Infection of cardiac prosthetic valves and implantable electronic devices: early diagnosis and treatment
| Autor: | Chrissa Sioka, Burcu Dirlik Serim, Ulku Korkmaz, Andreas Fotopoulos, Lampros Lakkas, Lampros K. Michalis, Ioannis Iakovou, Argyrios Doumas |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pacemaker Artificial Prosthesis-Related Infections Computed tomography 030204 cardiovascular system & hematology Duke criteria Implantable defibrillators 03 medical and health sciences 0302 clinical medicine Fluorodeoxyglucose F18 Positron Emission Tomography Computed Tomography medicine Endocarditis Humans 030212 general & internal medicine Prosthetic valve PET-CT medicine.diagnostic_test business.industry General Medicine medicine.disease Defibrillators Implantable Early Diagnosis Positron emission tomography Heart Valve Prosthesis Radiology Electronics Radiopharmaceuticals Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Acta cardiologica. 76(6) |
| ISSN: | 1784-973X |
| Popis: | There has been a recent rise in the use of implantable cardiac devices, mostly valves but also electronic ones, such as pacemakers, and implantable defibrillators. The increasing use of these devices had as a consequence the raised incidence of endocarditis, an infrequent but morbid complication of these procedures. Thus, early diagnosis of the implantable cardiac devices related infection and endocarditis became pivotal for appropriate management. For diagnostic purposes, the modified Duke criteria are widely used, which are based on clinical and imaging findings, in addition to serological analyses and blood cultures. 18F-fluoro-2-deoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) is a recently employed method in order to improve the early diagnosis of endocarditis as well as infection of the implantable device. It is likely, that combining the modified Duke criteria with the FDG PET/CT, will increase the sensitivity and specificity of diagnosis and will guide the treating physician to an early and appropriate management. |
| Databáze: | OpenAIRE |
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