Hammerstingl C
Zentrum für Herz- und Gefäßmedizin am Mediapark, Im Mediapark 2, 50670, Köln, Deutschland.
Herz. 2017 Nov;42(7):629-633. doi: 10.1007/s00059-017-4610-1.
Pathologies of the right heart and the tricuspid valve were not recognized to be of prognostic relevance for many years. Available evidence showing the progressive nature of right heart diseases with direct impact on patient survival have changed current understanding of its clinical importance. Visualization and a profound understanding of the right heart anatomy are prerequisites for the development of modern and still experimental treatment strategies. Transthoracic and transesophageal echocardiography enable a standardized and clear visualization and assessment of the right heart anatomy and its pathological changes.
多年来,右心和三尖瓣病变一直未被认为具有预后相关性。现有证据表明,右心疾病具有进展性,直接影响患者生存,这改变了当前对其临床重要性的认识。可视化以及对右心解剖结构的深入了解是现代且仍处于实验阶段的治疗策略发展的先决条件。经胸和经食管超声心动图能够对右心解剖结构及其病理变化进行标准化且清晰的可视化和评估。