Transesophageal Echocardiography (TEE) in the Evaluation of Infective Endocarditis

Autor: Ann F. Bolger, Elizabeth W. Ryan
Rok vydání: 2000
Předmět:
Zdroj: Cardiology Clinics. 18:773-787
ISSN: 0733-8651
DOI: 10.1016/s0733-8651(05)70179-x
Popis: Endocarditis is a potentially life-threatening disease. Although it is rare, endocarditis is a common concern in the differential diagnosis of many day-to-day clinical situations, because its many manifestations can mimic other systemic infections and inflammatory states. The annual incidence of endocarditis is increasing, with 20,000 to 30,000 new cases per year, particularly among newborn and elderly patients. The implications for these patients are serious and lifelong, despite advances in antimicrobial therapy and diagnostic and surgical techniques. A time- and cost-efficient strategy for the detection of endocarditis is critical for avoiding long-term sequelae and for prompt management of major systemic complications, including mycotic aneurysms, splenic abscess, and focal ischemia secondary to embolism. Echocardiography is the primary technique for the detection of vegetations and cardiac complications that result from endocardial infection. As imaging has improved, the role of echocardiography in the diagnosis and management of patients with endocarditis has become defined clearly. Formal diagnostic criteria for endocarditis 13 recently have been developed to underscore the importance of echocardiographic findings in establishing or ruling out the presence of endocarditis.
Databáze: OpenAIRE