Herrmann S, Kraus N A, Frantz S
Medizinische Klinik und Poliklinik I, Universitätsklinik Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
Internist (Berl). 2018 Jan;59(1):3-14. doi: 10.1007/s00108-017-0356-3.
Cardiovascular diseases are common; therefore, adequate and guideline-based diagnostics and treatment are essential. In addition to an electrocardiogram (ECG) and (treadmill) exercise tests, echocardiography plays the pivotal role in functional cardiac testing. It is permanently available at the bedside and has a high diagnostic accuracy; however, examinations such as cardiac magnetic resonance imaging (MRI) and computed tomography (CT) as well as nuclear medical imaging, e.g. single proton emission CT (SPECT) and positron emission tomography (PET) are becoming more and more common in clinical practice. This is due to the wide range of additional information and the high diagnostic accuracy. In the following article, the individual possibilities of non-invasive cardiac functional testing are presented and their meaningful application will be discussed; however, studies on the meaningful application of non-invasive diagnostics are scarce.
心血管疾病很常见,因此,基于指南进行充分的诊断和治疗至关重要。除了心电图(ECG)和(跑步机)运动试验外,超声心动图在心脏功能测试中起着关键作用。它可随时在床边进行,诊断准确性高;然而,诸如心脏磁共振成像(MRI)、计算机断层扫描(CT)以及核医学成像,例如单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)等检查在临床实践中越来越普遍。这是由于其能提供广泛的额外信息且诊断准确性高。在以下文章中,将介绍无创心脏功能测试的各种可能性,并讨论其有意义的应用;然而,关于无创诊断有意义应用的研究很少。