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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 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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Author information

Authors and Affiliations

  1. Klinik Höhenried, Bernried, Deutschland

    Dr. med. S. Heinbuch

  2. Klinik für Herz-, Thorax- u. Herzn. Gefäßchirurgie, Klinikum der Universität Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg, D-93042, Deutschland

    Dr. med. S. Heinbuch & J. Gehring

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  1. Dr. med. S. Heinbuch
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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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Heinbuch, S., Gehring, J. (1993). Infarktkomplikationen — echokardiographische Diagnostik und therapeutische Relevanz. In: Gehring, J., von Bibra, H. (eds) Echokardiographische Diagnostik bei koronarer Herzkrankheit. Steinkopff. https://doi.org/10.1007/978-3-642-97791-6_7

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  • DOI: https://doi.org/10.1007/978-3-642-97791-6_7

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-0948-1

  • Online ISBN: 978-3-642-97791-6

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