Update on echocardiography in the management of infective endocarditis

Sedgwick, John Francis and Burstow, Darryl John (2012) Update on echocardiography in the management of infective endocarditis. Current Infectious Disease Reports, 14 4: 373-380. doi:10.1007/s11908-012-0262-8

Author Sedgwick, John Francis
Burstow, Darryl John
Title Update on echocardiography in the management of infective endocarditis
Journal name Current Infectious Disease Reports   Check publisher's open access policy
ISSN 1523-3847
Publication date 2012-08-01
Year available 2012
Sub-type Article (original research)
DOI 10.1007/s11908-012-0262-8
Open Access Status Not yet assessed
Volume 14
Issue 4
Start page 373
End page 380
Total pages 8
Place of publication Philadelphia, United States
Publisher Springer
Language eng
Abstract Echocardiography is the major imaging modality used for the diagnosis of infective endocarditis (IE). It is also useful in detecting the complications of IE which often necessitate surgical intervention and strongly influence patient outcomes. Transesophageal echocardiography (TEE), with proven superiority over transthoracic echocardiography (TTE) for the detection of vegetations and complications such as abscess, should be performed in the vast majority of cases especially when TTE image quality is poor or implanted devices are present. Three-dimensional (3D) TEE provides enhanced display of anatomic-spatial relationships allowing more precise delineation of complex pathology, particularly of the mitral valve and annulus. Importantly, echocardiographic findings can be nonspecific and should always be interpreted in the context of the pre-test probability of IE based on careful clinical assessment. IE remains a challenging disease associated with variable clinical presentations, and high mortality. Whenever IE is suspected, echocardiography should be utilized early for both diagnosis and detection of complications.
Keyword Infective endocarditis
Appropriateness criteria
Transesophageal echocardiography
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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