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14.07.2020 | Herzinsuffizienz | Curriculum

Manual zur Indikation und Durchführung der Echokardiographie – Update 2020 der Deutschen Gesellschaft für Kardiologie

verfasst von: Prof. Dr. Andreas Hagendorff, Wolfgang Fehske, Frank A. Flachskampf, Andreas Helfen, Felix Kreidel, Sebastian Kruck, Karl La Rosée, Klaus Tiemann, Jens-Uwe Voigt, Ralph Stephan von Bardeleben, Ralf Zahn, Prof. Dr. Fabian Knebel

Erschienen in: Die Kardiologie | Ausgabe 5/2020

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Zusammenfassung

Das neue Manual zur Indikation und Durchführung der Echokardiographie bezieht sich primär auf die transthorakale Echokardiographie. Die Durchführung der standardisierten Dokumentation in der transthorakalen Echokardiographie erfordert mehrere Bildsequenzen und Messungen, die in Abbildungen einschließlich eines Befundschemas illustriert werden. Die erweiterten Dokumentationen der transthorakalen Echokardiographie werden im Hinblick auf pathologische kardiale Veränderungen im Speziellen vorgestellt. Dazu gehören Veränderungen der linksventrikulären Wanddicke, die globale sowie regionale Reduktion der linksventrikulären Funktion, die diastolische Dysfunktion bei normaler linksventrikulärer systolischer Funktion, die Druck- und Volumenbelastung des rechten Ventrikels sowie die Reduktion der rechtsventrikulären Funktion und pathologische Veränderungen an den Herzklappen. In speziellen Abschnitten wird die Echokardiographie bei Aortenklappenstenose und -insuffizienz, bei Mitralklappenstenose und -insuffizienz, bei Trikuspidalklappeninsuffizienz sowie bei weiteren seltenen Vitien und bei der Endokarditis vorgestellt. Das Manual endet mit Abschnitten zu echokardiographischen Zusatzuntersuchungen, der Befundung und dem Einsatz der Echokardiographie im Notfall.

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Titel: Manual zur Indikation und Durchführung der Echokardiographie – Update 2020 der Deutschen Gesellschaft für Kardiologie
verfasst von: Prof. Dr. Andreas Hagendorff
Wolfgang Fehske
Frank A. Flachskampf
Andreas Helfen
Felix Kreidel
Sebastian Kruck
Karl La Rosée
Klaus Tiemann
Jens-Uwe Voigt
Ralph Stephan von Bardeleben
Ralf Zahn
Prof. Dr. Fabian Knebel
Publikationsdatum: 14.07.2020
Verlag: Springer Medizin
Schlagwörter: Herzinsuffizienz
Echokardiografie
Endokarditis
Kardiomyopathie
Herzklappenfehler
Mitralklappeninsuffizienz
Mitralklappenstenose
Aortenklappenstenose
Trikuspidalklappeninsuffizienz
Echokardiografie
Transthorakale Echokardiografie
Erschienen in: Die Kardiologie / Ausgabe 5/2020
Print ISSN: 2731-7129
Elektronische ISSN: 2731-7137
DOI: https://doi.org/10.1007/s12181-020-00402-3

Passend zum Thema

SGLT-2-Inhibitoren für alle Patient:innen mit chronischer Herzinsuffizienz empfohlen

Niere und Herz

Das ESC-Leitlinien-Update 2023 bedeutet einen Paradigmenwechsel in der Behandlung der Herzinsuffizienz (HF), denn nun werden SGLT-2i sowohl für HFrEF, als auch für HFmrEF und HFpEF empfohlen. Somit können jetzt alle Patient:innen mit HF von SGLT-2i als zentralem Bestandteil der Therapie profitieren.

Dapagliflozin als neue Therapieoption zur Behandlung einer Herzinsuffizienz unabhängig von der Ejektionsfraktion

Niere und Herz

Dapagliflozin ist nun zur Behandlung aller Patient:innen mit chronischer symptomatischer Herzinsuffizienz zugelassen und bietet somit auch neue Hoffnung für die Therapie von jenen mit HFpEF. In der DELIVER-Studie zeigte der SGLT-2-Inhibitor eine signifikante Reduktion von Herzinsuffizienz-Hospitalisierungen und CV-Todesfällen.

ACS-Erstlinientherapie: Konsensbeschluss rät zur DAPT mit Ticagrelor

Niere und Herz

Ein Konsortium führender Fachgesellschaften erarbeitete jüngst auf Basis umfangreicher Metaanalysen einen Konsens für die Therapie koronarer Herzkrankheiten. Was dabei auffiel: Die duale Plättchenhemmung (DAPT) mit Ticagrelor ist die bevorzugte Therapieoption für das akute Koronarsyndrom (ACS).

Springer Medizin

Zusammenfassung

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Passend zum Thema

SGLT-2-Inhibitoren für alle Patient:innen mit chronischer Herzinsuffizienz empfohlen

Dapagliflozin als neue Therapieoption zur Behandlung einer Herzinsuffizienz unabhängig von der Ejektionsfraktion

ACS-Erstlinientherapie: Konsensbeschluss rät zur DAPT mit Ticagrelor