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Echokardiographische Abklärung des Patienten mit akutem Thoraxschmerz auf der Notfallstation

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Die Echokardiographie im perioperativen und intensivmedizinischen Bereich

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Zusammenfassung

Akute Thoraxschmerzen sind ein häufiges Problem in der klinischen Notfallmedizin und können durch eine Vielzahl sehr unterschiedlicher Krankheitsbilder bedingt sein. Für Prognose und Verlauf ist es entscheidend, Patienten mit akut lebensbedrohlichen kardiovaskulären Erkrankungen wie akutes Koronarsyndrom, Aortendissektion oder Lungenembolie rasch und zuverlässig zu identifizieren. Die Echokardiographie besitzt dabei einen überaus wichtigen klinischen Stellenwert. Sie kann auch bei instabilen Patienten bettseitig durchgeführt werden und häufig binnen Minuten richtungweisende, oft lebensrettende diagnostische Information liefern. Den höchsten Stellenwert für die Notfalldiagnostik besitzt die Echokardiographie in der Diagnostik des akuten Aortensyndroms. Aufgrund der hervorragenden diagnostischen Genauigkeit genügt ein Befund der transösophagealen Echokardiographie als Indikation zur notfallmäßigen Thorakotomie und chirurgischem Ersatz der Aorta. Bei allen Möglichkeiten der modernen echokardiographischen Diagnostik müssen allerdings die Limitationen der Methode (z.B. Untersucherabhängigkeit) kritisch berücksichtigt werden.

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Authors and Affiliations

  1. Klinik für Kardiologie Schwerpunkt Aortenerkrankungen Westdeutsches Herzzentrum Essen, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Germany

    Dr. H. Eggebrecht, Dr. B. Plicht, Priv.-Doz. Dr. T. Buck & Prof. Dr. R. Erbel

Authors
  1. Dr. H. Eggebrecht
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  2. Dr. B. Plicht
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  3. Priv.-Doz. Dr. T. Buck
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  4. Prof. Dr. R. Erbel
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Correspondence to H. Eggebrecht .

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Editors and Affiliations

  1. Departement Anästhesie, Universitätsspital Basel, Spitalstr. 21, 4031, Basel

    Manfred D. Seeberger

  2. Ordinarius für Herz- und Thoraxchirurgie, Universitätsspital Basel, Spitalstr. 21, 4031, Basel

    Hans-Reinhard Zerkowski

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© 2006 Steinkopff Verlag

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Eggebrecht, H., Plicht, B., Buck, T., Erbel, R. (2006). Echokardiographische Abklärung des Patienten mit akutem Thoraxschmerz auf der Notfallstation. In: Seeberger, M.D., Zerkowski, HR. (eds) Die Echokardiographie im perioperativen und intensivmedizinischen Bereich. Steinkopff. https://doi.org/10.1007/978-3-7985-1608-3_10

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  • DOI: https://doi.org/10.1007/978-3-7985-1608-3_10

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1607-6

  • Online ISBN: 978-3-7985-1608-3

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