Zusammenfassung
Die Belastungsechokardiographie ermöglicht die Beurteilung der globalen Ventrikelfunktion und die Analyse der regionalen Wandbewegung und Wanddickenänderung in Ruhe und unter Steigerung des myokardialen Sauerstoffverbrauchs. Experimentelle Untersuchungen haben eine enge Beziehung zwischen der Koronardurchblutung und der regionalen Wandfunktion nachgewiesen [97]. Mit Verschlechterung der Perfusion treten in der Nachfolge Störungen der systolischen und diastolischen Ventrikelfunktion auf [110]. Diese belastungsinduzierten Funktionsverschlechterungen gehen dabei elektrokardiographischen Ischämiezeichen und dem Auftreten kardialer Beschwerden voraus [34]. Hauptindikation ist die Funktionsdiagnostik bei der koronaren Herzkrankheit. Die Beurteilung der funktionellen Bedeutung grenzwertiger Koronarstenosen und Verlaufskontrollen vor und nach koronaren Interventionen sind klinisch besonders wertvoll [32, 65, 70].
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Buck, T., Erbel, R. (2001). Belastungsechokardiographie. In: Löllgen, H., Erdmann, E. (eds) Ergometrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07083-3_10
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