M.J. Halhuber – författare

Das am 8. und 9. Juli 1976 im SchloB Hohenried veranstaltete inter- disziplinare Werkstattgesprach sollte Argumente und Gegenargu- mente tiber den Zusammenhang zwischen psychosozialen Be- lastungen und der koronaren Herzkrankheit zusammentragen. Dazu waren etwa 30 Experten aus verschiedenen, auch nicht medizi- nischen Bereichen eingeladen worden, urn moglichst viele Aspekte der schwierigen Problematik beleuchten zu konnen. Der Gegen- stand ist heute noch ein Kontroversthema, aber alle Gesprachs- teilnehmer, Epidemiologen, Kardiologen, Psychologen, Psycho- und Soziosomatiker, Pharmakologen, Theologen, Zoologen, Grund- lagenforscher und Praktiker, die sich in einer sehr dichten 8-stlin- digen Diskussion mit Erfolg urn eine gemeinsame Sprache bemtiht haben, waren sich darin einig, daB man heute nur die Spitze des Eisberges dieses hochaktuellen Problems erkennt. Man muB sich mit Geduld und Kritik urn eine Identifizierung des Problems bemtihen, urn dann durch kontrollierte Intervention die Situation zu modifi- zieren.Auch skeptische Beobachter dieser wechselseitigen inter- disziplinaren Information tiber den derzeitigen Stand der An- schauungen und der beigebrachten Fakten zu ihrer Begrtindung hatten den Eindruck, daB hier Beitrage zu einer Bestandsaufnahme der Problematik geleistet wurden, die durchdie VerofTentlichung des Verhandlungsberichtes und die Fortsetzung des Gespachs noch ergiebiger sein werden. Kann man ein positives, auch fUr die Praxis heute schon brauch- bares Ergebnis eines solchen Werkstattgespraches vereinfachend zusammenfassen? Es scheint Ubereinstimmung dariiber zu be- stehen, daB Anderungen der gewohnten Sozialstruktur und der individuellen Rollensituation auch faBbare Korrelationen mit dem Entstehen des koronaren Herzkrankheit ergeben.

M. 1. Halhuber A1s Initiator, Moderator und Organisator begrtiBe ich Sie sehr herz1ich zum zweiten Werkstattgesprach zum Thema "Psychosozia1er Stress und koronare Herzkrankheit". Das positive Echo auf den Ver1auf des ersten Werkstattgesprachs am 8. und 9. Ju1i 1976 und die noch immer zunehmende Aktua1itat dieses Themas haben die Ver- ansta1ter bewogen, 1977 ein zweites Werkstattgesprach zu wagen. Warum nimmt die Aktua1itat dieses umstrittenen Themas noch. - mer zu? Wenn es wirk1ich ge1ingt, Zusammenhange zwischen p~ycho- sozia1er Uberbeanspruchung - eine Diskussion um den Begriff des "Stress" soll von vorneherein vermieden werden - also zwischen psychosozia1er Uberbeanspruchung des Menschen und der koronaren Herzkrankheit nachzuweisen, dann hat das weitreichende Konsequen- zen ftir die Kardio10gie in Forschung, Lehre und Praxis. Die For- schung muB ~ann interdiszip1inar und sozia1medizinisch erweitert, und die Lehre und Praxis oko10gisch ausgerichtet werden, kurz, die Kardio10gen mtiBten dann psycho10gisiert werden. Ste11en Sie sich vor: Ba1int-Gruppen in Herzzentren!Bei der weitreichenden Bedeu- tung der Prob1ematik, mit der wir uns heute und morgen befassen, ist es wichtig, a11e ernst zu nehmenden Einwande und Gegenargu- mente zu formu1ieren und zu diskutieren. Desha1b bin ich dankbar, daB diesma1 auch Herr HEYDEN mit dabei sein kann; ich erhoffe mir von ihm a1s Advocatus diabo1i eine hohe Standfestigkeit und Dis- kussionsfreude, freies Ge1eit ist ihm zugesichert.

Since 1955, we have conducted an annual one-week ECG course at Innsbruck. This book represents a summary of our didactic experience. This English translation follows the enlarged sixth German edition. It contains many diagrams and new examples of tracings, such as the orthogonal leads system of Frank, explanation of extreme axis devia­ tion by the hemiblock concept, atrioventricular conduction disorders (His bundle electrogram), re-entry mechanisms, and the exercise ECG. The limits and dangers of ECG interpretations that, in our opinion, should be emphasized in an introductory presentation, are summarized in a final chapter. Our main aim was to make indigestible material palatable to the beginner; to provide him with a red thread through the labyrinth of ECG patterns by adopting a uniform approach, namely vectorial interpretation, in order to understand especially difficult areas (e. g. the differential diagnosis of infarction) by means of simplified diagrams; and to prepare him for the study of systematic textbooks. We believe that many such books should be read in order to comprehend a subject that is generally considered difficult by physicians and at the same time to promote critical understanding when called upon to evaluate an ECG in practice. The following publications to which we ourselves owe valuable suggestions, even if they are not explicitly mentioned in our text, are recommended: BELZ, G. G., STAUCH, M.: Notfall-EKG-Fibel, 2nd ed. Berlin, Heidel­ berg, New York: Springer 1977 BUCHNER, C. H., DRAGERT, W.: Schrittmachertherapie des Herzens.

This volume contains contributions presented at the Fourth Internatio­ nal Workshop on Psychosocial Stress and Coronary Heart Disease (CHD) held in Hoehenried near Munich in July, 1979. The workshop was organized in order to continue and enlarge upon recent discussions concerning empirical evidence and convergence in the field of stress and CHD. Proceedings of the three previous workshops were published in German by Springer-Verlag. The main topic of the 1978 conference was the present state of research in the field of type A behavior and CHD. In addition and in a certain contrast, this present volume concentrates on sociological aspects of stress experience and the development of CHD, especially myocardial infarction. It is thought that a heuristic research device should take into account both situational influences and individual predispositions on a somatic and psychological level. The scope of this book is limited by the research areas represented by the invited participants, and the editors do not claim to give a representative overview, although they include several prominent authorities among the contributors. The final chapter gives a short critical evaluation of the present state of a difficult but promising area of interdisciplinary medical research. For technical reasons discussions held at the workshop could not be included in this volume.

Since 1955, we have conducted an annual one-week ECG course at Innsbruck. This book represents a summary of our didactic experience. This English translation follows the enlarged sixth German edition. It contains many diagrams and new examples of tracings, such as the orthogonal leads system of Frank, explanation of extreme axis devia­ tion by the hemiblock concept, atrioventricular conduction disorders (His bundle electrogram), re-entry mechanisms, and the exercise ECG. The limits and dangers of ECG interpretations that, in our opinion, should be emphasized in an introductory presentation, are summarized in a final chapter. Our main aim was to make indigestible material palatable to the beginner; to provide him with a red thread through the labyrinth of ECG patterns by adopting a uniform approach, namely vectorial interpretation, in order to understand especially difficult areas (e. g. the differential diagnosis of infarction) by means of simplified diagrams; and to prepare him for the study of systematic textbooks. We believe that many such books should be read in order to comprehend a subject that is generally considered difficult by physicians and at the same time to promote critical understanding when called upon to evaluate an ECG in practice. The following publications to which we ourselves owe valuable suggestions, even if they are not explicitly mentioned in our text, are recommended: BELZ, G. G., STAUCH, M.: Notfall-EKG-Fibel, 2nd ed. Berlin, Heidel­ berg, New York: Springer 1977 BUCHNER, C. H., DRAGERT, W.: Schrittmachertherapie des Herzens.

This volume contains contributions presented at the Fourth Internatio­ nal Workshop on Psychosocial Stress and Coronary Heart Disease (CHD) held in Hoehenried near Munich in July, 1979. The workshop was organized in order to continue and enlarge upon recent discussions concerning empirical evidence and convergence in the field of stress and CHD. Proceedings of the three previous workshops were published in German by Springer-Verlag. The main topic of the 1978 conference was the present state of research in the field of type A behavior and CHD. In addition and in a certain contrast, this present volume concentrates on sociological aspects of stress experience and the development of CHD, especially myocardial infarction. It is thought that a heuristic research device should take into account both situational influences and individual predispositions on a somatic and psychological level. The scope of this book is limited by the research areas represented by the invited participants, and the editors do not claim to give a representative overview, although they include several prominent authorities among the contributors. The final chapter gives a short critical evaluation of the present state of a difficult but promising area of interdisciplinary medical research. For technical reasons discussions held at the workshop could not be included in this volume.