Guidelines in review: Comparison of ESC and AHA guidance for the diagnosis and management of infective endocarditis in adults. Are the differences clinically relevant? The European perspective

Saraste, Antti; Knuuti, Juhani

doi:10.1007/s12350-018-1414-5

Cited by 9 publications

(4 citation statements)

References 19 publications

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“…Klinikai tünetek mellett a diagnózis két alappillére a pozitív mikrobiológiai vizsgálat és a pozitív képalkotó vizsgálati eredmény, ami hagyományosan az echokardiográfiát, azon belül is a transoesophagealis echokardiográfiát (TOE) jelenti [24]. A Duke-kritériumrendszer és a szívultrahang-vizsgálat szerepének kiterjedt validáltsága ellenére elismert annak korlátozott értéke is a korai esetek, illetve az endocarditis egyes speciális formái, mint az infektív műbillentyű-endocarditis (MBIE) azonosításában [25].…”

Section: Infektív Műbillentyű-endocarditisunclassified

¹⁸F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (¹⁸F-FDG-PET/CT) képalkotás a kardiológiában

et al. 2019

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Over the past decades, 18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer. This modern imaging technique combining functional and morphologic information has approved indications not only in oncology but in clinical cardiology as well. In the current review we discuss the specific requirements of patient preparation and image acquisition protocol for cardiac 18F-FDG-PET/CT. We review the literature in some cases highlighted by our own examinations of well-known “gold standard” viability and onco-cardiology examinations while placing special emphasis on inflammatory disorders involving the heart. This relatively newer class of indications includes prosthetic valve endocarditis, cardiac implantable device infection, myocardial inflammation of varying origin such as sarcoidosis where 18F-FDG-PET/CT appears to be particularly useful in the differential diagnosis of cases where standard investigation is non-diagnostic or equivocal. Orv Hetil. 2019; 160(26): 1015–1024.

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Section: Infektív Műbillentyű-endocarditisunclassified

¹⁸F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (¹⁸F-FDG-PET/CT) képalkotás a kardiológiában

et al. 2019

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“…Infective endocarditis may present with very different clinical patterns depending on organs involved, the underlying cardiac disease, the micro-organisms involved, the presence or absence of complications, and the patient’s characteristics [ 6 , 7 ]. The systematic diagnosis of IE is based on the Duke Classification that stratifies patients with suspected IE into three categories: definite, possible, and rejected IE.…”

Section: Introductionmentioning

confidence: 99%

“…The systematic diagnosis of IE is based on the Duke Classification that stratifies patients with suspected IE into three categories: definite, possible, and rejected IE. The Duke Classification is mainly based on major criteria like the results of blood cultures and either trans thoracic echocardiography (TTE) or trans esophageal echocardiography (TEE) and minor criteria [6,7]. Echocardiography as the main diagnostic tool in endocarditis is recommended as the first-line imaging modality in suspected IE [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…The Duke Classification is mainly based on major criteria like the results of blood cultures and either trans thoracic echocardiography (TTE) or trans esophageal echocardiography (TEE) and minor criteria [6,7]. Echocardiography as the main diagnostic tool in endocarditis is recommended as the first-line imaging modality in suspected IE [6][7][8][9][10]. Additionally, most important laboratory investigation in the diagnosis of IE is blood culture.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of infective endocarditis associated in-hospital mortality in Ayder Comprehensive Specialized Hospital, Tigray, North Ethiopia: Microbiological,clinical features, and management profiles

Tesfay,

Weldu,

Ebrahim

et al. 2024

PLoS ONE

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Background Infective endocarditis (IE) is a continuously evolving disease with a high mortality rate despite different advances in treatment. In Ethiopia, there is a paucity of data regarding IE. Therefore, this study is aimed at assessing IE-related in-hospital mortality and characterization of IE patients based on their microbiological, clinical features, and management profiles in the Ayder Comprehensive Specified Hospital (ACSH). Methods We conducted a hospital-based prospective follow-up study with all consecutive sampling techniques for suspected infective endocarditis patients admitted to ACSH from January 2020 to February 2022. Echocardiography was performed, and three sets of blood samples for blood culture were taken as per the standard protocol. We also performed isolation of microbial etiologies and antimicrobial susceptibility tests. The data was analyzed using STATA version 16. Stepwise logistic regression was run to identify predictors of in-hospital mortality. Effects were measured through the odds ratio at the 5% level of significance. Results Seventy-four cases of suspected infective endocarditis were investigated; of these, 54 episodes fulfilled modified Duke’s criteria. Rheumatic heart disease (RHD) (85.2%) was the most common underlying heart disease. Murmur (94.4%), fever (68.5%), and pallor (57.4%) were the most common clinical findings. Vegetation was present in 96.3% of episodes. Blood culture was positive only in 7 (13%) episodes. Complications occurred in 41 (75.9%) cases, with congestive heart failure being the most common. All patients were managed medically, with no surgical intervention. The in-hospital mortality was 14 (25.9%). IE-related in-hospital mortality was significantly associated with surgery recommendation and myalgia clinical symptoms. Conclusion IE occurred relatively in a younger population, with RHD as the most common underlying heart disease. There was a high rate of culture-negative endocarditis, and the majority of patients were treated empirically. Mortality was high. The establishment of cardiac surgery and strengthening microbiology services should be given top priority.

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A comparison of different antibiotic regimens for the treatment of infective endocarditis

Martí‐Carvajal

Dayer

Conterno

et al. 2020

Cochrane Database of Systematic Reviews

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BackgroundInfective endocarditis is a microbial infection of the endocardial surface of the heart. Antibiotics are the cornerstone of treatment, but due to the di erences in presentation, populations a ected, and the wide variety of micro-organisms that can be responsible, their use is not standardised. This is an update of a review previously published in 2016. ObjectivesTo assess the existing evidence about the clinical benefits and harms of di erent antibiotics regimens used to treat people with infective endocarditis. Search methodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase Classic and Embase, LILACS, CINAHL, and the Conference Proceedings Citation Index -Science on 6 January 2020. We also searched three trials registers and handsearched the reference lists of included papers. We applied no language restrictions. Selection criteriaWe included randomised controlled trials (RCTs) assessing the e ects of antibiotic regimens for treating definitive infective endocarditis diagnosed according to modified Duke's criteria. We considered all-cause mortality, cure rates, and adverse events as the primary outcomes. We excluded people with possible infective endocarditis and pregnant women. Data collection and analysisTwo review authors independently performed study selection, 'Risk of bias' assessment, and data extraction in duplicate. We constructed 'Summary of findings' tables and used GRADE methodology to assess the quality of the evidence. We described the included studies narratively.A comparison of di erent antibiotic regimens for the treatment of infective endocarditis (Review)

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Guidelines in review: Comparison of ESC and AHA guidance for the diagnosis and management of infective endocarditis in adults. Are the differences clinically relevant? The European perspective

Cited by 9 publications

References 19 publications

¹⁸F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (¹⁸F-FDG-PET/CT) képalkotás a kardiológiában

¹⁸F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (¹⁸F-FDG-PET/CT) képalkotás a kardiológiában

Predictors of infective endocarditis associated in-hospital mortality in Ayder Comprehensive Specialized Hospital, Tigray, North Ethiopia: Microbiological,clinical features, and management profiles

A comparison of different antibiotic regimens for the treatment of infective endocarditis

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Guidelines in review: Comparison of ESC and AHA guidance for the diagnosis and management of infective endocarditis in adults. Are the differences clinically relevant? The European perspective

Cited by 9 publications

References 19 publications

18F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (18F-FDG-PET/CT) képalkotás a kardiológiában

18F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (18F-FDG-PET/CT) képalkotás a kardiológiában

Predictors of infective endocarditis associated in-hospital mortality in Ayder Comprehensive Specialized Hospital, Tigray, North Ethiopia: Microbiological,clinical features, and management profiles

A comparison of different antibiotic regimens for the treatment of infective endocarditis

Contact Info

Product

Resources

About

¹⁸F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (¹⁸F-FDG-PET/CT) képalkotás a kardiológiában

¹⁸F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (¹⁸F-FDG-PET/CT) képalkotás a kardiológiában