{"id":1974,"date":"2026-03-31T19:28:19","date_gmt":"2026-03-31T19:28:19","guid":{"rendered":"https:\/\/studenthub.elsevier.com\/de\/?p=1974"},"modified":"2026-03-31T19:28:19","modified_gmt":"2026-03-31T19:28:19","slug":"angina-pectoris","status":"publish","type":"post","link":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/","title":{"rendered":"Angina pectoris"},"content":{"rendered":"\n<p><em>Anfallsartig auftretendes schmerzhaftes Engegef\u00fchl im Brustkorb als Leitsymptom einer Minderversorgung des Herzmuskels mit O2; syn. Brustenge<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ursachen<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Missverh\u00e4ltnis im Myokard von O2-Angebot u. -Bedarf durch:<br>\u2013 Durchblutungsst\u00f6rung der Herzkranzgef\u00e4\u00dfe bei bestehender koronarer Herzkrankheit (KHK)<br>\u2013 Koronarspasmen<\/li>\n\n\n\n<li>Oft ausgel\u00f6st durch: k\u00f6rperl.\/psychische Belastung, K\u00e4lte, reichhaltige Nahrungsaufnahme (abdominelle Blutumverteilung), Blutdruckspitzen<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Symptome<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anfallsartig auftretende, meist wenige Min. anhaltende Schmerzen im Brustkorb mit m\u00f6gl. Ausstrahlung in andere K\u00f6rperregionen: Arm (meist links), Schulter, Hals, Unterkiefer o. Oberbauch<\/li>\n\n\n\n<li>Vernichtendes Enge- o. Druckgef\u00fchl im Brustkorb, Atemnot<\/li>\n\n\n\n<li>Unterschiedl. Verlaufsformen:<br>\u2013 Stabile Angina pectoris: Schmerzcharakter u. -intensit\u00e4t \u00fcber Mon. u. Jahre gleichbleibend (stabil) \u2192 Besserung durch Ruhe u. Glyzeroltrinitratgabe<br>\u2013 Instabile Angina pectoris: Beschwerden treten mit zunehmender H\u00e4ufigkeit u. Intensit\u00e4t schon in Ruhe o. bei geringer Belastung auf \u2192 spricht nicht o. nur verz\u00f6gert auf nitrathaltige Medikamente an<br>\u2192 Gefahr eines Myokardinfarkts<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnostik<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anamnese, klin. Untersuchung, Labor<\/li>\n\n\n\n<li>Ruhe-EKG, Belastungs-EKG, Stress-Echo, Myokardszintigrafie, Linksherzkatheter, CT, MRT<\/li>\n\n\n\n<li>Ausschluss eines akuten Myokardinfarkts bei schwerem Angina-pectoris-Anfall<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Therapie<\/h2>\n\n\n\n<p><strong>Erstma\u00dfnahmen bei Angina-pectoris-Anfall<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c4rztIn verst\u00e4ndigen, Pat. beruhigen, Sicherheit vermitteln<\/li>\n\n\n\n<li>Pat. ins Bett bringen, mit erh\u00f6htem Oberk\u00f6rper o. in Herzbettlagerung<\/li>\n\n\n\n<li>O2-Gabe nach AO<\/li>\n\n\n\n<li>Vitalzeichenkontrolle: bei systolisch RR \u2265 100 mmHg medikament\u00f6se Herzentlastung durch 2 H\u00fcbe Glyzeroltrinitrat nach AO \u2192 Wirkungseintritt innerhalb weniger Min.<\/li>\n\n\n\n<li>EKG schreiben nach AO<\/li>\n\n\n\n<li>Bis zum Beweis des Gegenteils ist eine neuaufgetretene, sich stark verschlimmernde oder mit der Hausmedikation nicht behandelbare Angina pectoris als akutes Koronarsyndrom (ACS) zu werten: Die Behandlung erfolgt analog zum Myokardinfarkt<\/li>\n\n\n\n<li>Auf m\u00f6glichen Herz-Kreislaufstillstand vorbereitet sein<\/li>\n\n\n\n<li>Langzeitbehandlung \u203a Koronare Herzkrankheit<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Hinweise zur Pflege<\/h2>\n\n\n\n<p>Bei Angina-pectoris-Anfall Erstma\u00dfnahmen rasch einleiten, Pat. nicht alleine lassen<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Zun\u00e4chst engmaschige Vitalzeichenkontrolle u. Bettruhe (Mobilisation nach AO)<\/li>\n\n\n\n<li>Weitere Ma\u00dfnahmen s. \u203a Koronare Herzkrankheit<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Besondere Informationen<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Unspezifische Symptome wie \u00dcbelkeit, Schwindel, Atemnot, starke Unruhe,<br>Schmerzen im Epigastrium bei bestimmten Pat.-Gruppen m\u00f6glich: Frauen, Diabetiker, Lebensalter &gt;75 Jahre, Z. n. Herz-Operation\/ Transplantation<\/li>\n\n\n\n<li>Einteilung folgt CCS-Klassifikation in 4 Schweregrade:<br>\u2013 Grad I: keine Angina bei normaler Belastung, Angina bei sehr hoher o. andauernder Anstrengung<br>\u2013 Grad II: geringe Beeintr\u00e4chtigung bei normaler Aktivit\u00e4t<br>\u2013 Grad III: deutl. Beeintr\u00e4chtigung bei tgl. Aktivit\u00e4ten<br>\u2013 Grad IV: Angina bei geringster k\u00f6rperl. Belastung o. in Ruhe<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Anfallsartig auftretendes schmerzhaftes Engegef\u00fchl im Brustkorb als Leitsymptom einer Minderversorgung des Herzmuskels mit O2; syn. Brustenge Ursachen Symptome Diagnostik Therapie Erstma\u00dfnahmen bei Angina-pectoris-Anfall Hinweise zur Pflege Bei Angina-pectoris-Anfall Erstma\u00dfnahmen rasch einleiten, Pat. nicht alleine lassen Besondere Informationen<\/p>\n","protected":false},"author":172,"featured_media":2154,"comment_status":"open","ping_status":"open","sticky":false,"template":"erkrankungen-individual-entry","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-1974","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-erkrankungen"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Angina pectoris - Student Hub Germany<\/title>\n<meta name=\"description\" content=\"Alles Wichtige zu Angina pectoris: Ursachen, Symptome, akute Ma\u00dfnahmen und langfristige Behandlung. Wichtiger Leitfaden f\u00fcr Pflegekr\u00e4fte.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Angina pectoris - Student Hub Germany\" \/>\n<meta property=\"og:description\" content=\"Alles Wichtige zu Angina pectoris: Ursachen, Symptome, akute Ma\u00dfnahmen und langfristige Behandlung. Wichtiger Leitfaden f\u00fcr Pflegekr\u00e4fte.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/\" \/>\n<meta property=\"og:site_name\" content=\"Student Hub Germany\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-31T19:28:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"smatiasek\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"smatiasek\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/\",\"url\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/\",\"name\":\"Angina pectoris - Student Hub Germany\",\"isPartOf\":{\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg\",\"datePublished\":\"2026-03-31T19:28:19+00:00\",\"dateModified\":\"2026-03-31T19:28:19+00:00\",\"author\":{\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/#\/schema\/person\/a44a09d322f13e112d71e4b2378c2d3f\"},\"description\":\"Alles Wichtige zu Angina pectoris: Ursachen, Symptome, akute Ma\u00dfnahmen und langfristige Behandlung. Wichtiger Leitfaden f\u00fcr Pflegekr\u00e4fte.\",\"breadcrumb\":{\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#primaryimage\",\"url\":\"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg\",\"contentUrl\":\"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg\",\"width\":1200,\"height\":627},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/studenthub.elsevier.com\/de\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Angina pectoris\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/#website\",\"url\":\"https:\/\/studenthub.elsevier.com\/de\/\",\"name\":\"Student Hub Germany\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/studenthub.elsevier.com\/de\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/#\/schema\/person\/a44a09d322f13e112d71e4b2378c2d3f\",\"name\":\"smatiasek\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/studenthub.elsevier.com\/de\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/c346af4be615dd5eac96b3525a1af55dfcdaa88ee27c3d8b6b3c5bf6ba78c57d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/c346af4be615dd5eac96b3525a1af55dfcdaa88ee27c3d8b6b3c5bf6ba78c57d?s=96&d=mm&r=g\",\"caption\":\"smatiasek\"},\"url\":\"https:\/\/studenthub.elsevier.com\/de\/author\/smatiasek\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Angina pectoris - Student Hub Germany","description":"Alles Wichtige zu Angina pectoris: Ursachen, Symptome, akute Ma\u00dfnahmen und langfristige Behandlung. Wichtiger Leitfaden f\u00fcr Pflegekr\u00e4fte.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/","og_locale":"en_US","og_type":"article","og_title":"Angina pectoris - Student Hub Germany","og_description":"Alles Wichtige zu Angina pectoris: Ursachen, Symptome, akute Ma\u00dfnahmen und langfristige Behandlung. Wichtiger Leitfaden f\u00fcr Pflegekr\u00e4fte.","og_url":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/","og_site_name":"Student Hub Germany","article_published_time":"2026-03-31T19:28:19+00:00","og_image":[{"width":1200,"height":627,"url":"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg","type":"image\/jpeg"}],"author":"smatiasek","twitter_card":"summary_large_image","twitter_misc":{"Written by":"smatiasek","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/","url":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/","name":"Angina pectoris - Student Hub Germany","isPartOf":{"@id":"https:\/\/studenthub.elsevier.com\/de\/#website"},"primaryImageOfPage":{"@id":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#primaryimage"},"image":{"@id":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#primaryimage"},"thumbnailUrl":"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg","datePublished":"2026-03-31T19:28:19+00:00","dateModified":"2026-03-31T19:28:19+00:00","author":{"@id":"https:\/\/studenthub.elsevier.com\/de\/#\/schema\/person\/a44a09d322f13e112d71e4b2378c2d3f"},"description":"Alles Wichtige zu Angina pectoris: Ursachen, Symptome, akute Ma\u00dfnahmen und langfristige Behandlung. Wichtiger Leitfaden f\u00fcr Pflegekr\u00e4fte.","breadcrumb":{"@id":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#primaryimage","url":"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg","contentUrl":"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg","width":1200,"height":627},{"@type":"BreadcrumbList","@id":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/angina-pectoris\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/studenthub.elsevier.com\/de\/"},{"@type":"ListItem","position":2,"name":"Angina pectoris"}]},{"@type":"WebSite","@id":"https:\/\/studenthub.elsevier.com\/de\/#website","url":"https:\/\/studenthub.elsevier.com\/de\/","name":"Student Hub Germany","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/studenthub.elsevier.com\/de\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/studenthub.elsevier.com\/de\/#\/schema\/person\/a44a09d322f13e112d71e4b2378c2d3f","name":"smatiasek","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/studenthub.elsevier.com\/de\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/c346af4be615dd5eac96b3525a1af55dfcdaa88ee27c3d8b6b3c5bf6ba78c57d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c346af4be615dd5eac96b3525a1af55dfcdaa88ee27c3d8b6b3c5bf6ba78c57d?s=96&d=mm&r=g","caption":"smatiasek"},"url":"https:\/\/studenthub.elsevier.com\/de\/author\/smatiasek\/"}]}},"jetpack_featured_media_url":"https:\/\/studenthub.elsevier.com\/de\/wp-content\/uploads\/sites\/14\/2026\/03\/22.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/posts\/1974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/users\/172"}],"replies":[{"embeddable":true,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/comments?post=1974"}],"version-history":[{"count":2,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/posts\/1974\/revisions"}],"predecessor-version":[{"id":2140,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/posts\/1974\/revisions\/2140"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/media\/2154"}],"wp:attachment":[{"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/media?parent=1974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/categories?post=1974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/studenthub.elsevier.com\/de\/wp-json\/wp\/v2\/tags?post=1974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}