{"id":183,"date":"2026-10-09T09:47:57","date_gmt":"2026-10-09T07:47:57","guid":{"rendered":"https:\/\/nzn.christianmatei.de\/?page_id=183"},"modified":"2026-10-09T09:47:57","modified_gmt":"2026-10-09T07:47:57","slug":"one-minute-learning","status":"publish","type":"page","link":"https:\/\/nzn.christianmatei.de\/?page_id=183","title":{"rendered":"one minute learning"},"content":{"rendered":"\t<div class=\"omlp-wrap\" data-omlp-reset=\"300\" data-omlp-home=\"https:\/\/nzn.christianmatei.de\/\">\n\t\t\n\t\t\t<article class=\"omlp-card\">\n\t\t<header class=\"omlp-header\">\n\t\t\t<span class=\"omlp-label\">Thema des Tages \u00b7 5. November 2026<\/span>\n\t\t\t<h2 class=\"omlp-title\">Uphill- vs. Downhill-Varizen<\/h2>\n\t\t\t\t\t<\/header>\n\t\t<div class=\"omlp-content\">\n\t\t\t<style>\n\/* ONE MINUTE LEARNING \u2013 MASTER-VORLAGE | CSS kann in WordPress zentral hinterlegt werden *\/\n.oml-card{--navy:#14263e;--blue:#2563eb;--light-blue:#eff6ff;--green:#047857;--light-green:#ecfdf5;--text:#243247;--muted:#64748b;--border:#e2e8f0;font-family:-apple-system,BlinkMacSystemFont,\"Segoe UI\",Arial,sans-serif;color:var(--text);background:#fff;border:1px solid var(--border);border-radius:18px;overflow:hidden;max-width:1440px;margin:30px auto;box-shadow:0 8px 35px rgba(15,23,42,.08);line-height:1.55}\n.oml-card *{box-sizing:border-box}.oml-card h2,.oml-card h3,.oml-card p{margin-top:0}.oml-header{background:linear-gradient(135deg,#14263e,#23466d);color:#fff;padding:34px 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var(--border);border-radius:12px;padding:12px;background:#fff}.oml-card .oml-figure svg{display:block;width:100%;height:auto}.oml-card figcaption{font-size:12px;color:var(--muted);margin:8px 4px 0}.oml-card .oml-stat-number.oml-range{font-size:clamp(28px,5vw,44px)}\n@media(max-width:650px){.oml-card .oml-figure{padding:6px}.oml-stats{gap:12px}}\n\n\/* Zwei gleich breite Hauptspalten, abh\u00e4ngig vom verf\u00fcgbaren Platz im WordPress-Block. *\/\n.oml-card{box-sizing:border-box;width:100%}\n.oml-card .oml-columns{display:grid;grid-template-columns:repeat(auto-fit,minmax(min(100%,340px),1fr));gap:28px;align-items:start;margin-bottom:24px}\n.oml-card .oml-column{min-width:0}\n.oml-card .oml-column>:last-child{margin-bottom:0}\n.oml-card .oml-grid{grid-template-columns:repeat(2,minmax(0,1fr))}\n.oml-card .oml-sources a{overflow-wrap:anywhere}\n.oml-card .oml-footer{flex-wrap:wrap}\n@media(max-width:650px){.oml-card .oml-grid{grid-template-columns:1fr}.oml-card .oml-columns{gap:24px}}\n\n\/* Die WordPress-Seitenh\u00fclle darf die komplette Lernkarte nicht in Textspalten aufteilen. *\/\n.omlp-content:has(.oml-card){column-count:1;column-width:auto;column-rule:0}\n.oml-card .oml-column{container-type:inline-size}\n.oml-card .oml-column .oml-range{font-size:clamp(28px,8cqw,44px)}\n@container(max-width:540px){.oml-card .oml-column .oml-grid{grid-template-columns:1fr}}\n<\/style>\n<article class=\"oml-card\">\n<header class=\"oml-header\">\n<div class=\"oml-topline\"><span class=\"oml-label\">ONE MINUTE LEARNING \u00b7 NOTAUFNAHME<\/span><span class=\"oml-reading\">\u23f1 ca. 60 Sekunden \u00b7 ohne Quellen<\/span><\/div>\n<h2>Uphill- vs. Downhill-Varizen<\/h2>\n<p class=\"oml-subtitle\">\u00d6sophagusvarizen: Kommt der Druck aus dem Pfortadersystem oder der oberen Hohlvene?<\/p>\n<\/header>\n<div class=\"oml-content\">\n<figure class=\"oml-figure\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" style=\"display:block;width:100%;height:auto\" viewBox=\"0 0 1440 1120\" role=\"img\" aria-labelledby=\"title desc\">\n<title id=\"title\">Uphill- und Downhill-Varizen: zwei Druckquellen<\/title>\n<desc id=\"desc\">Links: erh\u00f6hter Widerstand in der Leber f\u00fchrt zu portalem \u00dcberdruck. Blut flie\u00dft \u00fcber die linke Magenvene nach kranial durch distale \u00d6sophagusvarizen zum Azygos-System. Rechts: eine Stenose der oberen Hohlvene oberhalb der Azygos-Einm\u00fcndung f\u00fchrt zu \u00dcberdruck vor der Engstelle. Blut umgeht diese nach kaudal durch proximale \u00d6sophagusvarizen und flie\u00dft \u00fcber das Azygos-System zum Herzen.<\/desc>\n<defs>\n<marker id=\"red\" markerWidth=\"22\" markerHeight=\"22\" viewBox=\"0 0 9 9\" refX=\"7\" refY=\"4.5\" orient=\"auto\" markerUnits=\"userSpaceOnUse\"><path d=\"M0 0L9 4.5L0 9Z\" fill=\"#dc3545\"\/><\/marker>\n<marker id=\"blue\" markerWidth=\"22\" markerHeight=\"22\" viewBox=\"0 0 10 10\" refX=\"8\" refY=\"5\" orient=\"auto\" markerUnits=\"userSpaceOnUse\"><path d=\"M0 0L10 5L0 10Z\" fill=\"#2563eb\"\/><\/marker>\n<style>text{font-family:Arial,Helvetica,sans-serif;fill:#243247}.title{font-size:38px;font-weight:700;fill:#14263e}.sub{font-size:22px;fill:#64748b}.tag{font-size:16px;letter-spacing:1.5px;font-weight:700;fill:#2563eb}.heading{font-size:29px;font-weight:700;fill:#14263e}.body{font-size:21px}.small{font-size:18px;fill:#64748b}.label{font-size:20px;font-weight:700}.red{fill:#c6283b}.blue{fill:#2563eb}.white{fill:white}.line{fill:none;stroke-linecap:round;stroke-linejoin:round}.vein{stroke:#2563eb;stroke-width:8}.pressure{stroke:#dc3545;stroke-width:10}.varix{stroke:#dc3545;stroke-width:13}.leader{fill:none;stroke:#94a3b8;stroke-width:1.5}<\/style>\n<\/defs>\n<rect style=\"display:block;width:100%;height:auto\" fill=\"#fff\"\/>\n<text x=\"40\" y=\"45\" class=\"tag\">ONE MINUTE LEARNING \u00b7 NOTAUFNAHME<\/text>\n<text x=\"40\" y=\"100\" class=\"title\">Varizen entstehen vor einem Abflusshindernis<\/text>\n<text x=\"40\" y=\"138\" class=\"sub\">Der Ort des \u00dcberdrucks bestimmt Umgehungskreislauf und typische Lage.<\/text>\n<!-- UPHILL -->\n<g transform=\"translate(32 170)\">\n<rect width=\"672\" height=\"780\" rx=\"18\" fill=\"#eff6ff\" stroke=\"#bfdbfe\"\/>\n<text x=\"28\" y=\"44\" class=\"heading\">\u2191 Uphill \u00b7 portaler \u00dcberdruck<\/text>\n<text x=\"28\" y=\"76\" class=\"body\">Hindernis: erh\u00f6hter Leberwiderstand<\/text>\n<text x=\"240\" y=\"113\" class=\"small\">\u00d6sophagus<\/text>\n<path d=\"M256 133L256 492Q250 515 265 537Q285 567 322 556Q366 540 340 510L340 133\" fill=\"#fff\" stroke=\"#cbd5e1\" stroke-width=\"3\"\/>\n<path d=\"M282 151Q272 177 284 199T282 250T282 300T282 350\" class=\"line\" stroke=\"#93c5fd\" stroke-width=\"4\"\/>\n<!-- right heart outflow, correct systemic drainage -->\n<rect x=\"495\" y=\"141\" width=\"149\" height=\"66\" rx=\"14\" fill=\"#dbeafe\" stroke=\"#93c5fd\"\/>\n<text x=\"569\" y=\"167\" text-anchor=\"middle\" class=\"label blue\">Zum rechten<\/text><text x=\"569\" y=\"192\" text-anchor=\"middle\" class=\"label blue\">Herzen<\/text>\n<path d=\"M284 376C345 355 438 399 450 355L450 195Q450 174 477 174L493 174\" class=\"line vein\" marker-end=\"url(#blue)\"\/>\n<path d=\"M450 300L450 250\" class=\"line vein\" marker-end=\"url(#blue)\"\/>\n<text x=\"468\" y=\"283\" class=\"label blue\">Azygos-<\/text><text x=\"468\" y=\"308\" class=\"label blue\">System<\/text>\n<!-- liver and blocked normal route -->\n<path d=\"M57 466Q88 421 161 446L205 469Q182 508 132 514L64 501Z\" fill=\"#e9d7d4\" stroke=\"#b48d87\" stroke-width=\"2\"\/>\n<text x=\"28\" y=\"416\" class=\"label\">Leber: Widerstand \u2191<\/text>\n<path d=\"M119 558L119 484\" class=\"line pressure\" marker-end=\"url(#red)\"\/>\n<path d=\"M106 491L132 466M106 466L132 491\" stroke=\"#14263e\" stroke-width=\"5\"\/>\n<text x=\"28\" y=\"604\" class=\"label red\">Pfortaderdruck \u2191<\/text>\n<!-- portal collateral -->\n<path d=\"M119 548L210 548Q282 549 282 485\" class=\"line pressure\" marker-end=\"url(#red)\"\/>\n<text x=\"235\" y=\"594\" class=\"small\">V. gastrica sinistra<\/text>\n<path d=\"M282 485C252 475 314 457 282 445S253 420 283 411S311 390 283 376\" class=\"line varix\"\/>\n<path d=\"M317 484C294 469 338 451 315 439S299 418 316 409S331 389 315 380\" class=\"line\" stroke=\"#dc3545\" stroke-width=\"6\"\/>\n<path d=\"M364 464L364 397\" class=\"line pressure\" marker-end=\"url(#red)\"\/>\n<text x=\"393\" y=\"443\" class=\"label red\">Fluss \u2191<\/text>\n<path d=\"M327 484L406 501\" class=\"leader\"\/>\n<text x=\"412\" y=\"510\" class=\"label red\">Distale Varizen<\/text><text x=\"412\" y=\"537\" class=\"small\">unterer \u00d6sophagus<\/text>\n<rect x=\"24\" y=\"643\" width=\"624\" height=\"111\" rx=\"12\" fill=\"#14263e\"\/>\n<text x=\"44\" y=\"676\" class=\"label white\">Blut umgeht die Leber<\/text>\n<text x=\"44\" y=\"707\" class=\"body white\">Pfortadersystem \u2192 \u00d6sophagusvenen \u2191<\/text>\n<text x=\"44\" y=\"737\" class=\"body white\">\u2192 Azygos-System \u2192 rechtes Herz<\/text>\n<\/g>\n<!-- DOWNHILL -->\n<g transform=\"translate(736 170)\">\n<rect width=\"672\" height=\"780\" rx=\"18\" fill=\"#f8fafc\" stroke=\"#e2e8f0\"\/>\n<text x=\"28\" y=\"44\" class=\"heading\">\u2193 Downhill \u00b7 oberer Kavaldruck<\/text>\n<text x=\"28\" y=\"76\" class=\"body\">Hindernis: Obstruktion der V. cava superior<\/text>\n<text x=\"237\" y=\"113\" class=\"small\">\u00d6sophagus<\/text>\n<path d=\"M256 133L256 492Q250 515 265 537Q285 567 322 556Q366 540 340 510L340 133\" fill=\"#fff\" stroke=\"#cbd5e1\" stroke-width=\"3\"\/>\n<path d=\"M283 355Q273 382 284 406T282 450T282 485\" class=\"line\" stroke=\"#93c5fd\" stroke-width=\"4\"\/>\n<!-- cava: upstream red, obstruction, downstream blue -->\n<text x=\"431\" y=\"117\" class=\"label\">Kopf \/ Arme<\/text>\n<path d=\"M527 139L527 288\" class=\"line pressure\"\/>\n<path d=\"M527 145L527 180\" class=\"line pressure\" marker-end=\"url(#red)\"\/>\n<text x=\"551\" y=\"192\" class=\"label red\">Druck \u2191<\/text>\n<text x=\"551\" y=\"223\" class=\"small\">SVC<\/text>\n<path d=\"M527 313L527 529\" class=\"line vein\" marker-end=\"url(#blue)\"\/>\n<path d=\"M514 278L540 307M514 307L540 278\" stroke=\"#14263e\" stroke-width=\"6\"\/>\n<path d=\"M547 291L568 291\" class=\"leader\"\/>\n<text x=\"576\" y=\"287\" class=\"label\">Eng-<\/text><text x=\"576\" y=\"312\" class=\"label\">stelle<\/text>\n<!-- upper collateral and proximal varices -->\n<path d=\"M527 204L351 204Q283 204 283 241\" class=\"line pressure\" marker-end=\"url(#red)\"\/>\n<text x=\"312\" y=\"173\" class=\"small\">Umgehung<\/text>\n<path d=\"M283 241C252 253 314 271 282 283S253 307 283 317S311 338 283 351\" class=\"line varix\"\/>\n<path d=\"M315 242C294 256 338 273 315 286S300 307 317 316S332 337 315 350\" class=\"line\" stroke=\"#dc3545\" stroke-width=\"6\"\/>\n<path d=\"M222 248L222 326\" class=\"line pressure\" marker-end=\"url(#red)\"\/>\n<text x=\"48\" y=\"266\" class=\"label red\">Proximale<\/text><text x=\"48\" y=\"292\" class=\"label red\">Varizen<\/text><text x=\"48\" y=\"322\" class=\"small\">oberer\/mittlerer<\/text><text x=\"48\" y=\"347\" class=\"small\">\u00d6sophagus<\/text>\n<text x=\"119\" y=\"387\" class=\"label red\">Fluss \u2193<\/text>\n<!-- reentry via azygos below obstruction -->\n<path d=\"M283 351Q282 393 331 393L424 393Q452 393 452 367L452 355Q452 333 481 333L527 333\" class=\"line vein\" marker-end=\"url(#blue)\"\/>\n<text x=\"373\" y=\"437\" class=\"label blue\">Azygos-System<\/text>\n<path d=\"M452 400L452 415\" class=\"leader\"\/>\n<rect x=\"453\" y=\"536\" width=\"188\" height=\"64\" rx=\"14\" fill=\"#dbeafe\" stroke=\"#93c5fd\"\/>\n<text x=\"547\" y=\"574\" text-anchor=\"middle\" class=\"label blue\">Rechtes Herz<\/text>\n<text x=\"28\" y=\"575\" class=\"small\">Gezeigt: Engstelle oberhalb der<\/text><text x=\"28\" y=\"603\" class=\"small\">Azygos-Einm\u00fcndung.<\/text>\n<rect x=\"24\" y=\"643\" width=\"624\" height=\"111\" rx=\"12\" fill=\"#14263e\"\/>\n<text x=\"44\" y=\"676\" class=\"label white\">Blut umgeht die obere Hohlvenen-Engstelle<\/text>\n<text x=\"44\" y=\"707\" class=\"body white\">Oberer K\u00f6rper \u2192 \u00d6sophagusvenen \u2193<\/text>\n<text x=\"44\" y=\"737\" class=\"body white\">\u2192 Azygos-System \u2192 rechtes Herz<\/text>\n<\/g>\n<circle cx=\"47\" cy=\"987\" r=\"7\" fill=\"#dc3545\"\/><text x=\"65\" y=\"994\" class=\"small\">Rot: \u00dcberdruck \/ erweiterte Venen<\/text>\n<path d=\"M481 987L520 987\" class=\"line vein\" marker-end=\"url(#blue)\"\/><text x=\"535\" y=\"994\" class=\"small\">Blau: ven\u00f6ser Abfluss<\/text>\n<text x=\"40\" y=\"1030\" class=\"small\">Vereinfachtes Flussschema, nicht ma\u00dfstabsgetreu. Varizen sind Venen in der \u00d6sophaguswand.<\/text>\n<text x=\"40\" y=\"1060\" class=\"small\">Bei Beteiligung des Azygos-Abflusses k\u00f6nnen Downhill-Varizen den gesamten \u00d6sophagus betreffen.<\/text>\n<a href=\"https:\/\/doi.org\/10.1186\/s12876-016-0548-7\"><text x=\"40\" y=\"1097\" font-size=\"15\" fill=\"#2563eb\">Quellen: Loudin et al., BMC Gastroenterol 2016;16:134 \u00b7 doi:10.1186\/s12876-016-0548-7<\/text><\/a>\n<a href=\"https:\/\/doi.org\/10.1016\/S1542-3565(07)01049-X\"><text x=\"830\" y=\"1097\" font-size=\"15\" fill=\"#2563eb\">Calderwood &amp; Mishkin, Clin Gastroenterol Hepatol 2008;6:e1.<\/text><\/a>\n<\/svg>\n<figcaption>Portaler und oberer kavaler \u00dcberdruck: schematische Darstellung der Umgehungskreisl\u00e4ufe.<\/figcaption><\/figure>\n<div class=\"oml-columns\">\n<div class=\"oml-column\">\n<div class=\"oml-section-title\">Die wichtigsten Unterschiede [1, 2]<\/div>\n<div class=\"oml-grid\">\n<section class=\"oml-panel cap\"><div class=\"oml-panel-label\">\u2191 UPHILL<\/div><h3>Portal \u2192 kranial<\/h3><p><strong>Ursache:<\/strong> portale Hypertension, meist Zirrhose.<br><strong>Lage:<\/strong> vorwiegend distaler \u00d6sophagus.<br><strong>Fluss:<\/strong> Pfortadersystem \u2192 V. gastrica sinistra \u2192 \u00d6sophagusvenen \u2192 Azygos-System.<\/p><\/section>\n<section class=\"oml-panel hap\"><div class=\"oml-panel-label\">\u2193 DOWNHILL<\/div><h3>Kaval \u2192 kaudal<\/h3><p><strong>Ursache:<\/strong> meist Obstruktion der V. cava superior (SVC).<br><strong>Lage:<\/strong> vorwiegend proximal\/mittig.<br><strong>Fluss:<\/strong> oberer K\u00f6rper \u2192 \u00d6sophagusvenen \u2192 kaudale Kollateralen.<\/p><\/section>\n<\/div>\n<div class=\"oml-section-title\">Woran denken? [1]<\/div>\n<div class=\"oml-benefits\">\n<div class=\"oml-benefit\"><div class=\"oml-icon\">1<\/div><div><strong>Katheter oder Tumor?<\/strong><span>ZVK-\/Dialysekatheter-bedingte Stenose oder Thrombose; mediastinale Raumforderung.<\/span><\/div><\/div>\n<div class=\"oml-benefit\"><div class=\"oml-icon\">2<\/div><div><strong>Hinweise auf obere Einflussstauung<\/strong><span>Gesichts-\/Halsschwellung und thorakale Kollateralvenen \u2192 SVC-Abfluss pr\u00fcfen.<\/span><\/div><\/div>\n<div class=\"oml-benefit\"><div class=\"oml-icon\">3<\/div><div><strong>Lage ist ein Hinweis<\/strong><span>Bei Beteiligung des Azygos-Abflusses k\u00f6nnen Downhill-Varizen den gesamten \u00d6sophagus betreffen.<\/span><\/div><\/div>\n<\/div>\n<\/div>\n<div class=\"oml-column\">\n<section class=\"oml-evidence\" aria-label=\"Wissenschaftliche Evidenz\">\n<div class=\"oml-evidence-title\">EVIDENZ \u00b7 RETROSPEKTIVE SERIE, 2018 [2]<\/div>\n<div class=\"oml-stats\"><div class=\"oml-stat\"><div class=\"oml-stat-number oml-range\">129\/25.680<\/div><div class=\"oml-stat-label\">Endoskopien mit Downhill-Varizen (0,5 %)<\/div><\/div><div class=\"oml-stat\"><div class=\"oml-stat-number\">0<\/div><div class=\"oml-stat-label\">dokumentierte GI-Blutungen bei diesen 129 Betroffenen<\/div><\/div><\/div>\n<p class=\"oml-evidence-note\">Selektierte retrospektive Daten: kein Beleg f\u00fcr Harmlosigkeit. Therapieevidenz \u00fcberwiegend Fallberichte; keine randomisierten Vergleiche.<\/p>\n<\/section>\n<section class=\"oml-dose\"><div class=\"oml-dose-label\">PRAXIS \u00b7 BEI BLUTUNG [1, 3]<\/div><div class=\"oml-dose-main\">Stabilisieren \u2192 Endoskopie<\/div><p><strong>Uphill:<\/strong> vasoaktive Therapie sofort, Antibiotikaprophylaxe bei Zirrhose; Ligatur, Endoskopie nach Stabilisierung innerhalb 12 h.<br><strong>Downhill:<\/strong> endoskopische Blutstillung ggf. als \u00dcberbr\u00fcckung; kontrastverst\u00e4rktes Thorax-CT zur Ursachenkl\u00e4rung und SVC-Obstruktion interdisziplin\u00e4r behandeln, z. B. Rekanalisation\/Stent.<\/p><\/section>\n<div class=\"oml-warning\"><strong>\u26a0\ufe0f Fallstrick:<\/strong> Bei isolierten Downhill-Varizen ohne portale Hypertension sind TIPS und portaldrucksenkende Medikamente keine etablierte kausale Therapie. [1]<\/div>\n<div class=\"oml-takehome\"><strong>TAKE-HOME-MESSAGE<\/strong><p>Uphill: Pfortaderdruck senken.<br>Downhill: oberen ven\u00f6sen Abfluss wiederherstellen.<\/p><\/div>\n<\/div>\n<\/div>\n<details class=\"oml-sources\"><summary>Wissenschaftliche Quellen anzeigen<\/summary><ul>\n<li>[1] <a href=\"https:\/\/doi.org\/10.1186\/s12876-016-0548-7\" target=\"_blank\" rel=\"noopener noreferrer\">Loudin et al. Bleeding \u2018downhill\u2019 esophageal varices associated with benign superior vena cava obstruction. BMC Gastroenterology, 2016.<\/a> Fallbericht und Literatur\u00fcbersicht.<\/li>\n<li>[2] <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6091282\/\" target=\"_blank\" rel=\"noopener noreferrer\">Ayvaz et al. Are Downhill Varices an Overlooked Entity of Upper Gastrointestinal Bleedings? Gastroenterology Research and Practice, 2018.<\/a> Retrospektive Endoskopieserie.<\/li>\n<li>[3] <a href=\"https:\/\/doi.org\/10.1016\/j.jhep.2021.12.022\" target=\"_blank\" rel=\"noopener noreferrer\">de Franchis et al. Baveno VII \u2013 Renewing consensus in portal hypertension. Journal of Hepatology, 2022.<\/a> Empfehlungen 6.5, 6.7, 6.17 und 6.21 zur portalhypertensiven Blutung.<\/li>\n<\/ul><\/details>\n<\/div>\n<footer class=\"oml-footer\"><span>ONE MINUTE LEARNING \u00b7 NOTFALLMEDIZIN<\/span><span>Stand: Oktober 2026<\/span><\/footer>\n<\/article>\n\t\t<\/div>\n\t<\/article>\n\t\n\t\t\t<aside class=\"omlp-feedback omlp-feedback-inline\" data-omlp-post=\"202\" data-omlp-endpoint=\"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/oml\/v1\/feedback\" aria-label=\"Feedback zum Thema\">\n\t\t<div class=\"omlp-fb-ask\">\n\t\t\t<p class=\"omlp-fb-question\">Wie fandest du dieses Thema?<\/p>\n\t\t\t<div class=\"omlp-fb-buttons\">\n\t\t\t\t<button type=\"button\" class=\"omlp-fb-btn omlp-fb-up\" data-vote=\"up\">\n\t\t\t\t\t<svg viewBox=\"0 0 64 64\" aria-hidden=\"true\" focusable=\"false\"><circle cx=\"32\" cy=\"32\" r=\"29\" fill=\"currentColor\" fill-opacity=\".15\" stroke=\"currentColor\" stroke-width=\"3\"\/><circle cx=\"23\" cy=\"26\" r=\"3\" fill=\"currentColor\"\/><circle cx=\"41\" cy=\"26\" r=\"3\" fill=\"currentColor\"\/><path d=\"M21 39 Q32 50 43 39\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\"\/><\/svg>\t\t\t\t\t<span class=\"omlp-fb-label\">Interessant<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"omlp-fb-btn omlp-fb-down\" data-vote=\"down\">\n\t\t\t\t\t<svg viewBox=\"0 0 64 64\" aria-hidden=\"true\" focusable=\"false\"><circle cx=\"32\" cy=\"32\" r=\"29\" fill=\"currentColor\" fill-opacity=\".15\" stroke=\"currentColor\" stroke-width=\"3\"\/><circle cx=\"23\" cy=\"26\" r=\"3\" fill=\"currentColor\"\/><circle cx=\"41\" cy=\"26\" r=\"3\" fill=\"currentColor\"\/><path d=\"M21 46 Q32 35 43 46\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\"\/><\/svg>\t\t\t\t\t<span class=\"omlp-fb-label\">Nicht so spannend<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"omlp-fb-status\" role=\"status\" aria-live=\"polite\" hidden>\n\t\t\t<svg viewBox=\"0 0 24 24\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M5 12.5l4.5 4.5L19 7.5\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg>\n\t\t\t<span class=\"omlp-fb-status-text\"><\/span>\n\t\t<\/div>\n\t<\/aside>\n\t\n\t\t\t\t\t<details class=\"omlp-archive\">\n\t\t\t\t<summary>Fr\u00fchere Themen (10)<\/summary>\n\t\t\t\t<ul>\n\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<span class=\"omlp-archive-date\">4. 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Oktober 2026<\/span>\n\t\t\t\t\t\t\t<a href=\"https:\/\/nzn.christianmatei.de\/?oml=202\">Uphill- vs. Downhill-Varizen<\/a>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t<\/details>\n\t\t\t<\/div>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-183","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/wp\/v2\/pages\/183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=183"}],"version-history":[{"count":2,"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/wp\/v2\/pages\/183\/revisions"}],"predecessor-version":[{"id":185,"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=\/wp\/v2\/pages\/183\/revisions\/185"}],"wp:attachment":[{"href":"https:\/\/nzn.christianmatei.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}