Skip to main content
SpringerLink
Log in

Echokardiographische Diagnostik

  • Chapter
Infektiöse Endokarditis

  • 46 Accesses

Zusammenfassung

Der Echokardiographie kommt im Rahmen der Diagnostik der infektiösen Endokarditis ein besonderer Stellenwert zu: Sie ist nach wie vor die einzige klinisch relevante Methode, die den direkten Nachweis von Vegetationen an den befallenen Herzklappen erlaubt (was früher ausschließlich der Chirurgie bzw. der Autopsie vorbehalten war), sie ermöglicht die frühzeitige Identifizierung von Komplikationen der Erkrankung (wie Abszeß- und Fistelbildungen), sie erlaubt eine Beurteilung der Ventrikelfunktion und (in Kombination mit dem Doppler) des Schweregrades des Klappenvitiums, und letztendlich lassen die echokardiographischen Befunde auch prognostische Rückschlüsse zu. Dabei vereint die präkordiale Echokardiographie in sich die Vorzüge der Nichtinvasivität, des Fehlens unerwünschter bzw. schädlicher Nebenwirkungen, der relativ schnellen Durchführbarkeit direkt am Krankenbett sowie einer guten Reproduzierbarkeit. Dies gilt mit bestimmten Einschränkungen auch für die Ösophagus-Echokardiographie, die insbesondere im Rahmen der Diagnostik der infektiösen Endokarditis in den letzten Jahren zunehmend an Bedeutung gewonnen hat und sich (obwohl es sich um eine semiinvasive Technik handelt) bei entsprechender Untersuchererfahrung durch eine hohe Praktikabilität und ein akzeptabel niedriges Risiko auszeichnet (27).

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 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
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. Alam M, Rosman HS, Sun I (1992) Transesophageal echocardiographic evaluation of St. Jude medical and bioprosthetic valve endocarditis. Am Heart J 123: 236

    Article  CAS  PubMed  Google Scholar 

  2. Allen A (1939) Nature of vegetations of bacterial endocarditis. Arch Pathol 27: 661

    Google Scholar 

  3. Allen H, Harris A, Leatham A (1974) Significance and prognosis of an isolated late systolic murmur: A 9- to 22-year follow-up. Br Heart J 36: 525

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Ambrose JA, Meiler J, Teichholz LE, Herman MV (1978) Premature closure of the mitral valve: echocardiographic clue for the diagnosis of aortic dissection. Chest 73:121

    Article  CAS  PubMed  Google Scholar 

  5. Andy JJ, Sheikh MU, Ali N, Barnes BO, Fox LM, Curry Ch L, Roberts WC (1977) Echocardiographic observations in opiate addicts with active infective endocarditis. Am J Cardiol 40: 17

    Article  CAS  PubMed  Google Scholar 

  6. Arnett EN, Roberts WC (1976) Valve ring abscess in infective endocarditis: frequency, location, and clues to clinical diagnosis from the study of 95 necropsy patients. Circulation 54: 140

    Article  CAS  PubMed  Google Scholar 

  7. Arvan S, Cagin N, Levitt B, Kleid J J (1976) Echocardiographic findings in a patient with Candida endocarditis of the aortic valve. Chest 70: 300

    Article  CAS  PubMed  Google Scholar 

  8. Assey ME, Usher BW (1979) Development of aortic valvular vegetations during appropriate antibiotic therapy. Chest 76: 223

    Article  CAS  PubMed  Google Scholar 

  9. Bardy GH, Talano JV, Reisberg B et al. (1983) Sensitivity and specificity of echocardiography in high-risk population of patients for infective endocarditis: significance of vegetation size. J Cardiovasc Ultrasonogr 2: 23

    Google Scholar 

  10. Ben-Zvi J, Hildner FJ, Chandraratna PA, Samet P (1974) Thrombosis on Björk-Shiley aortic valve prosthesis: clinical, arteriographic, echocardiographic, and therapeutic observations in seven cases. Am J Cardiol 34: 538

    Article  CAS  PubMed  Google Scholar 

  11. Bierbrier GS, Novick RJ, Guiraudon C et al. (1991) Left atrial bacterial mural endocarditis. Chest 99: 757

    Article  CAS  PubMed  Google Scholar 

  12. Birmingham GD, Rahko PS, Ballantyne F (1992) Improved detection of infective endocarditis with transesophageal echocardiography. Am Heart J 123: 774

    Article  CAS  PubMed  Google Scholar 

  13. Botvinick EH, Schiller NB, Wickramasekaran R, Klausner SC, Gertz E (1975) Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency: Its clinical implications. Circulation 51: 836

    Article  CAS  PubMed  Google Scholar 

  14. Boucher CA, Fallon JT, Myers GS, Hutter AM, Buckley MJ (1977) The value and limitations of echocardiography in recording mitral valve vegetations. Am Heart J 94: 37

    Article  CAS  PubMed  Google Scholar 

  15. Buchbinder N, Roberts A (1972) Active infective endocarditis confined to mural endocardium. Arch Pathol 93: 435

    CAS  PubMed  Google Scholar 

  16. Buda AJ, Zotz RJ, LeMire MS et al. (1986) Prognostic significance of vegetations detected by two-dimensional echocardiography in infective endocarditis. Am Heart J 112: 1291

    Article  CAS  PubMed  Google Scholar 

  17. Chandraratna PA, Lagevin E (1977) Limitations of the echocardiogramm in diagnosing valvular vegetations in patients with mitral valve prolapse. Circulation 56: 436

    Article  CAS  PubMed  Google Scholar 

  18. Chandraratna PA, Lopez JM, Hildner FJ, Samet P, Ben-Zvi J (1976) Diagnosis of Björk-Shiley aortic valve dysfunction by echocardiography. Am Heart J 91: 318

    Article  CAS  PubMed  Google Scholar 

  19. Chandraratna PA, Robinson MJ, Byrd C, Pitha JV (1977) Significance of abnormal echos in left ventricular outflow tract. Br Heart J 39: 381

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Child JS, Skorton DJ, Taylor RD, Krivokapich J, Abbasi AS, Wong M, Shah PD (1979) M-mode and cross-sectional echocardiographic features of flail posterior mitral leaflets. Am J Cardiol 44: 1383

    Article  CAS  PubMed  Google Scholar 

  21. Come PC, Isaacs RE, Riley MF (1982) Diagnostic accuracy of M-mode echocardiography in active infective endocarditis and prognostic implications of ultrasound-detectable vegetations. Am Heart J 103: 839

    Article  CAS  PubMed  Google Scholar 

  22. Corrigall DM, Bolen JL, Hancock EW, Popp RL (1975) Bacterial endocarditis in the mitral valve prolaps syndrome (abstract). Circulation 51 (Suppl II): 11–78

    Google Scholar 

  23. Cura GM, Tajik AJ, Seward JB (1978) Correlation of initial echocardiographic findings with outcome in patients with bacterial endocarditis (abstract). Circulation 58 (Suppl II): 11–232

    Google Scholar 

  24. Daniel W (1982) M-mode echokardiographische Untersuchungen bei Patienten mit infektiöser Endokarditis. Med. Habilitationsschrift, Hannover

    Google Scholar 

  25. Daniel WG, Lichtlen PR (1987) M-mode, transthorakale zweidimensionale und Ösophagusechokardiographie in der Diagnostik der infektiösen Endokarditis. In: Maisch B (ed) Infektiöse Endokarditis. PeriMed, Erlangen, S 119

    Google Scholar 

  26. Daniel W, Walpurger G, Lichtlen P (1976) Diagnostische Wertigkeit der mitralen und septalen echocardiographischen Veränderungen bei der Aorteninsuffizienz. Z Kardiol 65: 590

    CAS  PubMed  Google Scholar 

  27. Daniel WG, Erbel R, Kasper W, Visser CA, Engberding R, Sutherland GR, Grube E, Hanrath P, Maisch B, Dennig K, Schartl M, Kremer P, Angermann C, Ihceto S, Curtius J, Mügge A (1991) Safety of transesophageal echocardiography: A multicenter survey of 10419 examinations. Circulation 83: 817

    Article  CAS  PubMed  Google Scholar 

  28. Daniel WG, Mügge A, Martin RP, Lindert O, Hausmann D, Nonnast-Daniel B, Laas J, Lichtlen PR (1991) Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography. N Engl J Med 324: 795

    Article  CAS  PubMed  Google Scholar 

  29. Daniel WG, Mügge A, Grote J, Hausmann D, Nikutta P, Laas J, Lichtlen PR, Martin RP (1993) Comparison of transthoracic and transesophageal echocardiography for detection of abnormalities of prosthetic and bioprosthetic valves in the mitral and aortic positions. Am J Cardiol 71: 210

    Article  CAS  PubMed  Google Scholar 

  30. Daniel WG, Pearlman AS, Hausmann D, Bargheer K, Mügge A, Nonnast-Daniel B, Lichtlen PR (1993) Initial experience and potential applications of multiplane transesophageal echocardiography. Am J Cardiol 71:358

    Article  CAS  PubMed  Google Scholar 

  31. Davis RS, Strom JA, Frishman W, Becker R, Matsumoto M, LeJemtel TH, Sonnenblich EH, Frater RWA (1980) The demonstration of vegetations by echocardiography in bacterial endocarditis. Am J Med 69: 57

    Article  CAS  PubMed  Google Scholar 

  32. Dillon JC (1977) Echocardiography in valvular vegetations. Am J Med 62: 856

    Article  CAS  PubMed  Google Scholar 

  33. Dillon JC, Feigenbaum H, Konecke L, Davis RH, Chang S (1973) Echocardiographic manifestations of valvular vegetations. Am Heart J 86: 698

    Article  CAS  PubMed  Google Scholar 

  34. Dillon T, Meyer RA, Korfhagen JC, Kaplan S, Chung KJ (1980) Management of infective endocarditis using echocardiography. J Pediatrics 96: 552

    Article  CAS  Google Scholar 

  35. Erbel R, Rohmann S, Drexler M, Mohr-Kahaly S, Gerharz CD, Iversen S, Oelert H, Meyer J (1988) Improved diagnostic value of echocardiography in patients with infective endocarditis by transesophageal approach: a prospective study. Eur Heart J 9: 43

    Article  CAS  PubMed  Google Scholar 

  36. Estevez CM and Corya BC (1976) Serial echocardiographic abnormalities in non-bacterial thrombotic endocarditis of the mitral valve. Chest 69: 801

    Article  CAS  PubMed  Google Scholar 

  37. Estevez CM, Dillon JC, Walker PD, Feigenbaum H, Chang S (1976) Echocardiographic manifestations of aortic cusp rupture in a myxomatous aortic valve. Chest 69: 685

    Article  CAS  PubMed  Google Scholar 

  38. Feigenbaum H (1981) Echocardiography, 3rd edition. Lea & Febiger, Philadelphia

    Google Scholar 

  39. Gomes JA, Calderon J, Lajam F, Sakurai H, Friedman HS (1976) Echocardiographic detection of fungal vegetations in Candida parasilopsis endocarditis. Am J Med 61: 273

    Article  CAS  PubMed  Google Scholar 

  40. Gottlleb S, Khuddus SA, Balooki H, Dominguez AE, Myerburg RJ (1974) Echocardiographic diagnosis of aortic valve vegetations in Candida endocarditis. Circulation 50: 826

    Article  Google Scholar 

  41. Herzog CA, Carson P, Michaud L, et al (1988) Two-dimensional echocardiographic imaging of left ventricular mural vegetations. Am Heart J 115: 684

    Article  CAS  PubMed  Google Scholar 

  42. Hickey AJ, Wolfers J, Wilcken DEL (1981) Reliability and clinical relevance of detection of vegetations by echocardiography in bacterial endocarditis. Br Heart J 46: 624

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Hirschfeld DS, Schiller N (1976) Localization of aortic valve vegetations by echocardiography. Circulation 53: 280

    Article  CAS  PubMed  Google Scholar 

  44. Jaffe WM, Morgan DE, Peariman AS, Otto CM (1990) Infective endocarditis, 1983–1988: echocardiographic findings and factors influencing morbidity and mortahty. J Am Coll Cardiol 15:1227

    Article  CAS  PubMed  Google Scholar 

  45. Jenzer HR, Follath F, Graedel E, Amann FW (1977) Die Echokardiographie bei infektiöser Endokarditis. Schweiz Med Wschr 107:1572

    CAS  PubMed  Google Scholar 

  46. Kan M, Chen Y, Lee AY (1991) Comparison of transesophageal to transthoracic color Doppler echocardiography in the identification of intracardiac mycotic aneurysms in infective endocarditis. Echocardiography 8: 643

    Article  CAS  PubMed  Google Scholar 

  47. Khandheria BK, Seward JB, Oh JK, Freeman WK, Nichols BA, Sinak LJ, Miller FA, Tajik AJ (1991) Value and limitations of transesophageal echocardiography in assessment of mitral valve prostheses. Circulation 83:1956

    Article  CAS  PubMed  Google Scholar 

  48. Kim SA, Durack DT, Bashore TM, Waugh RA, Kisslo J (1991) Can the echocardiographer effectively predict the risk of embolization during infective endocarditis? (abstract) Circulation 84:11–148

    Google Scholar 

  49. Lachman SA, Bramwell-Jones DM, Laskier JB, Pocock WA, Barlow JB (1975) Infective endocarditis in the billowing mitral leaflet syndrome. Br Heart J 37: 326

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Lutas EM, Roberts RB, Devereux RB et al. (1986) Relation between the presence of echocardiographic vegetations and the complication rate in infective endocarditis. Am Heart J 112:107

    Article  CAS  PubMed  Google Scholar 

  51. Mann T, McLaurin L, Grossmann W, Craige E (1975) Assessing the hemodynamic severity of acute aortic regurgitation due to infective endocarditis. New Engl J Med 293: 108

    Article  CAS  PubMed  Google Scholar 

  52. Mardelli TJ, Ogawa S, Hubbard FE, Dreifus LS, Meixel LL (1978) Cross-sectional echocardiographic detection of aortic ring abscess in bacterial endocarditis. Chest 74: 576

    Article  CAS  PubMed  Google Scholar 

  53. Markiewiez W, Moscovitz M, Edoute Y et al. (1983) Prognostic implications of detecting vegetations by M-mode echocardiography. Cardiology 70:194

    Article  Google Scholar 

  54. Martin RP, Meitzer RS, Chia BL, Stinson EB, Rakowski H, Popp RL (1980) Clinical utiUty of two-dimensional echocardiography in infective endocarditis. Am J Cardiol 46: 379

    Article  CAS  PubMed  Google Scholar 

  55. Melvin ET, Berger M, Lutzker LG, Goldberg E, Mildvan D (1981) Noninvasive methods for detection of valve vegetations in infective endocarditis. Am J Cardiol 47: 271

    Article  CAS  PubMed  Google Scholar 

  56. Meric M, Castello R, Ofili E, Vrain JAS, Labovitz AJ (1992) Transesophageal echocardiographic findings in patients with infective endocarditis: importance of vegetation size and mobility (abstract). Eur Heart J 13 (Abstract Suppl): 286

    Google Scholar 

  57. Milstec M, Berger A (1971) True bacterial mural endocarditis. Chest 59:103

    Article  Google Scholar 

  58. Mintz GS, Kotler MN, Segal BL, Parry WR (1979) Comparison of two-dimensional and M-mode echocardiography in the evaluation of patients with infective endocarditis. Am J Cardiol 43: 738

    Article  CAS  PubMed  Google Scholar 

  59. Miigge A (1993) Echocardiographic detection of cardiac valve vegetations and prognostic implications. Infect Dis Clin North Am (in press)

    Google Scholar 

  60. Miigge A, Daniel WG, Frank G, Lichtlen PR (1989) Echocardiography in infective endocarditis: reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach. J Am Coll Cardiol 14: 631

    Article  Google Scholar 

  61. Nakamura K, Koyanagi H, Hirosawa K (1982) Spectrum of the infective endocarditis in the past five years. Jpn Circ J 46: 352

    Article  CAS  PubMed  Google Scholar 

  62. Nomeir AM, Watts E, Philp JR (1976) Bacterial endocarditis. Echocardiographic and clinical evaluation during therapy. J Clin Ultrasound 4: 23

    Article  CAS  PubMed  Google Scholar 

  63. O’Brien JT, Geiser EA (1984) Infective endocarditis and echocardiography. Am Heart J 108: 386

    Article  PubMed  Google Scholar 

  64. Page A, Layton C (1975) Premature opening of the aortic valve in severe aortic regurgitation. Br Heart J 37: 1101

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Pasternak RC, Cannom DS, Cohen LS (1976) Echocardiographic diagnostic of large fungal Verrucae attached to mitral valve. Brit Heart J 38:1209

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Pedersen WR, Walker M, Olson JD et al. (1991) Value of transesophageal echocardiography as an adjunct to transthoracic echocardiography in evaluation of native and prosthetic valve endocarditis. Chest 100: 351

    Article  CAS  PubMed  Google Scholar 

  67. Perry GJ, Bouchard A (1990) Doppler echocardiographic evaluation of mitral regurgitation. Cardiology Clinics 8: 265

    Article  CAS  PubMed  Google Scholar 

  68. Pridie RB, Benham R, Oakley CM (1971) Echocardiography of the mitral valve in aortic valve disease. Br Heart J 33: 296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Reid CL, Rahimtool SH, Chandraratna PAN (1987) Frequency and significance of pericardial effusion detected by two-dimensional echocardiography in infective endocarditis. Am J Cardiol 60: 394

    Article  CAS  PubMed  Google Scholar 

  70. Roberts WC (1978) Characteristics and consequences of infective endocarditis (active and healed or both) learned from morphologic studies. In: Rahimtoola SH (ed) Infective Endocarditis. Grune & Stratton, New York, San Francisco, London, p 55

    Google Scholar 

  71. Rohmann S, Erbel R, Darius H, Gorge G, Makowski T, Zotz R, Mohr-Kahaly S, Nixdorff U, Drexler M, Meyer J (1991) Prediction of rapid versus prolonged healing of infective endocarditis by monitoring vegetation size. J Am Soc Echo 4: 465

    Article  CAS  Google Scholar 

  72. Roy P, Tajik AJ, Guiliani ER, Schattenberg TT, Gau GT, Frye RL (1976) Spectrum of echocardiographic findings in bacterial endocarditis. Circulation 53: 474

    Article  CAS  PubMed  Google Scholar 

  73. Sanfilippo AJ, Picard MH, Newell JB, Rosas E, Davidoff R, Thomas JD, Weyman AE (1991) Echocardiographic assessment of patients with infectious endocarditis: prediction of risk for complications. J Am Coll Cardiol 18: 1191

    Article  CAS  PubMed  Google Scholar 

  74. Sheikh MU, Mazhac U, Covarrubias EA, Ali N, Lee WR, Sheikh N, Roberts WC (1981) M-mode echocardiographic observations during and after healing of active bacterial endocarditis Hmited to the mitral valve. Am Heart J 101: 37

    Article  CAS  PubMed  Google Scholar 

  75. Sheikh MU, Covarrubias EA, Ali N, Sheikh N, Lee W, Roberts W (1981) M-mode echocardiographic observations in active bacterial endocarditis limited to the aortic valve. Am Heart J 102: 66

    Article  CAS  PubMed  Google Scholar 

  76. Shiveley BK, Gurule FT, Roldan CA, Leggett JH, Schiller NB (1991) Diagnostic value of transesophageal compared with transthoracic echocardiography in infective endocarditis. J Am Coll Cardiol 18: 391

    Article  Google Scholar 

  77. Silimperi D, Harris PL, Kissli JA (1978) Lesion fate in endocarditis (abstract). Circulation 58 (Suppl II): 11–236

    Google Scholar 

  78. Sochowski RA, Chan KL (1993) Implications of negative results on a monoplane transesophageal echocardiographic study in patients with suspected infective endocarditis. J Am Coll Cardiol 21: 216

    Article  CAS  PubMed  Google Scholar 

  79. Spangler RD, Johnson MC, Holmes J, Blount G (1973) Echocardiographic demonstration of bacterial vegetations in active infective endocarditis. J Clin Ultrasound 1: 126

    CAS  PubMed  Google Scholar 

  80. Spring DA, Folts JD, Young WP, Rowe GG (1972) Premature closure of the mitral and tricuspid valve. Circulation 55: 663

    Article  Google Scholar 

  81. Srivastava TN, Hussain M, Gray LA, Flowers NC (1976) Echocardiographic diagnosis of a stuck Björk-Shiley aortic valve prosthesis. Chest 70: 94

    Article  CAS  PubMed  Google Scholar 

  82. Stafford A, Wann LS, Dillon JC, Weaman AE, Feigenbaum H (1979) Serial echocardiographic appearance of healing bacterial vegetations. Am J Cardiol 44: 754

    Article  CAS  PubMed  Google Scholar 

  83. Stafford WJ, Petch J, Radford DJ (1985) Vegetations in infective endocarditis: clinical relevance and diagnosis by cross sectional echocardiography. Br Heart J 53: 310

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Stewart JA, Silimperi D, Harris P, Wise NK, Fraker TD, Kisslo JA (1980) Echocardiographic documentation of vegetative lesions in infective endocarditis: clinical implications. Circulation 61:374

    Article  CAS  PubMed  Google Scholar 

  85. Taams MA, Gussenhoven EJ, Bos E et al (1990) Enhanced morphological diagnosis in infective endocarditis by transesophageal echocardiography. Br Heart J 63: 109

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Tajik AJ, Giuliani EF (1977) Diastolic opening of aortic valve. An echographic observation. Mayo Clin Proc 52: 112

    CAS  PubMed  Google Scholar 

  87. Tak T, Rahimtoola SH, Kumar A, Gamage N, Chandraratna PAN (1988) Value of digital image processing of two-dimensional echocardiograms in differentiating active from chronic vegetations of infective endocarditis. Circulation 78: 116

    Article  CAS  PubMed  Google Scholar 

  88. Teague SM (1990) Doppler echocardiographic evaluation of aortic regurgitation. Cardiology Clinics 8:249

    Article  CAS  PubMed  Google Scholar 

  89. Thomson K, Nanda N, Gramiak R (1976) The reliability of echocardiography in the diagnosis of infective endocarditis (abstract). Circulation 54 (Suppl II): 11–112

    Google Scholar 

  90. Wann LS, Dillon JC, Weyman AE, Feigenbaum H (1976) Echocardiography in bacterial endocarditis. New Engl Med 295:135

    Article  CAS  Google Scholar 

  91. Wann LS, Hallam CC, Dillon JC, Weyman AE, Feigenbaum H (1979) Comparison of M-mode and cross-sectional echocardiography in infective endocarditis. Circulation 60: 728

    Article  CAS  PubMed  Google Scholar 

  92. Weaver WF, Willson CS, Rourke T, Caudill CC (1977) Mid-diastolic aortic valve opening in severe acute aortic regurgitation. Circulation 55:145

    Article  CAS  PubMed  Google Scholar 

  93. Wong D, Chandraratna PAN, Wishnow RM et al. (1983) Clinical implications of large vegetations in infective endocarditis. Arch Intern Med 143: 1874

    Article  CAS  PubMed  Google Scholar 

  94. Wray TM (1975) The variable echocardiographic features in aortic valve endocarditis. Circulation 52: 658

    Article  CAS  PubMed  Google Scholar 

Download references

Authors
  1. Werner G. Daniel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andreas Mügge
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Barbara Nonnast-Daniel
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Medizinische Klinik II, Städtisches Klinikum, Salzdahlumer Straße 90, 38126, Braunschweig, Deutschland

    Klaus Gahl

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

About this chapter

Cite this chapter

Daniel, W.G., Mügge, A., Nonnast-Daniel, B. (1994). Echokardiographische Diagnostik. In: Gahl, K. (eds) Infektiöse Endokarditis. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-87079-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-87079-8_11

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-87080-4

  • Online ISBN: 978-3-642-87079-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation