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Echokardiographie in der Rhythmologie

Echocardiography in cardiac arrhythmias

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An Erratum to this article was published on 15 December 2023

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Zusammenfassung

Die Echokardiographie spielt bei der Planung und Durchführung von elektrophysiologischen Eingriffen eine zentrale Rolle. Neben dem Ausschluss struktureller Herzerkrankungen gestattet die Echokardiographie durch die Bestimmung der linksatrialen Größe und Funktion einen Einblick in das Ausmaß des linksatrialen Remodelings. Dieser Biomarker ist mit dem Risiko von neu auftretendem Vorhofflimmern verbunden und prädiktiv für den Erfolg einer Vorhofflimmerablation. Die transösophageale Echokardiographie erlaubt den Ausschluss von linksatrialen Thromben und prozedurbegleitend die Steuerung einer transseptalen Punktion. Im Fall einer seltenen aber lebensbedrohlichen Perikardtamponade ermöglicht eine echokardiographisch gesteuerte Perikardpunktion eine schnelle und effektive Behandlung. Die echokardiographisch bestimmte linksventrikuläre Ejektionsfraktion und Deformationsanalyse sind etablierte Methoden zur Risikostratifizierung von Patienten mit eingeschränkter Pumpfunktion und dienen zur Planung einer Pharmako- und Devicetherapie.

Abstract

Echocardiography plays a key role in planning and guidance of electrophysiological procedures. After exclusion of structural heart disease, echocardiography provides insight into the extent of left atrial remodeling by determining left atrial metrics. This “biomarker” is associated with the risk of new-onset atrial fibrillation and predictive of atrial fibrillation recurrence after ablation. Transesophageal echocardiography is necessary to exclude left atrial thrombi and is able to guide a transseptal puncture. In case of a rare but life-threatening cardiac tamponade, an echocardiographic-guided pericardiocentesis ensures quick and effective treatment. Left ventricular ejection fraction and deformation analysis determined by echocardiography are established methods for risk stratification in patients with systolic dysfunction and used to guide pharmacological and device therapy.

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Authors and Affiliations

  1. Abteilung für Kardiologie, Kerckhoff Klinik GmbH, Benekestr. 2–8, 61231, Bad Nauheim, Deutschland

    Roland R. Brandt

  2. Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland

    Stephan Stöbe

  3. Medizinische Universitätsklinik II – Kardiologie und Angiologie, BG Universitätsklinikum Bergmannsheil Bochum, Bürkle de la Camp-Platz 1, 44789, Bochum, Deutschland

    Aydan Ewers

  4. Abteilung für Kardiologie, Katholische St. Paulus Gesellschaft, St.-Marien-Hospital Lünen, Altstadtstr. 23, 44534, Lünen, Deutschland

    Andreas Helfen

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Correspondence to Roland R. Brandt.

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Interessenkonflikt

R.R. Brandt ist als Referent für die Firma Philips Medical Systems DMC GmbH tätig. A. Helfen ist als Referent für die Firma Bracco Imaging Deutschland GmbH tätig. S. Stöbe und A. Ewers geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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D. Duncker, Hannover

V. Johnson, Gießen

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Die Originalversion dieses Beitrags wurde korrigiert: in Tabelle 1 wurden alle Normalwerte für den LA-Strain versehentlich mit einem negativen Vorzeichen versehen.

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Brandt, R.R., Stöbe, S., Ewers, A. et al. Echokardiographie in der Rhythmologie. Herzschr Elektrophys 34, 256–264 (2023). https://doi.org/10.1007/s00399-023-00956-1

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