Skip to main content
SpringerLink
Log in

Quantitative versus qualitative Beurteilung der linksventrikulären Funktion — Praktikabilität und Limitationen

  • Chapter
Echokardiographische Diagnostik bei koronarer Herzkrankheit

  • 25 Accesses

Zusammenfassung

Die Prognose des Patienten mit koronarer Herzkrankheit ist entscheidend von den Volumina des linken Herzens und der Ejektionsfraktion abhängig (17, 32). Ein nichtinvasiver Zugang zu diesen Parametern ist daher für die Risikostratifizierung und Verlaufsbeurteilung unter Therapie von großem klinischen Wert. Einen solchen Zugang bietet die zweidimensionale Echokardiographie. Seit ihrer Einführung in die Klinik Ende der siebziger Jahre besteht jedoch eine noch immer andauernde Auseinandersetzung über die Frage, ob es möglich ist, eine exakte Quantifizierung der linksventrikulären Funktion mittels zweidimensionaler Echokardiographie vorzunehmen, oder ob nur eine mehr qualitative Beurteilung möglich ist. Die „Trackballfraktion“ auf der einen Seite ist der Meinung, daß die enddiastolische und endsystolische Endokardkontur in echokardiographischen Schnittbildern mit ausreichender Genauigkeit umfahren werden kann, um daraus mittels diverser Algorithmen Volumina und Ejektionsfraktion zu bestimmen. Die „Eyeballfraktion“ auf der anderen Seite geht davon aus, daß die visuelle Beurteilung der Endokardbewegung dem geübten Untersucher eine klinisch ausreichende Schätzung der Ejektionsfraktion erlaubt oder zumindest deren qualitative Einordnung gestattet.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Akinboboye O, Summer J, Gopal A, et al. (1995) Visual estimation of ejection fractionby two-dimensional echocardiographie: the learning curve. Clin Cardiol 1995 Dec; 18 (12): 726–729

    Article  PubMed  CAS  Google Scholar 

  2. Amico AF, Lichtenberg GS, Reisner SA, et al (1989) Superiority of visual versus computerized echocardiographic estimation of radionclide left ventricular ejaction fraction. Am Heart J 1989 Dec.; 118 (6): 1259–1265

    Article  PubMed  CAS  Google Scholar 

  3. Eaton LW, Maughan WL, Shoukas AA, Weiss JL (1979) Accurate volume determination in the eyes-related injecting canine left ventricle by two-dimensional echocardiography. Circulation 60: 320–324

    PubMed  CAS  Google Scholar 

  4. Erbel R, Schweizer P, Lambertz H, Henn G, Meyer J, Krebs W, Effert S (1983) Echoventriculography -A simultaneous analysis of two-dimensional echocardiography and cineventriculography. Circulation 67: 205–215

    Article  PubMed  CAS  Google Scholar 

  5. Erbel R, Krebs W, Henn G, Schweizer P, Richter HA, Meyer J, Effert S (1982) Comparison of single plane and biplane volume determination by two-dimensional echocardiography. Eur Heart J 3: 469–480

    PubMed  CAS  Google Scholar 

  6. Erbel R, Brennecke R, Görge G, Mohr-Kahaly S, Wittlich N, Zotz R, Meyer J (1989) Möglichkeiten und Grenzen der zweidimensionalen Echokardiographie in der quantitativen Bildanalyse. Z Kardiol 78 (Suppl. 7: 131–142

    PubMed  Google Scholar 

  7. Erbel R, Schweizer P, Henn G, Meyer J, Effert S (1982) Apikale zweidimensionale Echokardiographie. Normalwerte für die monoplane und biplane Bestimmung der Volumina und der Ejektionsfraktion des linken Ventrikels. Dtsch med Wschr 107: 1872–1877

    Article  PubMed  CAS  Google Scholar 

  8. Erbel R, Schweizer P, Krebs W, Meyer J, Effert S (1984) Sensitivity and specificity of twodimensional echocardiography in detection of impaired left ventricular function. Eur Heart J 5: 477–489

    PubMed  CAS  Google Scholar 

  9. Folland ED, Paraisi AF, Mohnihan PF et al. (1979) Assessment of left ventricular ejection fraction and volumes by real-time two-dimensional echocardiography. A comparison of cineangiographic and radionuclide techniques. Circulation 60: 760–765

    PubMed  CAS  Google Scholar 

  10. Gopal AS, Shen Z, Sapin PM, et a. (1995) Assessment of cardiac function by three-dimensional echocardiography compared with conventional noninvasive methods. Circulation 1995 Aug; 92 (4): 842–853

    PubMed  CAS  Google Scholar 

  11. Gottsaner-Wolf M, Schedlmayer-Duit J, Porenta G, et al. (1996) Assessment of left ventricular function: comparison between radionuclide angiography and semiquantitative two-dimensional echocardiographic analysis. Eur J Nucl Med 1996 Dec; 23 (12): 1613–1618

    Article  Google Scholar 

  12. Görge G, Erbel R, Brennecke R, Rupprecht HJ, Todt M, Meyer J (1992) High-Resolution two-dimensional Echocardiography Improves the Quantification of Left Ventricular Function. J Am Soc Echocardiogr 5: 125–134

    PubMed  Google Scholar 

  13. Gordon EP, Schnittger I, Fitzgerald PJ, Williams P, Popp RL (1983) Reproducibility of left ventricular volumes by two-dimensional echocardiography. J Am Coll Cardiol 2: 506–513

    Article  PubMed  CAS  Google Scholar 

  14. Himelman RB, Cassidy MM, Landzberg JS, Schiller NB (1987) Reproducibility of quantitative two-dimensional echocardiography. Am Heart J 115: 425–431

    Article  Google Scholar 

  15. Kuecherer HF, Kee LL, Modin G, Scheitlin MD, Schiller NB (1989) Echocardiography in serial evaluation of left ventricular systolic and diastolic function: Importance of image acquisition, quantitation and physiologic variability in clinical and investigational applications. J Am Soc Echo 4:203–214

    Google Scholar 

  16. Mueller X, Stauffer JC, Jaussi A, et al. (1991) Subjective visual echocardiographie estimate of left ventricular ejection fraction as an alternative to conventional echocardiographie methods. Clin Cardiol 1991 Nov; 14 (11): 898–902

    Article  PubMed  CAS  Google Scholar 

  17. Nelson GR, Cohn PF, Gorlin R (1975) Prognosis in medically treated coronary artery disease. Influence of ejection fraction compared to other parameters. Circulation 52: 408–412

    PubMed  CAS  Google Scholar 

  18. Popp RL, Harrison DC (1970) Ultrasonic cardiac echography for determining stroke volume and valvular regurgitation. Circulation 41: 493

    PubMed  CAS  Google Scholar 

  19. Popp RL, Alderman EL, Brown OR, Harrison DC (1 973) Sources of error in calculation of left ventricular volumes by echography. Am J Cardiol 31: 152

    Google Scholar 

  20. Quinones MA, Waggoner AD, Reduto LA et al. (1981) A new simplified and acurate method for determining ejection fraction with two-dimensional echocardiography. Circulation 64: 744–753

    Article  PubMed  CAS  Google Scholar 

  21. Ren JF, Kitler MN, DePace NL et al. (1983) Comparison of left ventricular ejection fraction and volumes by two-dimensional echocardiography, radionuclide angiography and cineangiography. J Cardiovasc Ultrasound 2: 3

    Google Scholar 

  22. Schiller NB, Acquatella A, Ports TA et al. (1979) Left ventricular volume from paired biplane two-dimensional echocardiography. Circulation 60: 547–555

    PubMed  CAS  Google Scholar 

  23. Schiller NB, Shah PM, Crawford M et al. (1989) Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. J Am Soc Echo 2: 358–367

    CAS  Google Scholar 

  24. Silverman NH, Ports TA, Snider R, Schiller NB, Carlsson E, Heilbron D (1980) Determination of left ventricular volume in children: echocardiographie and angiographic comparisons. Circulation 62: 548–557

    PubMed  CAS  Google Scholar 

  25. Stamm RB, Carabello BA, Mayers BL, Martin RP (1982) Two-dimensional echocardiographic measurement of left ventricular ejection fraction: prospective analysis of what constitutes an adequate determination. Am Heart J 104: 136–142

    Article  PubMed  CAS  Google Scholar 

  26. Starling MR, Crawford MH, Sorensen SG, Levi B, Richards KL, O’Rourke RA (1981) Comparative accuracy of apical biplane cross-sectional echocardiography and gated equilibrium radionuclide angiography for estimating left ventricular size and performance. Circulation 63: 1075–1081

    Article  PubMed  CAS  Google Scholar 

  27. Teichholz LE, Kreulen TH, Herman MV, Gorlin R (1972) Problems in echocardiographic volume determinations: echoangiographic correlations. Circulation 46 (suppl II): 75 (abstr)

    Google Scholar 

  28. Tortoledo FA, Quinones MA, Fernandez GC et al. (1983) Quantification of left ventricular volumes by two-dimensional echocardiography: a simplified and acurate approach. Circulation 67: 579

    Article  PubMed  CAS  Google Scholar 

  29. van Royen N, Jaffe CC, Krunholz HM, et al. (1996) Comparison and reproducibility of visual echocardiographic and quantitative radionuclide left ventricular ejection fractions. Am J Cardiol 1996 Apr 15; 77 (10): 843–850

    Article  PubMed  Google Scholar 

  30. Wahr PW, Wang YS, Schiller NB (1983) Left ventricular volumes determined by two-dimensional echocardiography in a normal adult population. J Am Coll Cardiol 1: 863–868

    Article  PubMed  CAS  Google Scholar 

  31. Weiss JL, Eaton LW, Kallman CH, Maughan WL (1983) Accuracy of volume determination by two-dimensional echocardiography: defining requirements under controlled conditions in the injecting canine left ventricle. Circulation 67: 889–899

    Article  PubMed  CAS  Google Scholar 

  32. White HD, Norris RN, Brown MA, Brandt PWT, Whitlock RML, Wild LJ (1987) Left ventricular endsysto-lic volume as the major determinant of survival after recovery from myocardial infarction. Circulation 76: 44–51

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Kardiologische Praxis, Bahnhofplatz 2, 55116, Mainz, Deutschland

    Dr. med. N. Wittlich

  2. Universität Essen, Abteilung Kardiologie, Deutschland

    R. Erbel

  3. II. Med. Klinik, Universität Mainz, Deutschland

    S. Mohr-Kahaly & J. Meyer

Authors
  1. Dr. med. N. Wittlich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Erbel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Mohr-Kahaly
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. Meyer
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinik Höhenried für Herz- und Kreislaufkrankheiten, LVA Oberbayern, 82347, Bernried, Deutschland

    J. Gehring

  2. Clinical Physiology, University Hospital, S-58185, Linköping, Sweden

    Helene von Bibra

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

About this chapter

Cite this chapter

Wittlich, N., Erbel, R., Mohr-Kahaly, S., Meyer, J. (1998). Quantitative versus qualitative Beurteilung der linksventrikulären Funktion — Praktikabilität und Limitationen. In: Gehring, J., von Bibra, H. (eds) Echokardiographische Diagnostik bei koronarer Herzkrankheit. Steinkopff. https://doi.org/10.1007/978-3-642-86473-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-86473-5_2

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-86474-2

  • Online ISBN: 978-3-642-86473-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation