[Clinical diagnosis on congenital cardiovascular defects in childhood].
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In cardiac diagnosis we can observe an increasing replacement of the conventional invasive examination methods by less invasive or non invasive procedures. Non invasive examination methods are sufficient in the diagnostic work-up of ventricular function in coronary heart disease and cardiomyopathie, cardiac tumours and thrombi, calcifications, assessment of the bypass perfusion, pericardial disease, positional anomalies of the heart and the morphological changes caused by congenital cardiovascular defects. Invasive angiocardiography remains essential in the diagnosis of coronary artery stenoses, abnormal bypass perfusion, septal defects and in congenital cardiovascular defects in combination with intracardiac measurements of pressure and oxygenation.
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