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雑誌文献

循環器ジャーナル72巻2号

2024年04月発行

文献概要

特集 心エコー 何をどこまで評価できるか? Ⅱ. 心エコーを活かして心不全を治療する

この息切れは心不全? 心エコーを活用して診断に迫る

著者: 村上文崇1 小保方優2

所属機関: 1群馬大学医学部附属病院検査部 2群馬大学医学部附属病院循環器内科

ページ範囲:P.214 - P.221

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POINT
・息切れ患者からHFpEFを診断するために心エコー図検査が有用である.
・うっ血の少ない患者では,安静時評価のみでは不十分な場合がある.
・運動負荷心エコーはHFpEFの診断とリスク評価を可能にする.

参考文献

1)Okura Y, Ramadan MM, Ohno Y, et al. Impending epidemic : future projection of heart failure in Japan to the year 2055. Circ J 2008 ; 72 : 489-91.
2)Shiba N, Nochioka K, Miura M, et al. Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan--first report from the CHART-2 study. Circ J 2011 ; 75 : 823-33.
3)Shiraishi Y, Kohsaka S, Sato N, et al. 9-Year Trend in the Management of Acute Heart Failure in Japan : A Report From the National Consortium of Acute Heart Failure Registries. J Am Heart Assoc 2018 ; 7 : e008687.
4)Al Deeb M, Barbic S, Featherstone R, et al. Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea : a systematic review and meta-analysis. Acad Emerg Med 2014 ; 21 : 843-52.
5)Kagami K, Obokata M, Harada T, et al. Incremental diagnostic value of post-exercise lung congestion in heart failure with preserved ejection fraction. Eur Heart J Cardiovasc Imaging 2023 ; 24 : 553-61.
6)Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC Expert Consensus Decision Pathway on Management of Heart Failure With Preserved Ejection Fraction : A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol 2023 ; 81 : 1835-78.
7)Obokata M, Reddy YNV, Borlaug BA. Diastolic Dysfunction and Heart Failure With Preserved Ejection Fraction : Understanding Mechanisms by Using Noninvasive Methods. JACC Cardiovasc Imaging 2020 ; 13 : 245-57.
8)Obokata M, Reddy YNV, Borlaug BA. The Role of Echocardiography in Heart Failure with Preserved Ejection Fraction : What Do We Want from Imaging? Heart Fail Clin 2019 ; 15 : 241-56.
9)Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography : An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2016 ; 29 : 277-314.
10)Obokata M, Olson TP, Reddy YNV, et al. Haemodynamics, dyspnoea, and pulmonary reserve in heart failure with preserved ejection fraction. Eur Heart J 2018 ; 39 : 2810-21.
11)Obokata M, Kane GC, Reddy YN, et al. Role of Diastolic Stress Testing in the Evaluation for Heart Failure with Preserved Ejection Fraction : A Simultaneous Invasive-Echocardiographic Study. Circulation 2017 ; 135 : 825-38.
12)Harada T, Obokata M, Kagami K, et al. Utility of E/e' Ratio during Low-Level Exercise to Diagnose Heart Failure with Preserved Ejection Fraction. JACC Cardiovasc Imaging 2022 : S1936-878X(22)00666-0. Online ahead of print.
13)Harada T, Kagami K, Kato T, et al. Exercise Stress Echocardiography in the Diagnostic Evaluation of Heart Failure with Preserved Ejection Fraction. J Cardiovasc Dev Dis 2022 ; 9 : 87.
14)Lancellotti P, Pellikka PA, Budts W, et al. The Clinical Use of Stress Echocardiography in Non-Ischaemic Heart Disease : Recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J Am Soc Echocardiogr 2017 ; 30 : 101-38.

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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