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[马克斯·雷格与他的早逝:这是否本可避免?:若得到充分的重症监护,他是否能活得更久?]

[Max Reger and his early death: could it have been avoided? : Would he have lived longer with adequate intensive care?].

作者信息

Trappe Hans-Joachim

机构信息

Medizinische Klinik II (Schwerpunkte Kardiologie und Angiologie), Marien Hospital Herne, Universitätsklinikum der Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2025 May;120(4):329-336. doi: 10.1007/s00063-024-01144-w. Epub 2024 Apr 23.

DOI:10.1007/s00063-024-01144-w
PMID:38652144
Abstract

BACKGROUND

Max Reger was an organist, university teacher and composer whose life, illnesses, death and dying are not or hardly known to many.

OBJECTIVES

Which illnesses determined Reger's life and did his lifestyle and illnesses influence his compositional work? Could his early death have been avoided? From today's point of view, could modern intensive care medicine have helped him?

MATERIAL AND METHODS

A detailed analysis of Reger's diseases was performed using scientific databases (medline, pubmed). All published articles were evaluated and examined in detail.

RESULTS

Max Reger was born in Brand in 1873 and received early lessons in violin, piano and organ playing. From 1890 he studied at the conservatory in Sondershausen, later at the conservatory in Wiesbaden. In 1901 he moved to Munich, and in 1907 to Leipzig, where he became university director and professor at the conservatory. Four years later he took over the court chapel in Meiningen, but ended this activity again in 1914. A year later he moved to Jena and wrote his late works in the "Jenaish style". Reger suffered from many illnesses, especially bipolar disorder with manic and depressive phases. He had metabolic syndrome with arterial hypertension, was overweight and smoked incredibly heavily. Overeating ("binge eating" syndrome) and polydipsia were other prominent findings. Reger's life was characterized by alcohol abuse, often aggravated by professional and/or human crises. In 1916 Reger died suddenly and unexpectedly in Leipzig of cardiovascular failure.

DISCUSSION

Reger was an outstanding personality who left behind an extensive oeuvre. Among the highlights of Max Reger's oeuvre are his chorale fantasies such as on "Ein' feste Burg ist unser Gott" (op. 27) or also the "Fantasia and Fugue on B A C H" (op. 46), but other compositions such as the Mozart Variations (op. 132) and the Clarinet Quintet (op. 146) are also world-famous. His lifestyle certainly favored coronary heart disease, the consequences of which caused Reger's sudden, unexpected and much too early death. Today's modern intensive care medicine could probably have prolonged his life.

摘要

背景

马克斯·雷格是一位管风琴家、大学教师兼作曲家,他的生平、疾病、死亡情况鲜为人知或几乎不为人所知。

目的

哪些疾病决定了雷格的人生,他的生活方式和疾病是否影响了他的作曲作品?他的早逝是否可以避免?从当今的角度来看,现代重症医学能否帮助他?

材料与方法

利用科学数据库(医学在线、医学期刊数据库)对雷格的疾病进行详细分析。对所有已发表的文章进行评估并详细审查。

结果

马克斯·雷格1873年出生于布兰德,早年学习小提琴、钢琴和管风琴演奏。1890年起,他先后在松德斯豪森音乐学院和威斯巴登音乐学院学习。1901年他搬到慕尼黑,1907年搬到莱比锡,在那里他成为大学音乐总监和音乐学院教授。四年后,他接管了迈宁根宫廷教堂,但1914年又结束了这项工作。一年后他搬到耶拿,并以“耶拿风格”创作了他的晚期作品。雷格患有多种疾病,尤其是伴有躁狂和抑郁阶段的双相情感障碍。他患有代谢综合征并伴有动脉高血压,超重且吸烟极其严重。暴饮暴食(“暴饮暴食”综合征)和烦渴是其他突出症状。雷格的生活以酗酒为特征,职业和/或人际危机常常使情况恶化。1916年,雷格在莱比锡因心血管衰竭突然意外去世。

讨论

雷格是一位杰出的人物,留下了大量作品。马克斯·雷格作品的亮点包括他的众赞歌幻想曲,如基于《我们的上帝是坚固堡垒》(作品27号)的,以及《巴赫主题幻想曲与赋格》(作品46号),但其他作品,如《莫扎特变奏曲》(作品132号)和《单簧管五重奏》(作品146号)也举世闻名。他的生活方式无疑助长了冠心病,其后果导致雷格突然、意外且过早地离世。当今的现代重症医学或许可以延长他的生命。

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