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Diagnostik kardiovaskulärer Erkrankungen mit Hilfe der suprasternalen M-mode Echokardiographie

Diagnosis of cardiovascular diseases through suprasternal M-mode echocardiography

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Summary

The suprasternal approach can be used to image the aortic arch, the right pulmonary artery and the left atrium. Dilatation or dissections involving the aortic arch were detected echocardiographically from the suprasternal notch. The echocardiogram of the right pulmonary artery is altered in cases of acute and chronic pulmonary hypertension. Intrapulmonary thrombi in patients with acute pulmonary embolism were visualized with this technique. A volume overloading of the pulmonary circulation due to a congenital left to right shunt, as well as a decreased pulmonary blood flow due to a congenital right to left shunt causes characteristic changes in the wall motion pattern of the right pulmonary artery. Hypoplasia or aplasia of the central pulmonary arteries can be diagnosed as well. Imaging of the left atrium from the suprasternal notch may help to differentiate between supraventricular and ventricular rhythm disturbances. The suprasternal approach is therefore recommended to be used as a routine part of each echocardiographic examination.

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Abbreviations

AOd :

enddiastolischer Diameter der Aorta

AOs :

mittsystolischer Diameter der Aorta

ASD:

Vorhofseptumdefekt

AO:

Aorta

DCM:

dilative Kardiomyopathie

F4 :

Fallot'sche Tetralogie

LA:

linker Vorhof

NP:

Normalperson

PH:

pulmonale Hypertonie

PI:

Pulmonalinsuffizienz

PSEAO :

prozentuale systolische Erweiterung der Aorta

PSERPA :

prozentuale systolische Erweiterung der rechten Pulmonalarterie

PADm :

mittlerer Pulmonalarteriendruck

PC:

praecordial

QRPA :

maximale Zunahme der Querschnittsfläche der rechten Pulmonalarterie während der Systole

RPAd :

end-diastolischer Diameter der rechten Pulmonalarterie

RPAs :

mittsystolischer Diameter der rechten Pulmonalarterie

SS:

suprasternal

SX:

subxiphoidal

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Authors and Affiliations

  1. Innere Medizin III, Albrecht-Ludwigs-Universität Freiburg, Germany

    W. Kasper, T. Meinertz & H. Just

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  1. W. Kasper
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  2. T. Meinertz
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  3. H. Just
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Teile der Arbeit wurden durch das BMFT-Projekt 01ZSO31-ZA/NT02 gefördert

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Kasper, W., Meinertz, T. & Just, H. Diagnostik kardiovaskulärer Erkrankungen mit Hilfe der suprasternalen M-mode Echokardiographie. Klin Wochenschr 63, 193–204 (1985). https://doi.org/10.1007/BF01731169

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  • DOI: https://doi.org/10.1007/BF01731169

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