Schimpf R, Omran H, Becher H, Rabahieh R, Tiemann K, Jung W, Preusse C J, Welz A, Lüderitz B
Medizinische Klinik und Poliklinik II, Rheinischen Friedrich-Wilhelms-Universität Bonn.
Dtsch Med Wochenschr. 2000 Sep 15;125(37):1065-8. doi: 10.1055/s-2000-7357.
Compared with conventional echocardiography (CEC) harmonic imaging (HEC) provides better resolution of the endocardial line and valvular apparatus. This prospective study was undertaken to compare the value of harmonic and conventional transthoracic echocardiography in endocarditis and compare them with standard transoesophageal echocardiography (TOE) and operative findings.
Conventional and harmonic echocardiographic imaging was compared in 30 patients (aged 58 +/- 17 years; 19 males and 11 females) with endocarditis clinically judged to require surgical intervention. The results of both methods were then compared with those of standard TOE and the intraoperative findings.
Intraoperatively 15 floating structures, 9 abscesses and 5 perforations were demonstrated. Transoesophageal echocardiography was better than the standard method in diagnosing floating structures and detecting abscesses (15 vs. 10 vegetations, p < 0.05; 7 vs. 5 abscesses, p = 0.05). TOE was better than either method in the diagnosis of abscess.
Harmonic transthoracic echocardiography is better than the conventional mode in diagnosing complications of endocarditis.
与传统超声心动图（CEC）相比，谐波成像（HEC）能更好地分辨心内膜线和瓣膜结构。本前瞻性研究旨在比较谐波经胸超声心动图和传统经胸超声心动图在感染性心内膜炎中的价值，并将它们与标准经食管超声心动图（TOE）及手术结果进行比较。
对30例临床判断需要手术干预的感染性心内膜炎患者（年龄58±17岁；男性19例，女性11例）进行传统超声心动图成像与谐波超声心动图成像比较。然后将两种方法的结果与标准TOE结果及术中发现进行比较。
术中发现15个漂浮物、9个脓肿和5处穿孔。经食管超声心动图在诊断漂浮物和检测脓肿方面优于标准方法（漂浮物15个对10个，p<0.05；脓肿7个对5个，p=0.05）。TOE在脓肿诊断方面优于这两种方法。
谐波经胸超声心动图在诊断感染性心内膜炎并发症方面优于传统模式。
Zotero 插件