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Fokussierte Echokardiographie in der Akutmedizin

Focused echocardiography in acute medicine

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Zusammenfassung

Die fokussierte Echokardiographie besitzt einen zunehmenden Stellenwert zur bettseitigen Diagnostik in der Akutmedizin. Anhand der fokussierten Echokardiographie können verschiedene kardiale Pathologien, wie z. B. ein Perikarderguss, eine linksventrikuläre Dysfunktion, eine Rechtsherzbelastung, relevante Herzklappenfehler sowie eine Dissektion der Aorta ascendens, in Kürze ausgeschlossen bzw. nachgewiesen werden. Die Interpretation der echokardiographischen Befunde sollte stets im klinischen Kontext erfolgen.

Abstract

Focused echocardiography has become increasingly important for bedside diagnostics in acute medicine. Focused echocardiography can detect various cardiac pathologies, such as pericardial effusion, left ventricular dysfunction, right heart strain, relevant heart valve defects and dissection of the ascending aorta. Echocardiographic findings should be interpreted in the clinical context.

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Literatur

  1. Hempel D, Pfister R, Michels G (2017) Strukturierte bettseitige Sonographie in der Intensivmedizin. Med Klin Intensivmed Notfmed 112(8):741–758

    Article  CAS  Google Scholar 

  2. Breitkreutz R, Campo Dell’ Orto M, Hamm C et al (2013) Does the integration of personalized ultrasound change patient management in critical care medicine? Emerg Med Int 2013:946059

    PubMed  PubMed Central  Google Scholar 

  3. Wang X, Liu D, He H et al (2015) Using critical care chest ultrasonic examination in emergency consultation: a pilot study. Ultrasound Med Biol 41(2):401–406

    Article  Google Scholar 

  4. Michels G, Zinke H, Möckel M et al (2017) Empfehlungen zur Ultraschallausbildung in der internistischen Intensiv- und Notfallmedizin: Positionspapier der DGIIN, DEGUM und DGK. Med Klin Intensivmed Notfmed 112(4):314–319

    Article  CAS  Google Scholar 

  5. Busche C, Busch HJ, Michels G (2018) Point-of-care sonography in emergency and intensive care medicine. Dtsch Med Wochenschr 143(3):161–164

    Article  Google Scholar 

  6. Hagendorff A, Tiemann K, Simonis G et al (2013) Empfehlungen zur Notfallechokardiographie. Kardiologe 8:45–64

    Article  Google Scholar 

  7. Frankel HL, Kirkpatrick AW, Elbarbary M et al (2015) Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients. Part I: general ultrasonography. Crit Care Med 43(11):2479–2502

    Article  Google Scholar 

  8. Neskovic AN, Edvardsen T, Galderisi M et al (2014) Focus cardiac ultrasound: the European Association of Cardiovascular Imaging viewpoint. Eur Heart J Cardiovasc Imaging 15(9):956–960

    Article  Google Scholar 

  9. Levitov A, Frankel HL, Blaivas M et al (2016) Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients. Part II: cardiac ultrasonography. Crit Care Med 44(6):1206–1227

    Article  Google Scholar 

  10. Neskovic AN, Hagendorff A, Lancellotti P et al (2013) Emergency echocardiography – the European Association of Cardiovascular Imaging recommendations. Eur Heart J Cardiovasc Imaging 14(1):1–11

    Article  Google Scholar 

  11. Neskovic AN, Skinner H, Price S et al (2018) Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 19(5):475–481

    Article  Google Scholar 

  12. Via G, Hussain A, Wells M et al (2014) International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr 27(7):683.e1–683.e33

    Article  Google Scholar 

  13. Habicher M, Zajonz T, Heringlake M et al (2018) S3 guidelines on intensive medical care of cardiac surgery patients : hemodynamic monitoring and cardiovascular system-an update. Anaesthesist 67(5):375–379

    Article  CAS  Google Scholar 

  14. Janssens U, Jung C, Hennersdorf M et al (2016) Empfehlungen zum hämodynamischen Monitoring in der internistischen Intensivmedizin. Kardiologe 10:149–169

    Article  Google Scholar 

  15. Cholley BP, Mayo PH, Poelaert J et al (2011) Expert Round Table on Ultrasound in ICU. International expert statement on training standards for critical care ultrasonography. Intensive Care Med 37(7):1077–1083

    Article  Google Scholar 

  16. Price S, Via G, Sloth E et al (2008) Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS). Cardiovasc Ultrasound 6:49

    Article  Google Scholar 

  17. Michels G, Jaspers N (2014) Notfallsonographie. Springer, Berlin, Heidelberg

    Book  Google Scholar 

  18. Galiè N, Humbert M, Vachiery JL et al (2015) ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Heart J 2016; 37(1):67–119

  19. Lang RM, Badano LP, Mor-Avi V et al (2015) Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 16(3):233–270

    Article  Google Scholar 

  20. Hempel D, Pfister R, Michels G (2016) Hämodynamisches Monitoring in der Intensiv- und Notfallmedizin. Med Klin Intensivmed Notfmed 111(7):596–604

    Article  CAS  Google Scholar 

  21. Michels G, Pfister R (2017) Organ interactions: Heart and lung – management of the acute right heart failure. Dtsch Med Wochenschr 142(18):1357–1364

    Article  Google Scholar 

  22. Markley RR, Ali A, Potfay J et al (2016) Echocardiographic evaluation of the right heart. J Cardiovasc Ultrasound 24(3):183–190

    Article  Google Scholar 

  23. Rudski LG, Lai WW, Afilalo J et al (2010) Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 23(7):685–713

  24. Walley PE, Walley KR, Goodgame B et al (2014) A practical approach to goal-directed echocardiography in the critical care setting. Crit Care 18(6):681

    Article  Google Scholar 

  25. Matos J, Kronzon I, Panagopoulos G, Perk G (2012) Mitral annular plane systolic excursion as a surrogate for left ventricular ejection fraction. J Am Soc Echocardiogr 25(9):969–974

    Article  Google Scholar 

  26. Fiorelli EM, Casella F, Torzillo D, Cogliati C (2017) Bedside focused cardiac ultrasound in the evaluation of systolic dysfunction. Intern Emerg Med 12(2):241–245

    Article  Google Scholar 

  27. Price S, Platz E, Cullen L et al (2017) Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nat Rev Cardiol 14(7):427–440

    Article  Google Scholar 

  28. Michels G (2017) Intensivmedizinische Arbeitstechniken. In: Michels G, Kochanek M (Hrsg) Repetitorium Internistische Intensivmedizin, 3. Aufl. Springer, Berlin, Heidelberg

    Chapter  Google Scholar 

  29. Baumgartner H, Falk V, Bax JJ et al (2017) 2017 ESC/EACTS Guidelines for the management of valvular heart disease: The Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 38(36):2739–2791

    Article  Google Scholar 

  30. Brägelmann J, Pfister R, Michels G (2014) Stellenwert der Notfallechokardiographie am Beispiel einer akuten Aortendissektion. Med Klin Intensivmed Notfmed 109(5):364–367

    Article  Google Scholar 

  31. Erbel R, Aboyans V, Boileau C et al (2014) 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J 35(41):2873–2926

  32. Evangelista A, Flachskampf F, Erbel R et al (2010) Echocardiography in aortic diseases: EAE recommendations for clinical practice. Eur J Echocardiogr 11(8):645–658

    Article  Google Scholar 

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Authors and Affiliations

  1. Klinik III für Innere Medizin, Herzzentrum der Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland

    G. Michels & R. Pfister

  2. Zentrale Notaufnahme, Medizinische Fakultät, Universitätsklinikum Magdeburg A.ö.R., Otto-von-Guericke-Universität, Magdeburg, Deutschland

    D. Hempel

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  1. G. Michels
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  2. R. Pfister
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Correspondence to G. Michels.

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Interessenkonflikt

G. Michels, R. Pfister und D. Hempel geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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M. Buerke, Siegen

C. Dodt, München

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Michels, G., Pfister, R. & Hempel, D. Fokussierte Echokardiographie in der Akutmedizin. Med Klin Intensivmed Notfmed 113, 625–630 (2018). https://doi.org/10.1007/s00063-018-0493-z

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  • DOI: https://doi.org/10.1007/s00063-018-0493-z

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