{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:09:39Z","timestamp":1755220179478,"version":"3.43.0"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"17","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>Eine nicht optimale Temperatur (NOT) hat Vasodilatation zur Folge und damit ein erh\u00f6htes Risiko f\u00fcr kardiale Notf\u00e4lle. Bei chronisch kranken Herzpatienten f\u00fchrt dies vermehrt zu Isch\u00e4mie und Herzinfarkt \u2013 vor allem bei \u00e4lteren Menschen sind hitzedingte kardiovaskul\u00e4re Ereignisse die h\u00e4ufigste Todesursache. Au\u00dferdem kann Hitze die Wirkung von kardiovaskul\u00e4ren Medikamenten erheblich beeinflussen, indem sie ihre Aufnahme, Verteilung und Ausscheidung ver\u00e4ndert und die therapeutische Wirkung beeinflusst.<\/jats:p><jats:p>Die WHO empfiehlt, Hitze-Gesundheitsaktionspl\u00e4ne (HHAP) zu entwickeln, um hitzebedingte Gesundheitsrisiken zu verhindern. Die WHO nennt 8 Schl\u00fcsselelemente f\u00fcr eine effektive Umsetzung: Festlegung einer leitenden Stelle, Warnsysteme, Gesundheitsinformationen zu Hitze, Reduzierung der Hitzebelastung in Innenr\u00e4umen, besondere F\u00fcrsorge f\u00fcr gef\u00e4hrdete Gruppen, Vorbereitung des Gesundheits- und Sozialsystems, langfristige Stadtplanung sowie Echtzeit-\u00dcberwachung und Evaluierung.<\/jats:p><jats:p>Gesundheitssysteme spielen eine zentrale Rolle bei der Klima-Anpassung, indem sie Gesundheitsrisiken, Notfallreaktionen und die Versorgung gef\u00e4hrdeter Bev\u00f6lkerungsgruppen adressieren. Die WHO-Rahmenwerke f\u00fcr klimaresiliente Gesundheitssysteme betonen die Wichtigkeit einer nachhaltigen Finanzierung, F\u00fchrung und Personalausstattung sowie des Zugangs zu Gesundheitsdiensten, einer Gemeinschaftsbeteiligung und der Reduzierung von CO\u2082-Emissionen. Der Aufbau resilienter Systeme ist entscheidend, um eine kontinuierliche Versorgung sicherzustellen.<\/jats:p>","DOI":"10.1055\/a-2420-6262","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T22:52:30Z","timestamp":1754607150000},"page":"1034-1039","source":"Crossref","is-referenced-by-count":0,"title":["Klima und Herz"],"prefix":"10.1055","volume":"150","author":[{"given":"Thomas","family":"M\u00fcnzel","sequence":"additional","affiliation":[{"name":"2. 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