Tom 12, Nr 4 (2017)
Artykuł przeglądowy
Opublikowany online: 2017-09-19
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Znaczenie rokownicze wybranych parametrów echokardiograficznych w ciężkiej skurczowej niewydolności serca
DOI: 10.5603/FC.2017.0069
Folia Cardiologica 2017;12(4):362-370.
Streszczenie
Echokardiografia ma ugruntowane miejsce w diagnostyce kardiologicznej. Dzięki możliwości oceny budowy i funkcji serca jest niezastąpiona przy ustalaniu rozpoznania niewydolności serca (HF), w diagnostyce różnicowej jej przyczyn, a także w prognozowaniu jej przebiegu. Powiększenie wymiarów lewej komory oraz obniżenie jej frakcji wyrzutowej, charakterystyczne dla zastoinowej HF, wykorzystano w najczęściej stosowanych skalach rokowniczych. Prawdopodobnie jednak w grupie chorych z najcięższym uszkodzeniem lewej komory większe znaczenie rokownicze mają powikłania hemodynamiczne tego stanu. Należą do nich: wzmożone ciśnienie napełniania lewej komory, którego konsekwencją jest nadciśnienie płucne, przeciążenie ciśnieniowe i objętościowe prawej komory i jej wtórna dysfunkcja skurczowa. Zarówno klasyczne, jak i nowoczesne parametry echokardiograficzne uzyskują coraz większe znaczenie w prognozowaniu przebiegu HF z obniżoną frakcją wyrzutową.
Słowa kluczowe: echokardiografiarokowanieprzewlekła niewydolność serca
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