scaled.jpg?fit=800%2C1200&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/pexels-anna-shvets-3786215-scaled.jpg?fit=800%2C1200&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/pexels-anna-shvets-3786215-scaled.jpg?fit=800%2C1200&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":11692,"url":"https:\/\/news-papers.eu\/?p=11692","url_meta":{"origin":10691,"position":4},"title":"Therapie von leichtem und mittelschwerem Asthma bei Erwachsenen","author":"Michael Bernhard","date":"Juni 30, 2020","format":false,"excerpt":"Im Deutschen \u00c4rzteblatt ist ein interessanter Artikel zum Asthmatherapie erschienen: Lommatzsch M, Buhl R, Korn S: The treatment of mild and moderate asthma in adults. Dtsch Arztebl Int 2020; 117: 434\u201344. DOI: 10.3238\/arztebl.2020.0434 (PDF) Hier heisst es: \"Therapieziel ist das Erreichen einer bestm\u00f6glichen Asthma-Kontrolle und eine Minimierung des Exazerbations- und\u2026","rel":"","context":"In &quot;Dyspnoe&quot;","block_context":{"text":"Dyspnoe","link":"https:\/\/news-papers.eu\/?cat=1090"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Lunge-300x200.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5641,"url":"https:\/\/news-papers.eu\/?p=5641","url_meta":{"origin":10691,"position":5},"title":"(Notfall-)Therapie von Erkrankungen in der Schwangerschaft","author":"Michael Bernhard","date":"Oktober 31, 2017","format":false,"excerpt":"Einen \u00dcberblick \u00fcber die Therapie von Asthma\u00a0bronchiale, Hypo- und Hyperthyreose, Migr\u00e4ne und\u00a0Varicosis in der Schwangerschaft wurden gerade von Michael Bolz und Kollegen im Deutschen \u00c4rzteblatt zusammengestellt: Bolz M et al.\u00a0Begleiterkrankungen in der\u00a0Schwangerschaft. Dtsch Arztebl Int 2017; 114: 616\u2013626 (PDF) In diesem Artikel werden die Basistherapie und die Besonderheiten bei den\u2026","rel":"","context":"In &quot;Geburtshilfliche und gyn\u00e4kologische Notf\u00e4lle&quot;","block_context":{"text":"Geburtshilfliche und gyn\u00e4kologische Notf\u00e4lle","link":"https:\/\/news-papers.eu\/?cat=197"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=700%2C400 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/10691","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10691"}],"version-history":[{"count":3,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/10691\/revisions"}],"predecessor-version":[{"id":10695,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/10691\/revisions\/10695"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/10692"}],"wp:attachment":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10691"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10691"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}