Zusammenfassung
Die thrombolytische Therapie hat sich als Methode etabliert, die eine Reperfusion in den frühen Stadien des akuten Myokardinfarktes ermöglicht [7, 10]. Zahlreiche Studien haben hierbei die Verbesserung der linksventrikulären Funktion zeigen können [15]. Zunehmend wird die 2-dimensionale Echokardiographie herangezogen; dies geschieht nicht nur wegen bekannter Vorzüge wie Nichtinvasivität, Anwendbarkeit unmittelbar am Bettrand und niedrigen Kosten, sondern auch wegen differenzierter Aussagen zum Ausmaß vital gebliebenen Myokards im Bereich der „area at risk“.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Bolli R (1990) Mechanism of myocardial „stunning“. Circulation 82:723–738
Braunwald E, Kloner RA (1982) The stunned myocardium: prolonged, postischemic ventricular dysfunction. Circulation 66:1146–1147
Charuzi Y, Beeder C, Marshall LA, et al. (1984) Improvement in regional and global left ventricular function after intracoronary thrombolysis: Assessment with two-dimensional echocardiography. Am J Cardiol 53:662–665
Delemarre BJ, Bot H, Visser CA, Dunning AJ (1988) Pulsed Doppler echocardiographic description of a cricular flow pattern in spontaneous left ventricular contract. J Am Soc Echo 1:114–118
Delemarre BJ, Visser CA, Bot H, Dunning AJ (1990) Prediction of apical thrombus formation in acute myocardial infarction based on left ventricular spatial flow pattern. J Am Coll Cardiol 15:355–360
Erbel R, Pop T, Henrichs HJ, et al. (1986) Percutaneous transluminal coronary angioplasty after thrombolytic therapy: A prospective controlled randomized trial. J Am Coll Cardiol 8:485–495
GISSI-study group (1987) Long-term effects of intravenous thrombolysis in acute myocardial infarction: Final report of the GISSI study. Lancet ii: 871–874
Gorge 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 Echo 5:125–134
Heusch G (1992) Hibernation, Stunning, Ischemic Preconditioning — Neue Paradigmen der koronaren Herzkrankheit. Z Kardiol 81:596–609
ISIS-II-collaborative group (1988) Randomized trial of intravenous streptokinase, oral aspirin, both, or neither among 17187 cases of suspected acute myocardial infarction. Lancet ii: 349– 360
Marino P, Zanolla L, Zardini P (1989) Effect of streptokinase on left ventricular modeling and function after myocardial infarction: The GISSI trial. J Am Coll Cardiol 14:1149–1158
Mertes H, Erbel R, Nixdorff U, Mohr-Kahaly S, Wölfmger D, Meyer J (1991) Stress echocardiography: A sensitive method for the detection of coronary artery disease. Herz 5:355–366
Nixdorff U, Erbel R, Geis E, Genth S, Mohr-Kahaly S, Meyer J (1991) Wandbewegungsstörungen des anterioren Myokardinfarktes führen zu thrombogenen intrakavitären Flußanomalien. Z Kardiol 80 (Suppl): 32
Nixdorff U, Erbel R, Henrichs KJ, Drexler M, Mohr-Kahaly S, Meyer J (1988) Influence of late reperfusion on myocardial infarct expansion. In: Dagianti A, Feigenbaum H (eds) Echocardiography 1988. Excerpta Medica, Amsterdam, New York, Oxford, pp 65–73
Norris RM, White HD (1990) Left ventricular function as an end-point of thrombolytic therapy. Eur Heart J 11 (Suppl F):5–9
Piérard LA, de Landsheere CM, Berthe C, Rigo P, Kulbertus HE (1990) Identification of viable myocardium by echocardiography during Dobutamine infusion in patients with myocardial infarction after thrombolytic therapy: Comparison with Position Emission Tomography. J Am Coll Cardiol 15:1021–1031
Reimer KA, Lowe JE, Rasmussen MM, Jennings RB (1977) The wavefront phenomenon of ischemic cell death. I Mycoardial infarct size vs duration of coronary occlusion in dogs. Circulation 56:786–794
Rentrop KP, Cohen M, Blanke H, Phillips RA (1985) Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects. J Am Coll Cardiol 5:587–592
Schiller NB, Shah PM, Crawford M, et al. (1989) Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. J Am Soc Echo 2:358–368
Tennant R, Wiggers C (1935) The effect of coronary occlusion on myocardial contraction. Am J Physiol 32:112–315
Topol EJ, Weissue JL, Brinker JA, et al. (1985) Regional wall motion improvement after coronary thrombolysis with recombinant tissue plasminogen activator: Importance of coronary angioplasty. J Am Coll Cardiol 6:426–433
Visser CA, David GK, Kan G et al. (1981) Two-dimensional echocardiography during percutaneous transluminal coronary angioplasty. Am Heart J 111:1035–1041
White HD, Norris RM, Brown MA, Brandt PW, Whitlock RML, Wild CJ (1987) Left ventricular end-systolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation 76:44–51
Wohlgelernter D, Cleman M, Highman HA et al. (1986) Regional myocardial dysfunction during coronary angioplasty: evaluation by two-dimensional echocardiography and 12 lead electrocardiography. J Am Coll Cardiol 7:1245–1254
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG Darmstadt
About this chapter
Cite this chapter
Nixdorff, U., Erbel, R., Mohr-Kahaly, S. (1993). Echokardiographischer Nachweis von „salvaged myocardium“ nach thrombolytischer Therapie des akuten Myokardinfarktes. In: Gehring, J., von Bibra, H. (eds) Echokardiographische Diagnostik bei koronarer Herzkrankheit. Steinkopff. https://doi.org/10.1007/978-3-642-97791-6_12
Download citation
DOI: https://doi.org/10.1007/978-3-642-97791-6_12
Publisher Name: Steinkopff
Print ISBN: 978-3-7985-0948-1
Online ISBN: 978-3-642-97791-6
eBook Packages: Springer Book Archive