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Infarktkomplikationen — echokardiographische Diagnostik und therapeutische Relevanz

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Echokardiographische Diagnostik bei koronarer Herzkrankheit

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Zusammenfassung

Die Echokardiographie hat sich in den letzten Jahren zu einem unverzichtbaren diagnostischen Instrument der kardiologischen Intensivmedizin entwickelt. Sie stellt eine nichtinvasive, jederzeit wiederholbare und zuverlässige Untersuchungsmethode zur differentialdiagnostischen Abklärung des akuten Thoraxschmerzes bei Myokardinfarkt, Aortendissektion, Lungenembolie oder Perikarditis dar (1). Im Akutstadium des Myokardinfarktes ist sie eine rasch verfügbare Methode zur umfassenden Erkennung der Ursachen einer hämodynamischen Verschlechterung z.B. infolge einer Septum-, Wand- oder Papillarmus-kelruptur, eines rechtsventrikulären Infarkts oder eines ausgedehnten Perikardergusses. Sie ermöglicht die Indikationsstellung zum notfallmäßigen kardiochirurgischen Eingriff in vielen Fällen, bei denen die invasive Diagnostik ein unnötig hohes Risiko darstellen würde (7). Durch den transösophagealen Zugang ist die Echokardiographie auch bei schwierigen transthorakalen Untersuchungsbedingungen, bei beatmeten Patienten und bei Einsatz eines mechanischen linksventrikulären Unterstützungsverfahrens eine wegweisende diagnostische Methode.

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Author information

Authors and Affiliations

  1. Klinik für Kardiologie, Zentralklinik Bad Berka GmbH, Eberhard-Hasche-Weg 1, 99438, Bad Berka, Deutschland

    Dr. med. S. Heinbuch

  2. Klinik Höhenried, Bernried, Deutschland

    J. Gehring & G. Klein

Authors
  1. Dr. med. S. Heinbuch
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  2. J. Gehring
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  3. G. Klein
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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

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

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Heinbuch, S., Gehring, J., Klein, G. (1998). Infarktkomplikationen — echokardiographische Diagnostik und therapeutische Relevanz. In: Gehring, J., von Bibra, H. (eds) Echokardiographische Diagnostik bei koronarer Herzkrankheit. Steinkopff. https://doi.org/10.1007/978-3-642-86473-5_7

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  • DOI: https://doi.org/10.1007/978-3-642-86473-5_7

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-86474-2

  • Online ISBN: 978-3-642-86473-5

  • eBook Packages: Springer Book Archive

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