Role of multimodality imaging in infective endocarditis: A comparison of the major society guidelines in the United States and Europe

Vinod, Poornima; Khayata, Mohamed; Haouzi, Alice; Xu, Bo

doi:10.1016/j.tcm.2024.04.005

Trends in Cardiovascular Medicine

2024

DOI: 10.1016/j.tcm.2024.04.005

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Role of multimodality imaging in infective endocarditis: A comparison of the major society guidelines in the United States and Europe

Poornima Vinod,

Mohamed Khayata,

Alice Haouzi

et al.

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Cited by 3 publications

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Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [¹⁸F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Caporali,

Paone,

Moschovitis

et al. 2024

Echocardiography

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Infective endocarditis and infection of cardiac devices are conditions characterized by high morbidity and mortality, thus requiring a prompt diagnosis. Advanced imaging modalities are often required in the management of infectious endocarditis according to guidelines. The aim of this review is to collect and describe evidence‐based knowledge about the diagnostic role and clinical usefulness of [18F]FDG PET/CT in endocarditis and cardiac device infections based on published systematic reviews and meta‐analyses on this topic and on recent guidelines. [18F]FDG PET/CT is recommended only in selected cases. This imaging method has good diagnostic accuracy in detecting prosthetic valve endocarditis and cardiac device infection. Furthermore, it can identify extra‐cardiac infectious foci changing the clinical management in a significant percentage of cases.

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Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [¹⁸F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Caporali,

Paone,

Moschovitis

et al. 2024

Echocardiography

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Outcomes and Predictors of Inpatient Mortality for Marantic Endocarditis Complicating Systemic Lupus Erythematosus: Contemporary Nationwide Study From the United States

Sanaka,

Mathew,

Hoque

et al. 2024

Angiology

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Systemic lupus erythematosus (SLE) patients are susceptible to marantic endocarditis (ME) due to a hypercoagulable state. The literature regarding the epidemiology and outcomes of ME in SLE patients is limited. All patients ≥18 years who had SLE with and without ME between 2007 and 2019 were identified from the National Inpatient Sample in the United States (US). Predictors of inpatient mortality for SLE patients with ME were analyzed. Between 2007 and 2019, there were 508,818 hospitalizations for SLE, of which 785 (0.2%) had ME. Of SLE patients with ME, 33 (4.2%) died while hospitalized over the study period. On multivariate analysis, female sex (adjusted odds ratio (aOR), 95% confidence intervals: 24.72 (3.21, 190.27)), age <34 years (aOR: 6.81 (1.80, 25.79)), anemia (aOR: 3.41 (1.12, 10.40)), antiphospholipid syndrome (aOR: 13.50 (3.83, 47.64)), stroke complicating ME (aOR: 9.64 (3.24, 28.71)), and acute kidney injury (aOR: 3.74 (1.06, 13.20)) were all associated with increased inpatient mortality among SLE patients with ME ( P < .05 for all). Between 2007 to 2019, ME occurred in 0.2% of SLE hospitalizations, with a 4.2% average inpatient mortality over the study period. Female sex, antiphospholipid syndrome, and stroke were most strongly associated with increased inpatient mortality.

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Infective Endocarditis in Patients with End-Stage Renal Disease on Dialysis: Epidemiology, Risk Factors, Diagnostic Challenges, and Management Approaches

Issa,

Chaaban,

Salahie

et al. 2024

Healthcare

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Infective endocarditis (IE) poses a significant clinical challenge, especially among patients with end-stage renal disease (ESRD) undergoing dialysis, and is associated with high morbidity and mortality rates. This review provides a contemporary discussion of the epidemiology, risk factors, diagnostic challenges, and management strategies for IE among ESRD patients, including a literature review of recent studies focused on this vulnerable population. The review highlights the multifactorial nature of IE risk in ESRD patients, emphasizing the roles of vascular access type, dialysis modality, and comorbid conditions. It also explores the diagnostic utility of different imaging modalities and the importance of a multidisciplinary approach in managing IE, including both medical and surgical interventions. The insights from this review aim to contribute to the improvement of patient outcomes through early recognition, appropriate antimicrobial therapy, and timely surgical intervention when necessary.

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Role of multimodality imaging in infective endocarditis: A comparison of the major society guidelines in the United States and Europe

Cited by 3 publications

References 37 publications

Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [¹⁸F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [¹⁸F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Outcomes and Predictors of Inpatient Mortality for Marantic Endocarditis Complicating Systemic Lupus Erythematosus: Contemporary Nationwide Study From the United States

Infective Endocarditis in Patients with End-Stage Renal Disease on Dialysis: Epidemiology, Risk Factors, Diagnostic Challenges, and Management Approaches

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Role of multimodality imaging in infective endocarditis: A comparison of the major society guidelines in the United States and Europe

Cited by 3 publications

References 37 publications

Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [18F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [18F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Outcomes and Predictors of Inpatient Mortality for Marantic Endocarditis Complicating Systemic Lupus Erythematosus: Contemporary Nationwide Study From the United States

Infective Endocarditis in Patients with End-Stage Renal Disease on Dialysis: Epidemiology, Risk Factors, Diagnostic Challenges, and Management Approaches

Contact Info

Product

Resources

About

Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [¹⁸F]FDG PET/CT in Endocarditis and Cardiac Device Infections

Evidence‐Based Data on the Diagnostic Role and Clinical Usefulness of [¹⁸F]FDG PET/CT in Endocarditis and Cardiac Device Infections