Saurbier B, Krause T, Geibel A
Abteilung Innere Medizin III, Kardiologie und Angiologie, Medizinische Universitätsklinik Freiburg.
Ther Umsch. 2000 May;57(5):298-304. doi: 10.1024/0040-5930.57.5.298.
Even though the diagnosis of heart failure can often be made at bedside from the patient's history and a thorough physical examination, some mechanical examinations are needed to objectify the clinical symptoms. Due to the chronic and progressive character of heart failure with repeated periods of clinical treatment, non-invasive and reproducible methods are of great importance. Thanks to technical progress in data-acquisition and -processing, echocardiography has become one of the most important diagnostic tools in clinical cardiology. Many questions associated with the diagnosis and treatment of heart failure can be answered with the aid of the wide spectrum of echocardiography, including morphological description in conventional M- or B-Mode and functional analysis based on Dopplertechnique. On the other hand well-established nuclear techniques like myocardial perfusion scintigraphy and radionuclide ventriculography profit from recent technical development. In addition, the modification, specification and standardisation of examination protocols improve the diagnostic reliability of nuclear medical techniques. Performed by a specialist, both principles of examination--ultrasound and scintigraphy--are valid in the diagnosis of heart failure and in therapy-management.
尽管心力衰竭的诊断通常可以在床边根据患者的病史和全面的体格检查做出，但仍需要一些机械检查来客观化临床症状。由于心力衰竭具有慢性和进行性特点，且有反复的临床治疗阶段，因此非侵入性且可重复的方法非常重要。得益于数据采集和处理技术的进步，超声心动图已成为临床心脏病学中最重要的诊断工具之一。借助超声心动图的广泛应用，包括传统M型或B型的形态学描述以及基于多普勒技术的功能分析，许多与心力衰竭诊断和治疗相关的问题都可以得到解答。另一方面，像心肌灌注闪烁显像和放射性核素心室造影等成熟的核技术也受益于近期的技术发展。此外，检查方案的改进、规范和标准化提高了核医学技术的诊断可靠性。由专科医生进行的超声检查和闪烁显像这两种检查方法，在心力衰竭的诊断和治疗管理中都是有效的。
