Echokardiografie bei akuter Herzinsuffizienz: von Ersteinschätzung in der Notaufnahme bis Therapieoptimierung auf der Intensivstation

Abstract

Echocardiography is a powerful but underused tool for the bedside assessment of patients with acute heart failure (AHF). The CME article summarizes recommendations for the use of echocardiography in AHF patients in the emergency department. In addition, it describes a step-by-step approach for the hemodynamic assessment of AHF patients in intensive care units.

• Literatur

• 1 Papolos A, Narula J, Bavishi C et al. U.S. Hospital Use of Echocardiography: Insights From the Nationwide Inpatient Sample. J Am Coll Cardiol 2016; 67: 502-511
• 2 Lancellotti P, Price S, Edvardsen T et al. The use of echocardiography in acute cardiovascular care: recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association. Eur Heart J Cardiovasc Imaging 2015; 16: 119-146
• 3 Neskovic AN, Hagendorff A, Lancellotti P et al. Emergency echocardiography: the European Association of Cardiovascular Imaging recommendations. Eur Heart J Cardiovasc Imaging 2013; 14: 1-11
• 4 Porter TR, Shillcutt SK, Adams MS et al. Guidelines for the use of echocardiography as a monitor for therapeutic intervention in adults: a report from the American Society of Echocardiography. J Am Soc Echocardiogr 2015; 28: 40-56
• 5 Breuckmann F, Hochadel M, Voigtlander T et al. The Use of Echocardiography in Certified Chest Pain Units: Results from the German Chest Pain Unit Registry. Cardiology 2016; 134: 75-83
• 6 Steg PG, James SK, Atar D et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 2012; 33: 2569-2619
• 7 Rinkevich D, Kaul S, Wang XQ et al. Regional left ventricular perfusion and function in patients presenting to the emergency department with chest pain and no ST-segment elevation. Eur Heart J 2005; 26: 1606-1611
• 8 Kurt M, Shaikh KA, Peterson L et al. Impact of contrast echocardiography on evaluation of ventricular function and clinical management in a large prospective cohort. J Am Coll Cardiol 2009; 53: 802-810
• 9 Porter TR, Abdelmoneim S, Belcik JT et al. Guidelines for the cardiac sonographer in the performance of contrast echocardiography: a focused update from the American Society of Echocardiography. J Am Soc Echocardiogr 2014; 27: 797-810
• 10 Roffi M, Patrono C, Collet JP et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC). Eur Heart J 2016; 37: 267-315
• 11 Ono R, Falcao LM. Takotsubo cardiomyopathy systematic review: Pathophysiologic process, clinical presentation and diagnostic approach to Takotsubo cardiomyopathy. Int J Cardiol 2016; 209: 196-205
• 12 Briasoulis A, Marinescu K, Mocanu M et al. Comparison of Left Ventricular Contractile Abnormalities in Stress-Induced Cardiomyopathy versus Obstructive Coronary Artery Disease Using Two-Dimensional Strain Imaging. Echocardiography 2016;
• 13 Fung G, Luo H, Qiu Y et al. Myocarditis. Circ Res 2016; 118: 496-514
• 14 Konstantinides SV, Torbicki A, Agnelli G et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014; 35: 3033-3069k
• 15 Lanspa MJ, Grissom CK, Hirshberg EL et al. Applying dynamic parameters to predict hemodynamic response to volume expansion in spontaneously breathing patients with septic shock. Shock 2013; 39: 155-160
• 16 Rudski LG, Lai WW, Afilalo J et al. 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 2010; 23: 685-713
• 17 Ristow B, Na B, Ali S et al. Left ventricular outflow tract and pulmonary artery stroke distances independently predict heart failure hospitalization and mortality: the Heart and Soul Study. J Am Soc Echocardiogr 2011; 24: 565-572
• 18 Mosteller RD. Simplified calculation of body-surface area. N Engl J Med 1987; 317: 1098
• 19 Mebazaa A, Parissis J, Porcher R et al. Short-term survival by treatment among patients hospitalized with acute heart failure: the global ALARM-HF registry using propensity scoring methods. Intensive Care Med 2011; 37: 290-301
• 20 Morelli A, Ertmer C, Westphal M et al. Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock: a randomized clinical trial. JAMA 2013; 310: 1683-1691