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Stellenwert der Stressechokardiographie in der kardiologischen Rehabilitation

  • Chapter
Echokardiographische Diagnostik bei koronarer Herzkrankheit

Zusammenfassung

Die Funktionsdiagnostik in der kardiologischen Rehabilitation umfaßt im wesentlichen folgende Zielsetzungen:

  • Definition des psycho-physischen Leistungsvermögens,

  • Entscheidung über eine evtl. erforderliche invasive Diagnostik und Therapie als Voraussetzung einer effizienten Rehabilitationsplanung (Risikostratifikation und Abschätzung der Prognose zur Einleitung begründbarer Maßnahmen zu ihrer Verbesserung z. B. interventionell, Langzeitmedikation, Sekundärprävention etc. und funktionsdiagnostische Überprüfung ihrer Effizienz),

  • objektive Beurteilung der aktuellen Belastbarkeit zur Planung einer individuell dosierten (stationären) Bewegungstherapie,

  • objektive Beurteilung der künftigen Belastbarkeit im täglichen Leben, im Beruf, in Sport und Freizeit sowie in der ambulanten Herzgruppe.

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Literatur

  1. Agati L, Arata L, Luongo R, Iacoboni C, Renzi M, Vizza CD, Penco M, Fedele F, Dagianti A (1991) Assessment of Severity of Coronary Narrowings by Quantitative Exercise Echocardiography and Comparison with Quantitative Arteriography. Am J Cardiol 67:1201–1207

    Article  PubMed  CAS  Google Scholar 

  2. Armstrong WF (1993) Exercise echo: present role and perspectives. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  3. Armstrong WF (1991) Stress Echocardiography for Detection of Coronary Artery Disease. Circulation 84 Supplement I:43–49

    Google Scholar 

  4. Baumgartner H (1993) Stunning, Hibernation, Viability. Symposium Stress-Echokardiographie, Linz

    Google Scholar 

  5. Bonow RO, Dilsizian V, Cuocolo A, Bacharach SL (1991) Identification of Viable Myocardium in Patients With Chronic Coronary Artery Disease and Left Ventricular Dysfunction Comparison of Thallium Scintigraphy With Reinjection and PET Imaging With 18F-Fluorodeoxyglucose. Circulation 83:26–37

    PubMed  CAS  Google Scholar 

  6. Child JS (1991) Use of Echocardiography for Patient Management in Chronic Ischemic Heart Disease. Circulation 84 Supplement 1:66–71

    Google Scholar 

  7. Costard-Jäckle A, Temmel A, Bruhn W, Kreymann G, Rödiger W, Kalmar P, Greten H (1992) Belastungsechokardiographie nach Mitralklappenersatz: Einflußvon Prothesengröße und -typ auf transvalvuläre Gradienten (Abstract). Z Kardiol 81 Supplementum I:188

    Google Scholar 

  8. Crouse LJ, Harbrecht JJ, Vacek JL, Rosamond TL, Kramer PH (1991) Exercise Echocardiography as a Screening Test for Coronary Artery Disease and Correlation with Coronary Arteriography. Am J Cardiol 67:1213–1218

    Article  PubMed  CAS  Google Scholar 

  9. Destro A (1993) Dipyridamole-echo in rehabilitation. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  10. Deutsch HJ, Curtius JM, Klaer R, Schenkel Ch (1992) Stressechokardiographie: Ein Vergleich von Peak- versus Post-exercise-Auswertung. Z Kardiol 81 Supplementum I:188

    Google Scholar 

  11. Erbel R (1983) Which stress echo for which patient? 2nd International Symposium on Stress-Echocardiography, Leipzig

    Google Scholar 

  12. Faletra F (1993) Exercise echo stress vs dobutamine echo stress in patients undergoing PTCA. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  13. Fehske W (1993) Stressechokardiographie nach PTCA und ACBG. Symposium Stressechokardiographie Linz

    Google Scholar 

  14. Fioretti PM, Pozzoli MMA, Ilmer B, Salustri A, Cornel J-H, Reijs AEM, Krenning EP, Reiber JHC, De Feyter PJ, Roelandt JRTC (1992) Exercise echocardiography versus thallium-201 SPECT for assessing patients before and after PTCA. European Heart J 13:213–219

    CAS  Google Scholar 

  15. Galanti G, Sciagra R, Comeglio M, Taddei T, Bonechi F, Giusti F, Malfanti P, Bisi G (1991) Diagnostic accuracy of peak exercise echocardiography in coronary artery disease: Comparison with thallium-201 myocardial scintigraphy. Am Heart J 122:1609–1616

    Article  PubMed  CAS  Google Scholar 

  16. Globits G, Kastner J, Zangeneh N, Binder T, Sochor H, Glogar D (1993) Beurteilung der „Viability“ des Myokards mittels Dobutamin Stressechokardiographie bei Patienten nach großem transmuralen Infarkt. Symposium Stressechokardiographie, Linz

    Google Scholar 

  17. Gould KL (1991) Myocardial Viability: What Does It Mean and How Do We Measure It? Circulation 83:333–335

    PubMed  CAS  Google Scholar 

  18. Haubold-Reuter B, Haldermann R, Amann F, Turina J, Reist W, Leenders K, von Schulthess GK (1992) Die Positronenemissionstomographie (PET) zur Beurteilung des metabolischen Zustands des Herzmuskels. Schweiz med Wschr 1/2:14–21

    Google Scholar 

  19. Haug G, Lang G, Berghoff A (1993) Systolic early relaxation in stress echo: sign of ischemia? 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  20. Haug G, Lang G, Berghoff A (1993) Stress Echo in Cardiac Rehabilitation: Diagnostic Advantage of a Combined Supine and Half-Sitting Exercise Protocol. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  21. Haug G, Lang G, Berghoff A (1992) Exercise echocardiography in cardiac rehabilitation: valuable tool for diagnostic, therapy and sociomedical judgement. 5th World Congress of Cardiac Rehabilitation, Bordeaux

    Google Scholar 

  22. Haug G, Lang G, Berghoff A (1992) Stellenwert der Stress-Echokardiographie in der kardiologischen Rehabilitation bei Diskrepanzen zwischen Beschwerden und Belastungs-EKG (Poster). Symposium Klinik Höhenried „Echo und KHK“

    Google Scholar 

  23. Haug G, Lang G, Tretter N, Berghoff A (1993) Dynamische Stress-Echokardiographie: Neue Methode zur Beurteilung der ischämiefreien Belastbarkeit in stationärer Bewegungstherapie und ambulanten Herzgruppen. Unveröffentlichtes Abstract

    Google Scholar 

  24. Hecht HS (1993) Supine bicycle stress echo. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  25. Hoffmann R, Lambertz H, Flachskampf FA, Hanrath P (1991) Transösophageale Echokardiographie in Kombination mit Vorhofstimulation zur Erkennung ischämiebedingter Wandbewegungsstörungen. Herz 16:367–371

    PubMed  CAS  Google Scholar 

  26. Iliceto S, Rizzon P (1991) Stress echocardiography: ready for routine clinical use? European Heart J 12:262–265

    CAS  Google Scholar 

  27. Job F (1993) Evaluation of systolic performance in valvular lesions by stress echocardiography. 2nd International Symposium on Stress-Echocardiography Leipzig

    Google Scholar 

  28. Klaer R, Curtius JM, Deutsch HJ, Schenkel Ch (1992) Vergleich der Wertigkeit der Dipyridamol-Echokardiographie und der Ergometer-Echokardiographie bei koronarer Herzkrankheit (Abstract). Z Kardiol 81 Supplementum 1:188

    Google Scholar 

  29. Klues H, Hanrath P (1993) Stressechokardiographie bei Patienten mit Herzklappenerkrankung. Symposium Stressechokardiographie, Linz

    Google Scholar 

  30. Kronik G, Glaser G (1993) Ergebnisse der Stressechokardiographie in Abhängigkeit des Stenosegrades bei koronarer Herzkrankheit. Symposium Stressechokardiographie, Linz

    Google Scholar 

  31. Marcovitz PA, Armstrong WF (1991) Dobutamine stress echocardiography: diagnostic utility. Herz 16:372–378

    PubMed  CAS  Google Scholar 

  32. Marwick TH, Nemec JJ, Pashkow FJ, Stewart WJ, Salcedo EE (1992) Accuracy and Limitations of Exercise Echocardiography in a Routine Clinical Setting. J Am Coll Cardiol 19:74–81

    Article  PubMed  CAS  Google Scholar 

  33. Marwick T, Salcedo E, Covalesky R, Stewart WJ (1990) Comparison of Stress Echocardiography and Thallium Tomography Analysis of Discrepant Results. J Am Soc Echo 4:226–231

    Google Scholar 

  34. Marzilli M (1993) Physiologic testing before and after PTCA: the cath lab perspective. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  35. Marzullo P (1993) Myocardial viability: nuclear medicine versus stress echo. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  36. Mertes H, Erbel R, Nixdorff U, Mohr-Kahaly S, Wölfmger, Meyer J (1991) Belastungsechokardiographie: eine sensitive Methode in der Diagnostik der koronaren Herzkrankheit. Herz 16:355–361

    PubMed  CAS  Google Scholar 

  37. Mertes HJ, Nixdorff U, Erbel R, Meyer J (1991) Normalwerte der globalen und regionalen Myokardfunktion für die Belastungsechokardiographie. Z Kardiol 80:529–536

    PubMed  CAS  Google Scholar 

  38. Millaire A (1993) Stress echo-Doppler in aortic stenosis (Poster). 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  39. Mudra H (1993) Stressechokardiographie bei Patienten mit Herzvitien und Klappenprothesen. Symposium Stressechokardiographie, Linz

    Google Scholar 

  40. Mudra H, Zwehl W, Klauss V, Theisen K (1990) Stellenwert der Belastungsechokardiographie bei der Beurteilung der linksventrikulären Funktion — zweidimensionale und Dopplerechokardiographie. In: Curtius JM (Hrsg) Diagnostische Sicherheit der Echokardiographie. Springer, Berlin Heidelberg New York London Paris Tokyo Hong Kong, S 16–24

    Google Scholar 

  41. Müller KD (1992) Quantitative Myokardszintigraphie bei koronarer Herzkrankheit — eine aktuelle Standortbestimmung. Herz/Kreislauf 24:82–93

    Google Scholar 

  42. Nixdorff U (1993) Dynamische Stressechokardiographie. Symposium Stressechokardiographie, Linz

    Google Scholar 

  43. Parodi O (1993) Myocardial ischemia: nuclear medicine vs stress echo. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  44. Picano E (1992) Stress Echocardiography. Springer, Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest

    Google Scholar 

  45. Picano E (1992) Stress Echocardiography: From Pathophysiological Toy to Diagnostic Tool. Circulation 85:1604–1612

    PubMed  CAS  Google Scholar 

  46. Picaon E, Lattanzi F, Masini M, Distante A, L’Abbate A (1987) Different Degrees of Ischemic Threshold Stratified by the Dipyridamole-Echocardiography Test. Am J Cardiol 59:71–73

    Article  Google Scholar 

  47. Pierard L (1993) Recognition of viable myocardium by echocardiography. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  48. Pierard LA, De Landsheere CM, Berthe C, Rigo P, Kulbertus HE (1990) Identification of Viable Myocardium Infarction After Thrombolytic Therapy Comparison With Positron Emission Tomography. J Am Coll Cardiol 15:1021–1031

    Article  PubMed  CAS  Google Scholar 

  49. Pirelli S (1993) Strategy of diagnostic imaging before and after PTCA. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  50. Pozzoli M, Salustri A, Hermans W, Ilmer B, Reijs A, Riber J, Krenning E, Fioretti PM (1990) Digital Exercise Echocardiography and 99m-Tc-MIBI SPECT 6 Months After PTCA: a Comparison with Quantitative Coronary Angiography. Circulation 82 Supplement III: 743

    Google Scholar 

  51. Previtali M (1993) Dobutamine vs dipyridamole-echo for viability detection. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  52. Reisenhofer B (1993) Dobutamine-atropine vs dipyridamole-atropine. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  53. Schröder K (1993) Identification of jeopardized myocardium after AMI: a comparison of 4 different stress-echo techniques. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  54. Severi S (1993) Stress echocardiography and prognosis. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  55. Sheikh KH, Bengtson JR, Helmy S, Juarez C, Burgess R, Bashore TM, Kisslo J (1990) Relation of Quantitative Coronary Lesion Measurements to the Development of Exercise-Induced Ischemia Assessed by Exercise Echocardiography. J Am Coll Cardiol 15:1043–1051

    Article  PubMed  CAS  Google Scholar 

  56. Stempfle HU (1993) Detection of coronary restenosis after PTCA by combined transesophageal echo and atrial pacing. 1st International Symposium on Stress Echo, Pisa

    Google Scholar 

  57. Stratmann HG, Kennedy HL (1989) Evaluation of coronary artery disease in the patient unable to exercise: Alternatives to exercise stress testing. Am Heart J 117:1344–1365

    Article  PubMed  CAS  Google Scholar 

  58. Voelker W, Jacksch R, Dittmann H, Karsch KR (1990) Wertigkeit der Belastungs-Doppler-Echokardiographie bei Patienten mit Mitralstenose. In: Schlepper M, Berwing K (Hrsg) Kontrast-, Doppler-, Farb-Doppler- und transoesophageale Echokardiographie. Schattauer, Stuttgart New York, S 125–140

    Google Scholar 

  59. Weidemann H (1990) Anschlußheilbehandlung bei kardiologischer Indikation. Perfusion 4:144

    Google Scholar 

  60. Wilkenshoff U (1993) Validity and tolerance of dobu and dipy stress echo pre- vs post-PTCA. 1st International Symposium Stress Echo, Pisa

    Google Scholar 

  61. Zijlstra F, Fioretti P, Reiber JHC, Srruys PW (1988) Which Cineangiographically Assessed Anatomic Variable Correlates Best With Functional Measurements of Stenosis Severity? A Comparison of Quantitative Analysis of the Coronary Cineangiogram With Measured Coronary Flow Reserve and Exercise/Redistribution Thallium-201 Scintigraphy. J Am Coll Cardiol 12:686–691

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Rehabilitationsklinik Hochstaufen, Herzkommerstraße 2, Bayerisch-Gmain, D-83455, Deutschland

    Dr. med. G. Haug, G. Lang, N. Tretter & A. Berghoff

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  1. Dr. med. G. Haug
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  2. G. Lang
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  3. N. Tretter
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  4. A. Berghoff
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Editors and Affiliations

  1. Klin. Abt. 1, Klinik Höhenried der LVA Oberbayern, Bernried/Obb, 82347, Deutschland

    J. Gehring

  2. I. Med. Klinik, Technischen Universität München, Ismaningerstr. 22, München, 81675, Deutschland

    Helene von Bibra

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© 1993 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG Darmstadt

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Haug, G., Lang, G., Tretter, N., Berghoff, A. (1993). Stellenwert der Stressechokardiographie in der kardiologischen Rehabilitation. In: Gehring, J., von Bibra, H. (eds) Echokardiographische Diagnostik bei koronarer Herzkrankheit. Steinkopff. https://doi.org/10.1007/978-3-642-97791-6_13

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  • DOI: https://doi.org/10.1007/978-3-642-97791-6_13

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-0948-1

  • Online ISBN: 978-3-642-97791-6

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