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Empfehlungen zur Notfallechokardiographie

Recommendations on emergency echocardiography

Der Kardiologe Aims and scope

Zusammenfassung

Die Deutschen Empfehlungen für die Anwendung der Echokardiographie in der Notfallmedizin zeigen die Standards der Notfallechokardiographie im Hinblick auf Gerätetechnik, Durchführung, Dokumentation, Datenspeicherung, Interpretation und Befund sowie Ausbildung und Training der beteiligten Anwender. Eine Notfallechokardiographie definiert eine qualifizierte Diagnostik durch einen Kardiologen oder einen Arzt, der eigenständig und eigenverantwortlich die Untersuchung durchführen, dokumentieren, interpretieren und befunden kann. Die fokussierte Sonographie des Herzens ist dagegen eine orientierende, fokussierte diagnostische Maßnahme im Notfall, die nicht den qualitativen Standards einer Notfallechokardiographie entspricht. Diese Empfehlungen beschreiben die echokardiographische Vorgehensweise bei Myokardinfarkt, Lungenembolie, Perikardtamponade, akutem Herzklappenfehler, Endokarditis, Aortendissektion, Thoraxtrauma, Schock und Herzinsuffizienz unter Berücksichtigung der wesentlichen kardialen Strukturen.

Abstract

The German recommendations on emergency echocardiography set up and propose standards for ultrasound equipment, execution, documentation, data storage, interpretation of the results as well as education and training of physicians performing echocardiography in the emergency setting. Emergency echocardiography is defined as a comprehensive diagnostic procedure performed by cardiologists or physicians who are able to independently perform echocardiography and its documentation and to interpret the results unaided. In contrast, focused sonography of the heart is an informative, focused diagnostic measure in emergencies which does not adequately conform to the quality standards of emergency echocardiography. The recommendations describe the echocardiographic approach and procedure in cardiovascular diseases, such as acute myocardial infarction, pulmonary embolism, pericardial tamponade, acute heart valve diseases, endocarditis, aortic dissection, thoracic trauma, shock and heart failure considering the most important cardiac structures.

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Appendum

Review der „Empfehlungen zur Notfall-Echokardiographie“ durch die Mitglieder des Nukleus der Arbeitsgruppe „Kardiovaskulärer Ultraschall“ der Deutschen Gesellschaft für Kardiologie: Stephan Beckmann (Berlin), Ole Breithardt (Leipzig), Thomas Buck (Essen), Wolfgang Fehske (Köln), Frank Flachskampf (Upsalla/Schweden), Irmtraut Kruck (Ludwigsburg), Karl Graf LaRosee (Bonn), Jens-Uwe Voigt (Leuven/Belgien) und Frank Weidemann (Würzburg) sowie Review und Konsentierung für die S2 Leitlinie Lungenembolie durch Stavros Konstantinides (Mainz).

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Interessenkonflikt. Den Interessenkonflikt der Autoren finden Sie online auf der DGK-Homepage unter http://leitlinien.dgk.org/ bei der entsprechenden Publikation. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Hagendorff, A., Tiemann, K., Simonis, G. et al. Empfehlungen zur Notfallechokardiographie. Kardiologe 8, 45–64 (2014). https://doi.org/10.1007/s12181-013-0531-2

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