Echokardiografie als Gatekeeper bei KHK

Zusammenfassung

Die nicht invasive kardiale Bildgebung nimmt eine zentrale Rolle in der Diagnostik der koronaren Herzkrankheit ein. Die Bestimmung der koronaren Flussgeschwindigkeitsreserve und der Myokardperfusion hat die Einsatzmöglichkeiten der Echokardiografie weiter verbessert und unterstreicht ihre Rolle als bildgebende Methode der ersten Wahl.

Abstract

Non-invasive cardiac imaging techniques play a major role in the diagnosis of coronary artery disease to avoid unnecessary invasive coronary angiographies. Introduction of measurement of coronary flow velocity reserve and perfusion imaging further improves the diagnostic yield of echocardiography and underlines its role as imaging modality of first choice.

Schlüsselwörter

Echokardiografie - Ischämiediagnostik - Wandbewegungsstörungen - koronare Flussgeschwindigkeitsreserve - fraktionelle Flussreserve - Perfusion

Key words

echocardiography - coronary artery disease - wall motion abnormality - coronary flow velocity reserve (CFR) - fractional flow reserve (FFR) - perfusion imaging (MCE)

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