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MMW - Fortschritte der Medizin

, Volume 161, Issue 6, pp 39–42 | Cite as

Grundlagen und Limitationen der Auskultation

Das auffällige Herzgeräusch

  • Matthias SchneiderEmail author
  • Stefan Kastl
  • Thomas Binder
FORTBILDUNG . SCHWERPUNKT
  • 48 Downloads

Die Auskultation des Herzens gehört zu jeder vollständigen klinischen Untersuchung. Herztöne sind normal, Herzgeräusche dagegen pathologisch. Wichtig zu unterscheiden sind das Systolikum und das Diastolikum. Ein auffälliges Herzgeräusch sollte mittels Herzultraschall abgeklärt werden.

Auscultation of the heart in the 21st century

Keywords

Auscultation murmur stethoscop echocardiography 

Literatur

  1. 1.
    Varadarajan P, Sharma S, Heywood JT, Pai RG. High prevalence of clinically silent severe mitral regurgitation in patients with heart failure: role for echocardiography. J Am Soc Echocardiogr. 2006;19(12):1458–61.CrossRefGoogle Scholar
  2. 2.
    Tavel ME. Cardiac auscultation. A glorious past—but does it have a future? Circulation. 1996;93(6):1250–3.CrossRefGoogle Scholar
  3. 3.
    Sztajzel JM, Picard-Kossovsky M, Lerch R, Vuille C, Sarasin FP. Accuracy of cardiac auscultation in the era of Doppler-echocardiography: a comparison between cardiologists and internists. Int J Cardiol. 2010;138(3):308–10.CrossRefGoogle Scholar
  4. 4.
    Mahnke CB, Nowalk A, Hofkosh D, Zuberbuhler JR, Law YM. Comparison of two educational interventions on pediatric resident auscultation skills. Pediatrics. 2004;113(5):1331–5.CrossRefGoogle Scholar
  5. 5.
    Gaskin PR, Owens SE, Talner NS, Sanders SP, Li JS. Clinical auscultation skills in pediatric residents. Pediatrics. 2000;105(6):1184–7.CrossRefGoogle Scholar
  6. 6.
    Lok CE, Morgan CD, Ranganathan N. The accuracy and interobserver agreement in detecting the ‚gallop sounds‘ by cardiac auscultation. Chest. 1998;114(5):1283–8.CrossRefGoogle Scholar
  7. 7.
    Gardezi SKM, Myerson SG, Chambers J, Coffey S, d’Arcy J, Hobbs FDR, et al. Cardiac auscultation poorly predicts the presence of valvular heart disease in asymptomatic primary care patients. Heart. 2018;104(22):1832–5.CrossRefGoogle Scholar
  8. 8.
    Hoeting NM, McCracken CE, McConnell M, Sallee D, Iannucci GJ, Oster ME. Systolic ejection click versus split first heart sound: Are our ears deceiving us? Congenit Heart Dis. 2017;12(4):417–20.CrossRefGoogle Scholar
  9. 9.
    Patel A, Tomar NS, Bharani A. Utility of physical examination and comparison to echocardiography for cardiac diagnosis. Indian Heart J. 2017;69(2):141–5.CrossRefGoogle Scholar
  10. 10.
    Vukanovic-Criley JM, Criley S, Warde CM, Boker JR, Guevara-Matheus L, Churchill WH, et al. Competency in cardiac examination skills in medical students, trainees, physicians, and faculty: a multicenter study. Arch Intern Med. 2006;166(6):610–6.CrossRefGoogle Scholar
  11. 11.
    Grayburn PA, Smith MD, Handshoe R, Friedman BJ, DeMaria AN. Detection of aortic insufficiency by standard echocardiography, pulsed Doppler echocardiography, and auscultation. A comparison of accuracies. Ann Intern Med. 1986;104(5):599–605.CrossRefGoogle Scholar
  12. 12.
    Lam MZ, Lee TJ, Boey PY, Ng WF, Hey HW, Ho KY, et al. Factors influencing cardiac auscultation proficiency in physician trainees. Singapore Med J. 2005;46(1):11–4.PubMedGoogle Scholar
  13. 13.
    Thomas F, Flint N, Setareh-Shenas S, Rader F, Kobal SL, Siegel RJ. Accuracy and Efficacy of Hand-Held Echocardiography in Diagnosing Valve Disease: A Systematic Review. Am J Med. 2018;131(10):1155–60.CrossRefGoogle Scholar
  14. 14.
    Kobal SL, Trento L, Baharami S, Tolstrup K, Naqvi TZ, Cercek B, et al. Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol. 2005;96(7):1002–6.CrossRefGoogle Scholar
  15. 15.
    Stokke TM, Ruddox V, Sarvari SI, Otterstad JE, Aune E, Edvardsen T. Brief group training of medical students in focused cardiac ultrasound may improve diagnostic accuracy of physical examination. J Am Soc Echocardiogr. 2014;27(11):1238–46.CrossRefGoogle Scholar
  16. 16.
    Shmueli H, Burstein Y, Sagy I, Perry ZH, Ilia R, Henkin Y, et al. Briefly trained medical students can effectively identify rheumatic mitral valve injury using a hand-carried ultrasound. Echocardiography. 2013;30(6):621–6.CrossRefGoogle Scholar
  17. 17.
    Solomon SD, Saldana F. Point-of-care ultrasound in medical education—stop listening and look. N Engl J Med. 2014;370(12):1083–5.CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Matthias Schneider
    • 1
    Email author
  • Stefan Kastl
    • 1
  • Thomas Binder
    • 1
  1. 1.Medizinische Universität Wien, Universitätsklinik für Innere Medizin II/Abteilung KardiologieWienÖsterreich

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