Cardiac computed tomography in infective endocarditis: "bridging the detection gap".

Autor: Montarello N; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Bioh G; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Byrne C; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Hassan I; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Androshchuk V; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Demetrescu C; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Mak SM; Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Rajani R; Cardiology Department, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.; School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Jazyk: angličtina
Zdroj: Frontiers in cardiovascular medicine [Front Cardiovasc Med] 2024 Sep 06; Vol. 11, pp. 1459833. Date of Electronic Publication: 2024 Sep 06 (Print Publication: 2024).
DOI: 10.3389/fcvm.2024.1459833
Abstrakt: Infective Endocarditis (IE) remains a significant health challenge. Despite an increasing awareness, mortality is high and has remained largely unchanged over recent decades. Early diagnosis of IE is imperative and to assist clinicians several diagnostic criteria have been proposed. The best known are the Duke criteria. Originally published in 1994, these criteria have undergone significant modifications. This manuscript provides a timeline of the successive changes that have been made over the last 30 years. Changes which to a large degree have reflected both the evolving epidemiology of IE and the proliferation and increasing availability of advanced multi-modality imaging. Importantly, many of these changes now form part of societal guidelines for the diagnosis of IE. To provide validation for the incorporation of cardiac computed tomography (CT) in current guidelines, the manuscript demonstrates a spectrum of pictorial case studies that re-enforce the utility and growing importance of early cardiac CT in the diagnosis and treatment of suspected IE.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(© 2024 Montarello, Bioh, Byrne, Hassan, Androshchuk, Demetrescu, Mak and Rajani.)
Databáze: MEDLINE