{"id":196,"date":"2019-01-14T05:27:52","date_gmt":"2019-01-14T05:27:52","guid":{"rendered":"http:\/\/felixkirsch.com\/?page_id=196"},"modified":"2019-01-14T21:14:51","modified_gmt":"2019-01-14T21:14:51","slug":"erganzungen-4-5-pulmonalinsuffizienz","status":"publish","type":"page","link":"https:\/\/echokardio.de\/en\/erganzungen-4-5-pulmonalinsuffizienz\/","title":{"rendered":"Erg\u00e4nzungen (4\/5) Pulmonalinsuffizienz"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"196\" class=\"elementor elementor-196 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-50edf41 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"50edf41\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-918db63\" data-id=\"918db63\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab8d073 elementor-widget elementor-widget-heading\" data-id=\"ab8d073\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"http:\/\/asecho.org\/wordpress\/wp-content\/uploads\/2017\/04\/2017VavularRegurgitationGuideline.pdf\" rel=\"nofollow noopener\" target=\"_blank\">Pulmonalinsuffizienz (ASE 2017)<\/a><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d1209e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d1209e4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5e07a71\" data-id=\"5e07a71\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e74e2bc elementor-widget elementor-widget-text-editor\" data-id=\"e74e2bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\">\u00a0<\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif; color: #333333;\"><span style=\"color: #006699;\"><a href=\"http:\/\/www.hdz-nrw.de\/aktuelles\/veranstaltungen\/details\/?tx_ttnews%5Btt_news%5D=900&amp;cHash=ec5a6858c533cf18310697a6116cd8aa\" rel=\"nofollow noopener\" target=\"_blank\"><br \/><\/a><\/span><\/span><\/b><b><\/b><\/p><p style=\"margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><span style=\"font-size: 10pt; font-family: Verdana, sans-serif; border: 1pt none windowtext; padding: 0cm;\">Betroffen ist in Block 5 die Folie 55<\/span><\/p><p style=\"margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b style=\"font-size: 16pt; font-family: 'Times New Roman', serif;\"><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">\u00a0<\/span><\/b><\/p><p style=\"margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b style=\"font-size: 16pt; font-family: 'Times New Roman', serif;\"><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">Quantifizierung per MRT weiterhin Goldstandard.<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">Vena contracta (VC) jetzt auch hier zul\u00e4ssig, aber nur in Relation zum Annulus (cutoff-Wert\u00a0<u>&gt;<\/u>\u00a070 %).<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span lang=\"EN-US\" style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">Erst Pressure Half Time (PHT) &lt; 100 ms hochpathologisch.<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">Neuer Ansatz:\u00a0<br \/>PW-Doppler in die\u00a0 rechte bzw. linke Pulmonalarterie (PA) richten: wenn reverser Flow, Hinweise auf\u00a0 hochgradige PI<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">\u00a0<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">spezifische Kriterien:<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">&#8211; VC\/Annulus\u00a0<u>&gt;<\/u>\u00a070 %<\/span><\/b><b><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">&#8211; dichter Reflux-Jet im CW-Doppler\u00a0<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">&#8211; PHT &lt; 100 ms\/fr\u00fches Ende des PI-jets<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">&#8211; retrograder Flow in re\/li PA<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">&#8211; dilatierter rechter Ventrikel mit erhaltener Pumpfunktion<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">\u00a0<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">wenn unschl\u00fcssig, Regurgitationsfraktion (RF) berechnen, aber fehleranf\u00e4lliig:<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">Schlagvolumen (SV) im RVOT (fr\u00fchsystol., unnittelbar unterh. Pulmonalklappe) und \u00fcber LVOT berechnen:<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">Regurgtationsvolumen (RV) = SV RVOT &#8211; SV LVOT<\/span><\/b><\/p><p style=\"margin-right: 0cm; margin-left: 0cm; font-size: medium; font-family: 'Times New Roman', serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal;\"><b><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">RF = RV\/SV RVOT<\/span><\/b><\/p><p><b style=\"caret-color: #000000; color: #000000; font-family: 'Times New Roman', serif;\"><span style=\"font-size: 14pt; font-family: Verdana, sans-serif;\">hochgradige PI bei RF &gt; 40 %<\/span><\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b18985 elementor-widget elementor-widget-text-editor\" data-id=\"5b18985\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a style=\"font-family: Lato, sans-serif; font-variant-caps: normal; font-size: 16px; font-style: normal;\" href=\"http:\/\/asecho.org\/wordpress\/wp-content\/uploads\/2017\/04\/2017VavularRegurgitationGuideline.pdf\" data-wplink-edit=\"true\" rel=\"nofollow noopener\" target=\"_blank\">JASE April 2017<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7e65ee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b7e65ee\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d800e1f\" data-id=\"d800e1f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9dce7fe elementor-widget elementor-widget-wp-widget-nav_menu\" data-id=\"9dce7fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-nav_menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<aside class=\"widget\"><h3 class=\"widget-title\"><span>Erg\u00e4nzungen<\/span><\/h3><div class=\"menu-errata-container\"><ul id=\"menu-errata\" class=\"menu\"><li id=\"menu-item-208\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-208\"><a href=\"https:\/\/echokardio.de\/en\/erganzungen-zur-5-auflage-errata\/\">Erg\u00e4nzungen (1\/5) neue ASE-Leitlinien zu Klappeninsuffizienzen<\/a><\/li>\n<li id=\"menu-item-191\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-191\"><a href=\"https:\/\/echokardio.de\/en\/weiter-zur-trikuspidalinsuffizienz\/\">Erg\u00e4nzungen (2\/5) neue ASE-Leitlinien zu Klappeninsuffizienzen (TI)<\/a><\/li>\n<li id=\"menu-item-192\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-192\"><a href=\"https:\/\/echokardio.de\/en\/erganzungen-3-5\/\">Erg\u00e4nzungen (3\/5) Aorteninsuffizienz<\/a><\/li>\n<li id=\"menu-item-206\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-206\"><a href=\"https:\/\/echokardio.de\/en\/erganzungen-4-5-pulmonalinsuffizienz\/\">Erg\u00e4nzungen (4\/5) Pulmonalinsuffizienz<\/a><\/li>\n<li id=\"menu-item-207\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-207\"><a href=\"https:\/\/echokardio.de\/en\/erganzungen-5-5-aortenstenose\/\">Erg\u00e4nzungen (5\/5) Aortenstenose<\/a><\/li>\n<\/ul><\/div><\/aside>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Pulmonalinsuffizienz (ASE 2017) \u00a0 Betroffen ist in Block 5 die Folie 55 \u00a0 Quantifizierung per MRT weiterhin Goldstandard. Vena contracta (VC) jetzt auch hier zul\u00e4ssig, aber nur in Relation zum Annulus (cutoff-Wert\u00a0&gt;\u00a070 %). Erst Pressure Half Time (PHT) &lt; 100<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-196","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/pages\/196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/comments?post=196"}],"version-history":[{"count":8,"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/pages\/196\/revisions"}],"predecessor-version":[{"id":302,"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/pages\/196\/revisions\/302"}],"wp:attachment":[{"href":"https:\/\/echokardio.de\/en\/wp-json\/wp\/v2\/media?parent=196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}