Berko Barbara A, Owen Alyson N, Zwas Donna R
Jefferson Medical College, Thomas Jefferson University, Jefferson Heart Institute, Philadelphia, PA, USA.
Geriatrics. 2003 Jul;58(7):30-4; quiz 35.
Echocardiography assumes a major role in the diagnosis and evaluation of cardiovascular disease in the older population. Available diagnostic modalities are briefly reviewed and their role in identifying disease entities common in a geriatric population is discussed. The prognostic implications of echocardiographic findings of mitral annular calcification and aortic sclerosis are reviewed, as are the use of echo and Doppler techniques in the assessment of congestive heart failure. Particular emphasis is placed on the evaluation of ischemic heart disease using stress echocardiography, the diagnosis and assessment of degenerative aortic valve disease, and the role of transesophageal echo in the management of atrial fibrillation and stroke.
超声心动图在老年人群心血管疾病的诊断和评估中发挥着重要作用。本文简要回顾了现有的诊断方法，并讨论了它们在识别老年人群常见疾病实体中的作用。文中回顾了二尖瓣环钙化和主动脉硬化的超声心动图表现的预后意义，以及超声和多普勒技术在评估充血性心力衰竭中的应用。特别强调了使用负荷超声心动图评估缺血性心脏病、退行性主动脉瓣疾病的诊断和评估，以及经食管超声心动图在心房颤动和中风管理中的作用。
