Znaczenie przezklatkowej echokardiografii w diagnostyce choroby niedokrwiennej serca = The role of transthoracic echocardiography in the diagnosis of coronary artery disease

Rafał Marcin Lenard, Magdalena Niedziela, Anna Sobieszczańska, Agata Smoleń

Abstract


Lenard Rafał, Niedziela Magdalena, Sobieszczańska Anna, Smoleń Agata. Znaczenie przezklatkowej echokardiografii w diagnostyce choroby niedokrwiennej serca = The role of transthoracic echocardiography in the diagnosis of coronary artery disease. Journal of Education, Health and Sport. 2015;5(11):11-24. ISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.33160

http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%2811%29%3A11-24

https://pbn.nauka.gov.pl/works/665723

Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive

 

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The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).

© The Author (s) 2015;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 05.09.2015. Revised 05.10.2015. Accepted: 30.10.2015.

 

Znaczenie przezklatkowej echokardiografii w diagnostyce choroby niedokrwiennej serca

The role of transthoracic echocardiography in the diagnosis of coronary artery disease

 

Rafał Lenard1, Magdalena Niedziela2, Anna Sobieszczańska3, Agata Smoleń4

 

1doktorant Katedry i Zakładu Epidemiologii, Uniwersytet Medyczny w Lublinie

2Studenckie Koło Naukowe przy Katedrze i Zakładzie Epidemiologii, Uniwersytet Medyczny w Lublinie

3Katedra i Zakład Ortopedii Szczękowej Uniwersytetu Medycznego w Lublinie

4Katedra i Zakład Epidemiologii, Uniwersytet Medyczny w Lublinie

 

1PhD student Deparment of Epidemiology, Medical University of Lublin, Lublin, Poland

2Students Research Circle at the Deparment of Epidemiology, Medical University of Lublin, Lublin, Poland

3Department of Jaw Orthopaedics, Medical University of Lublin, Lublin, Poland

4Deparment of Epidemiology, Medical University of Lublin, Lublin, Poland

 

Abstrakt

 

Wprowadzenie:

Zapadalność na chorobę wieńcową serca należy do najwyższych wśród chorób układu krążenia w społeczeństwach krajów wysoko rozwiniętych. Choroba niedokrwienna serca jest to zespół objawów chorobowych, które są następstwem stanu niewystarczającego zaopatrzenia komórek mięśnia serca w tlen i w substancje odżywcze, a jej obraz kliniczny wykazuje duże zróżnicowania. Jednym z cennych badań diagnostycznych w tej chorobie jest przezklatkowe badanie echokardiograficzne. Wykonywane jest w celu oceny anatomii mięśnia serca, oceny kurczliwości globalnej i odcinkowej lewej komory, oceny aorty piersiowej oraz naczyń płucnych.

Cel pracy:

Celem pracy była ocena znaczenia przezklatkowej echokardiografii w diagnostyce choroby niedokrwiennej serca.

Skrócony opis stanu wiedzy:

Wśród wielu objawów i następstw w chorobie niedokrwiennej serca może występować upośledzenie funkcji skurczowej i rozkurczowej lewej komory, niedokrwienna niedomykalność zastawki mitralnej oraz powiększenie lewego przedsionka. U pacjentów po zawale mięśnia serca, objęty niedokrwieniem obszar ulega włóknieniu i zanikowi oraz przestaje pełnić swoje funkcje. W rozpoznawaniu choroby niedokrwiennej serca ważne znaczenie ma echokardiografia obciążeniowa, zwłaszcza w przypadku współistnienia dodatkowych czynników, utrudniających interpretację próby wysiłkowej EKG.

Podsumowanie:

Badanie echokardiograficzne powinno być wykonywane u każdego pacjenta z podejrzeniem choroby niedokrwiennej serca. Jest ono najważniejszym badaniem w diagnostyce różnicowej bólów w klatce piersiowej i należy do badań prognostycznych u pacjentów z chorobą niedokrwienną serca.

 

Słowa kluczowe: echokardiografia, choroba niedokrwienna serca, diagnostyka.

 

Abstract

 

Introduction:

The incidence of coronary artery disease (CAD) is the highest of cardiovascular disease in societies of highly developed countries. Coronary artery disease  is complex of clinical syndrome based on inadequate supply of heart muscle cells with oxygen and nutrients. The clinical picure of CAD shows large variation.

One of the valuable diagnostic studies for this disease is transthoracic echocardiography (TTE). TTE is performed to assess the anatomy of the heart, global and segmental left ventricular contractility and the structure of the thoracic aorta and pulmonary vessels.

Aim of the study

The aim of the study was to evaluate the importance of transthoracic echocardiography in the diagnosis of coronary heart disease.

Short description of state of knowledge

Among the many symptoms and consequences of coronary artery disease impaired systolic and diastolic left ventricular contractility, ischemic mitral regurgitation and left atrial enlargement may occur. In patients after myocardial infarction, atrophy and fibrosis of myocardium is leading to impairment of myocardial function.

In the diagnosis of coronary artery disease stress echocardiography is important, especially  in the case of co-existing additional factors causing difficulty in the interpretation of stress ECG.

Conclusion.

Echocardiography should be performed in all patients with suspected coronary artery disease. It is the most important test in the differential diagnosis of chest pain. Echocardiography has a predictive value in patients with ischemic heart disease.

 

Keywords: echocardiography, coronary artery disease, diagnosis.


Keywords


echokardiografia; choroba niedokrwienna serca; diagnostyka; echocardiography; coronary artery disease; diagnosis.

Full Text:

PDF (Polski)

References


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