Skip to main content
Log in

Bettseitige echokardiographische Evaluation der diastolischen Funktion

Schritt für Schritt

Bedside echocardiographic evaluation of diastolic function

Step by step

  • Leitthema
  • Published:
Medizinische Klinik - Intensivmedizin und Notfallmedizin Aims and scope Submit manuscript

Zusammenfassung

Die Herzinsuffizienz mit erhaltener linksventrikulärer (LV-)Funktion (HFpEF) ist insbesondere im fortgeschrittenen Lebensalter ein häufig anzutreffendes Krankheitsbild. Leitsymptom ist die Belastungsdyspnoe, die häufig den Grund für eine akute Krankenhausvorstellung darstellt. Da die Erkrankung mit einer relevanten Mortalität einhergeht, ist eine frühe Diagnose entscheidend. Die Möglichkeiten der bettseitigen echokardiographischen Evaluation werden hier dargestellt.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a common condition, especially in the elderly. The principal symptom is dyspnea on exertion, which is often the reason for emergency medical consultation. As HFpEF is associated with a significant mortality, early diagnosis is warranted. Herein, the potential of bedside echocardiography is presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Mosterd A, Hoes AW (2007) Clinical epidemiology of heart failure. Heart 93(9):1137–1146

    Article  PubMed  PubMed Central  Google Scholar 

  2. Ponikowski P et al (2016) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37(27):2129–2200

    Article  PubMed  Google Scholar 

  3. Kitzman DW et al (2001) Importance of heart failure with preserved systolic function in patients > or = 65 years of age. CHS Research Group. Cardiovascular Health Study. Am J Cardiol 87(4):413–419. https://doi.org/10.1016/s0002-9149(00)01393-x

    Article  CAS  PubMed  Google Scholar 

  4. van Riet EE et al (2014) Prevalence of unrecognized heart failure in older persons with shortness of breath on exertion. Eur J Heart Fail 16(7):772–777

    Article  CAS  PubMed  Google Scholar 

  5. Nagueh SF et al (2016) Recommendations for the evaluation of left ventricular diastolic function by Echocardiography: An update from the American society of Echocardiography and the European association of cardiovascular imaging. Eur Heart J Cardiovasc Imaging 17(12):1321–1360

    Article  PubMed  Google Scholar 

  6. Kuwaki H et al (2014) Redefining diastolic dysfunction grading: Combination of E/A ≤0.75 and deceleration time >140 ms and E/epsilon’ ≥10. Jacc Cardiovasc Imaging 7(8):749–758. https://doi.org/10.1016/j.jcmg.2014.05.002

    Article  PubMed  Google Scholar 

  7. Santos M et al (2015) E/e’ ratio in patients with unexplained Dyspnea: Lack of accuracy in estimating left ventricular filling pressure. Circ Heart Fail 8(4):749–756

    Article  PubMed  PubMed Central  Google Scholar 

  8. Neskovic AN et al (2018) Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 19(5):475–481

    Article  PubMed  Google Scholar 

  9. Ohman J et al (2017) Rapid cardiothoracic ultrasound protocol for diagnosis of acute heart failure in the emergency department. Eur J Emerg Med. https://doi.org/10.1097/mej.0000000000000499

    Article  Google Scholar 

  10. ten Freyhaus H, Michels G (2014) Koronare Herzkrankheit, akute Dyspnoe, akuter Thoraxschmerz. In: Michels G, Jaspers N (Hrsg) Notfallsonographie. Springer, Berlin, Heidelberg

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. ten Freyhaus.

Ethics declarations

Interessenkonflikt

H. ten Freyhaus gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Additional information

Redaktion

G. Michels, Köln

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

ten Freyhaus, H. Bettseitige echokardiographische Evaluation der diastolischen Funktion . Med Klin Intensivmed Notfmed 114, 499–503 (2019). https://doi.org/10.1007/s00063-019-0556-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00063-019-0556-9

Schlüsselwörter

Keywords

Navigation