Echokardiografické vyšetrenie

EN / SK

TECHmED.sk

Nové vyšetrenie
Ľavá komora
Diastolická funkcia ĽK
Pravá komora
Tlaky v PK
Kinetika a výpotok
Predsiene a VCI
Aorta
AoCh
MiCh
TrCh
PuCh
Záver vyšetrenia
Hodnoty
Projekcie

Echokardiografické vyšetrenie

TECHmED.sk

Nové
ĽK
Diastola ĽK
PK
Tlaky v PK
Kinetika
Predsiene
Aorta
AoCh
MiCh
TrCh
PuCh
Záver
Hodnoty
Projekcie

Kinetika a výpotok

Distal septum infarct (Echocardiography segments)

Distal septum infarct

Supraapical infarct (Echocardiography segments)

Supraapical infarct

Proximal LAD type AMI (Echocardiography segments)

Proximal LAD type AMI

Small basal inferior infarct (Echocardiography segments)

Small basal inferior infarct

Inferior Infarct (Echocardiography segments)

Inferior Infarct

Infero Posterior Infarct (Echocardiography segments)

Infero-Posterior Infarct

Postero lateral Infarct (Echocardiography segments)

Posterolateral Infarct

Infero Posterior Lateral Infarct (Echocardiography segments)

Infero-Posterior-Lateral Infarct

Lateral Infarct (Echocardiography segments)

Lateral Infarct

Echocardiography: 17 segments of left ventricle, coronary artery territories
Coronary artery territories and right ventricular RV segments
Pericardial effusion (circumferent, localized)

Zdroje:

Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the ASE and EACVI (2015)

Recommendations for the Evaluation of LV Diastolic Function by Echocardiography: An Update from the ASE and EACVI (2016)

Recommendations on the use of echocardiography in adult hypertension: a report from the EACVI and the ASE (2015)

Recommendations on the Echocardiographic Assessment of Aortic Valve Stenosis: A Focused Update from the EACVI and the ASE (2017)

ASE Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation (2017)

Guidelines for performing a comprehensive TTE examination in adults: Recommendations from the ASE (2018)

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: ASE, EACVI, ESC, CSE (2010)

Guidelines for the diagnosis and management of acute pulmonary embolism ESC, ERS (2019)

Echocardiography in aortic diseases: EAE recommendations for clinical practice (2010)

Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice (2009)

ESSENTIAL ECHOCARDIOGRAPHY A Companion to Braunwald’s Heart Disease

Coronary Artery Territories (Echocardiography Illustrated Book 4)

Kinetika

Popis kinetiky

Infarkt myokardu, echo projekcie, a segmenty

Ľavá komora

Anatómia, segmenty, koronárne zásobenie

Pravá komora

Anatómia, segmenty, koronárne zásobenie

Výpotok

Popis výpotku
Distal septum infarct (Echocardiography segments)

Distal septum infarct

  • LAD (distal, mid., prox.)
  • Low remodeling risk
  • A4C, A2C, A3C (Echo views)
Supraapical infarct (Echocardiography segments)

Supraapical infarct

  • LAD (distal, mid., prox.)
  • Small supraapical aneurysm
  • Low remodeling risk

Supraapical and distal septal infarcts can also occur in proximal LAD occlusion after rapid reperfusion.

Proximal LAD type AMI (Echocardiography segments)

Proximal LAD type AMI

  • LAD (before 1st septal branch, left main)
  • Always remodeling
  • Poor prognosis
Small basal inferior infarct (Echocardiography segments)

Small basal inferior infarct

  • RCA
  • Difficult region to interpret
  • Low remodeling risk
Inferior Infarct (Echocardiography segments)

Inferior Infarct

  • RCA
  • Low-moderate remodeling risk
Infero Posterior Infarct (Echocardiography segments)

Infero-Posterior Infarct

  • RCA (dominant) or Cx (large, prox.)
  • Moderate remodeling risk
  • Inferolateral (also called posterior)
Postero lateral Infarct (Echocardiography segments)

Posterolateral Infarct

  • CX, RCA
  • Moderate remodeling risk
  • Inferolateral (also called posterior)
Infero Posterior Lateral Infarct (Echocardiography segments)

Infero-Posterior-Lateral Infarct

  • Dominant RCA, CX (large, prox.)
  • High remodeling risk
  • Inferolateral (also called posterior)

Inferior/ posterior/ postero-lateral infarcts pose an elevated risk for restrictive MR!

Lateral Infarct (Echocardiography segments)

Lateral Infarct

  • CX, LAD (diagonal branch, difficult to interpret)
  • Low remodeling risk
  • When assessing the patterns of myocardial infarction, always consider the possibility of multiple/sequential infarcts!