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Moderne Bildgebung als „Biomarker“: kein Patient ohne Echokardiographie?

Modern imaging as a “biomarker”: no patient without echocardiography?

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Zusammenfassung

Ein „Biomarker“ zeichnet sich dadurch aus, dass er etwas quantitativ oder qualitativ misst und sich daraus eine klinisch verwertbare Konsequenz ergibt. So betrachtet ist Echokardiographie auch ein „Biomarker“. Sie ermöglicht Aussagen zur Anatomie, Funktion und Hämodynamik. Bei fast allen kardiovaskulären Fragestellungen der Notfall- und Intensivmedizin kann die Echokardiographie wichtige Informationen liefern: akutes Koronarsyndrom, Myokardinfarkt, Herzinsuffizienz, Lungenembolie, Sepsis, Endokarditis, Schlaganfall usw. Alle Patienten mit Dyspnoe, Thoraxschmerzen, respiratorischer Insuffizienz, Sepsis und nach Reanimation müssen eine Echokardiographie erhalten. Konventionelle Biomarker ergänzen hier das Bild – um eine optimale Diagnostik und Therapie zu ermöglichen.

Abstract

A “biomarker” is measures something quantitatively or qualitatively, and this improves clinical decision-making. Echocardiography is therefore also a “biomarker”. It provides information on anatomy, function and haemodynamics. Echocardiography can provide important information for almost all cardiovascular diseases in emergency and intensive care medicine: acute coronary syndrome, myocardial infarction, heart failure, pulmonary embolism, sepsis, endocarditis, stroke, etc. All patients with dyspnea, chest pain, respiratory insufficiency, sepsis and after resuscitation must receive echocardiography. Conventional biomarkers complete the picture here—to enable optimal diagnosis and therapy.

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Authors and Affiliations

  1. Medizinische Klinik mit Schwerpunkt Kardiologie und Angiologie, Charité Universitätsmedizin Berlin, Campus Mitte, 10098, Berlin, Deutschland

    F. Knebel FESC

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  1. F. Knebel FESC
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Correspondence to F. Knebel FESC.

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F. Knebel erhielt Honorare für Vorträge und Tätigkeiten in Advisory Boards von GE Healthcare, Siemens Healthineers, BRACCO.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Knebel, F. Moderne Bildgebung als „Biomarker“: kein Patient ohne Echokardiographie?. Med Klin Intensivmed Notfmed 114, 297–301 (2019). https://doi.org/10.1007/s00063-019-0568-5

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  • DOI: https://doi.org/10.1007/s00063-019-0568-5

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