TY - JOUR
T1 - Use of echocardiography in patients with known or suspected infective endocarditis
AU - Lerakis, Stamatios
AU - Lindner, Jonathan R.
AU - Stouffer, George A.
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1998/9
Y1 - 1998/9
N2 - Ultrasonographic examination enables the detection of vegetations, valvular regurgitation, intramyocardial abscesses, and subaortic complications in patients with suspected endocarditis, but the role echocardiography should play in the diagnosis and management of patients with suspected IE is still somewhat unclear. Echocardiography is useful when the clinical suspicion of IE is intermediate or high but of little value in individuals in whom the suspicion is low. In patients with known endocarditis, echocardiography may provide information important to optimal management. TEE is generally superior to TTE, especially in patients with prosthetic valves, in the detection of abscess formation, and in those patients in whom TTE is either inadequate or indicates an intermediate probability of endocarditis. Despite recent advances in our understanding of the role echocardiography should play in patients with known or suspected IE, there remain many unanswered questions and it should be emphasized that echocardiographic data must be interpreted in conjunction with clinical information.
AB - Ultrasonographic examination enables the detection of vegetations, valvular regurgitation, intramyocardial abscesses, and subaortic complications in patients with suspected endocarditis, but the role echocardiography should play in the diagnosis and management of patients with suspected IE is still somewhat unclear. Echocardiography is useful when the clinical suspicion of IE is intermediate or high but of little value in individuals in whom the suspicion is low. In patients with known endocarditis, echocardiography may provide information important to optimal management. TEE is generally superior to TTE, especially in patients with prosthetic valves, in the detection of abscess formation, and in those patients in whom TTE is either inadequate or indicates an intermediate probability of endocarditis. Despite recent advances in our understanding of the role echocardiography should play in patients with known or suspected IE, there remain many unanswered questions and it should be emphasized that echocardiographic data must be interpreted in conjunction with clinical information.
UR - http://www.scopus.com/inward/record.url?scp=0344157828&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0344157828&partnerID=8YFLogxK
U2 - 10.1097/00000441-199809000-00011
DO - 10.1097/00000441-199809000-00011
M3 - Article
C2 - 9749565
AN - SCOPUS:0344157828
SN - 0002-9629
VL - 316
SP - 209
EP - 212
JO - American Journal of the Medical Sciences
JF - American Journal of the Medical Sciences
IS - 3
ER -