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Koronare Herzkrankheit
Diagnostik und Therapie in der Praxis
Hubert Mörl, Peter Haders, Jobst von Fallois
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eBook - PDF
Koronare Herzkrankheit
Diagnostik und Therapie in der Praxis
Hubert Mörl, Peter Haders, Jobst von Fallois
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Information
Pathomorphologie,
Pathogenese
und
Pathophysiologie
der
Arteriosklerose
5
Abb.
1-3:
Pathogenese
der
Arteriosklerose:
a
Normale
Arterie
vom
muskulären
Typ;
1
Endothel,
2
Membrana
elastica
interna,
3
Tunica
media
(glatte
Muskulatur),
4
Membrana
elastica
externa,
5
Adventitia
mit
Vasa
vasorum;
b
Lipidbeet
in
der
Arterienintima;
verstärkte
Neusynthese
und
verminderter
Lipidabbau;
verminderte
Schaumzellemigration
aus
der
Intima;
c
Stenosierendes
Atherom;
1
Endothel,
2
fribröse
Deckplatte,
3
Beetzentrum
mit
extrazellulären
Lipiden
und
Cholesterinkristallen,
4
Monozyten,
5
Schaumzellen;
d
Verkalktes
Athe-
rom;
1
unterschiedlich
große
Kalkeinlagerungen;
e
Ulzeriertes
Atherom;
1
Ulkus
mit
Endotheldestruktion,
2
Lipide,
3
Cholesterinkristalle,
4
Schaumzelle,
5
Monozyt;
f
Atherom
mit
Parietalthrombose;
1
frischer
Abscheidungsthrombus
über
dem
Ulkus