Menzies Institute for Medical Research, Hobart, Tasmania, Australia
J Nucl Med. 2015 Jun;56 Suppl 4:31S-38S. doi: 10.2967/jnumed.114.150433.
Data from echocardiography provide a cornerstone in the management of heart failure. All imaging techniques can provide an ejection fraction, but the versatility of echocardiography makes it unique in the provision of volumes, diastolic function, right ventricular function, hemodynamics, and valvular regurgitation. The early detection of heart failure has been facilitated by the assessment of global longitudinal strain, which is also useful in later heart failure for the assessment of left ventricular synchrony. The use of echocardiography has been associated with favorable outcomes, probably on the basis of facilitation of appropriate therapy. This review examines the evidence provided by echocardiography and its application in specific settings. Although the guidelines emphasize that no single test satisfies all imaging requirements in heart failure, and other modalities can provide additional information about specific questions (especially tissue characterization), echocardiography is indispensable in the management of heart failure.
超声心动图数据为心力衰竭的管理提供了基石。所有的成像技术都可以提供射血分数，但超声心动图的多功能性使其在提供容量、舒张功能、右心室功能、血液动力学和瓣膜反流方面具有独特性。通过评估整体纵向应变，促进了心力衰竭的早期发现，这在心力衰竭后期评估左心室同步性时也很有用。超声心动图的使用与良好的结果相关，这可能是基于促进了适当的治疗。这篇综述检查了超声心动图提供的证据及其在特定情况下的应用。尽管指南强调没有单一的测试可以满足心力衰竭所有成像要求，并且其他方式可以提供有关特定问题的额外信息（特别是组织特征），但超声心动图在心力衰竭的管理中是不可或缺的。
