Cardiac Imaging for Diagnosis and Management of Infective Endocarditis

Silbiger, Jeffrey J.; Rashed, Eman; Chen, Huazhen; Wiesenfeld, Elliot; Robinson, Sam E.; Cagliostro, Matthew

doi:10.1016/j.echo.2022.04.007

Cited by 18 publications

(10 citation statements)

References 95 publications

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“…15 CCT has shown outstanding results in the evaluation of pseudoaneurysms, abscesses, and fistulas (Figure 3). 10,16 This was confirmed in the metaanalysis of Jain et al 9,17 in which the diagnostic accuracy of CCT and TEE in patients with IE was compared. TEE was found to have a statistically-significant higher sensitivity and negative predictive value than CCT in vegetation detection, while CT has greater specificity in vegetation detection in patients with artificial valve IE after surgical and transcatheter replacement.…”

Section: Cardiac Ctmentioning

confidence: 81%

“…[6][7][8][9] More precisely, the use of TEE increases sensitivity of TTE in abscess detection from 50% to 90%. 10 The diagnosis of IE after transcatheter aortic valve replacement (TAVR) represents a significant challenge. The absence of a ring and the remains of a native calcified valve, as well as the gap between the transcatheter and native valve represent a difficulty in diagnosing vegetation or abscesses.…”

Section: Echocardiographymentioning

confidence: 99%

“…1 TEE provides greater sensitivity than TTE in the evaluation of artificial valve IE, IE with small vegetations and in the presence of a perivalvular abscess and a false aneurysm 6–9 . More precisely, the use of TEE increases sensitivity of TTE in abscess detection from 50% to 90% 10 …”

Section: Echocardiographymentioning

confidence: 99%

See 2 more Smart Citations

The role of imaging in infective endocarditis

Ivanović

Popović

Dukic

et al. 2022

J of Clinical Ultrasound

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Infective endocarditis (IE) poses a large diagnostic and therapeutical challenge. An early diagnosis is necessary for a positive outcome. Echocardiography is initial diagnostic method when there is a possibility of IE presence. TTE and TEE are useful in detection, accurate localisation and estimation of vegetation size, and also in detection of paravalvular spreading of infection. In certain situations, there is a need for usage of complementary methods like CCT and nuclear techniques. This article will outline advantages and limitations of certain diagnostic methods in diagnosis of IE.

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Section: Cardiac Ctmentioning

confidence: 81%

Section: Echocardiographymentioning

confidence: 99%

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The role of imaging in infective endocarditis

Ivanović

Popović

Dukic

et al. 2022

J of Clinical Ultrasound

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“…Echocardiography is a versatile tool that visualizes vegetation, valvular irregularities, and broader cardiac functionality. These visual insights confirm the diagnosis and provide valuable guidance for treatment planning, enabling healthcare providers to tailor interventions to the patient's unique clinical presentation [ 40 , 41 ].…”

Section: Reviewmentioning

confidence: 92%

A Comprehensive Review on Cardiovascular Complications of COVID-19: Unraveling the Link to Bacterial Endocarditis

Bele,

Wagh,

Munjewar

2023

Cureus

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The global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has ushered in a new era of understanding the multifaceted nature of infectious diseases. Beyond its well-documented respiratory impact, COVID-19 has unveiled intricate interactions with the cardiovascular system, with potential implications that extend to bacterial endocarditis. This review explores the complex interplay between COVID-19 and bacterial endocarditis, elucidating shared risk factors, theoretical mechanisms, and clinical implications. We examine the diverse cardiovascular manifestations of COVID-19, ranging from myocarditis and thromboembolic events to arrhythmias, and delve into the pathogenesis, clinical features, and diagnostic challenges of bacterial endocarditis. By analyzing potential connections, such as viral-induced endothelial disruption and immune modulation, we shed light on the plausible relationship between COVID-19 and bacterial endocarditis. Our synthesis highlights the significance of accurate diagnosis, optimal management, and interdisciplinary collaboration in addressing the challenges posed by these intricate interactions. In addition, we underscore the importance of future research, emphasizing prospective studies on bacterial endocarditis incidence and investigations into the long-term cardiovascular effects of COVID-19. As the boundaries of infectious diseases and cardiovascular complications converge, this review calls for continued research, vigilance, and coordinated efforts to enhance patient care and public health strategies in a rapidly evolving landscape.

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“…In the case of infective endocarditis, 3D echocardiography can also be useful for assessing vegetation size and its exact location, in the evaluation of prosthetic dehiscence, and in preoperative planning. 2 …”

mentioning

confidence: 99%