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Infarktkomplikationen — echokardiographische Diagnostik und therapeutische Relevanz

  • S. Heinbuch
  • J. Gehring

Zusammenfassung

Die 2-D- und Doppler-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 Myokardinfarkts ist sie eine rasch verfügbare Methode zur umfassenden Erkennung der Ursachen einer hämodynamischen Verschlechterung z. B. infolge einer Septum-, Wand- oder Papillarmuskelruptur, eines rechtsventrikulären Infarkts oder eines ausgedehnten Perikardergusses. Sie ermöglicht in vielen Fällen die Indikationsstellung zum notfallmäßigen kardiochirurgischen Eingriff, wo die invasive Diagnostik ein unnötig hohes Risiko darstellen würde [8]. In neuerer Zeit wurde der transthorakale Zugang noch durch die transösophageale Echokardiographie (TEE) speziell bei beatmeten Patienten oder bei Einsatz einer intraaortalen Ballonpumpe bereichert [30].

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Copyright information

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

Authors and Affiliations

  • S. Heinbuch
    • 1
    • 2
  • J. Gehring
    • 2
  1. 1.Klinik HöhenriedBernriedDeutschland
  2. 2.Klinik für Herz-, Thorax- u. Herzn. GefäßchirurgieKlinikum der Universität RegensburgRegensburgDeutschland

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