Transesophageal Echocardiography in Diagnosis of Infective Endocarditis

Shapiro, Shelley; Young, E.; Guzman, Sarah De; Ward, Joel I.; Chiu, Chung-Yin; Ginzton, Leonard E.; Bayer, Arnold S.

doi:10.1378/chest.105.2.377

Cited by 210 publications

(98 citation statements)

References 19 publications

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“…22 The overall sensitivity for vegetations, however, is Ͻ60%. [22][23][24] Vegetations Ͼ2 mm in diameter, 25 particularly those on the right-sided valves (which lie closer to the chest wall), are readily detected by TTE. TTE views may be inadequate in up to 20% of adult patients because of obesity, chronic obstructive pulmonary disease, or chest-wall deformities.…”

Section: Echocardiographymentioning

confidence: 99%

“…In patients suspected of having IE, TTE alone cannot exclude several important aspects of IE, including infection on prosthetic valves, periannular abscess, leaflet perforation, and fistulae. 24,26 In patients in whom IE or its complications are strongly suspected (Table 4) (for example, patients with prosthetic valves, community-acquired staphylococcal bacteremia, or new atrioventricular block), a negative TTE of even the highest quality will not definitely rule out IE. Moreover, a positive TTE in such patients may demonstrate vegetations but will not suffice to rule out the important complications.…”

Section: Echocardiographymentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and Management of Infective Endocarditis and Its Complications

Bayer¹,

Bolger²,

Taubert³

et al. 1998

Circulation

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654

407

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Section: Echocardiographymentioning

confidence: 99%

Section: Echocardiographymentioning

confidence: 99%

Diagnosis and Management of Infective Endocarditis and Its Complications

Bayer¹,

Bolger²,

Taubert³

et al. 1998

Circulation

Self Cite

654

407

View full text Add to dashboard Cite

“…[4][5][6] The sensitivity of TTE varies from 40-63%, and for TEE between 90-100%, while the specificity for both is greater than 95%. [14][15][16] The diagnostic yield of echocardiography reported by Chaudhury et al (64%) was lower, probably due to lack of TEE at that time. 6 The culture positivity of 83.8% of IE in our study is higher than that reported by Math (41%), Chaudhury et al (47%) and Garg et al (67.6%).…”

Section: Discussionmentioning

confidence: 91%

Changing Trends of Infective Endocarditis in India: A South Indian Experience

Abhilash¹,

Patole²,

Jambugulam³

et al. 2017

JCDR

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Background: Infective endocarditis (IE) is an important cause of morbidity and mortality. The pattern of the disease in terms of the host, agent and the environment appears to be changing globally. Methods: Patients admitted to a tertiary care center in South India between 2005 and 2015 with definite IE, as confirmed by the modified Duke's criteria were included in this retrospective analysis. We analyzed the demographic, microbiological and survival data and compared our results with similar studies done in India over the last 3 decades to assess the changing pattern of IE. Results: 172 patients were diagnosed to have definite IE based on modified Duke's criteria. The mean age of the patients was 41.8 ± 14.2 years, and there was a male predominance (78.4%). Culture positive endocarditis was seen in 83.7 %. Streptococcus species was the predominant etiological agent (44.7%) followed by staphylococcal species (16.8%), enterococcus (9.8%) and gram negative bacteria (9.3%). Native valve endocarditis was seen in 87.8% of patients while prosthetic valve and pacemaker endocarditis was seen in 10.4% and 1.7% respectively. Mitral valve was the most commonly affected valve (52.9%), followed by the aortic valve (23.2%). Multiple valves were involved in 9.3% of patients. Vegetations on the valves were seen in 88.9% of patients. The in-hospital mortality rate was 23.8%. Infection with staphylococcal species, complications of congestive cardiac failure and septic shock were associated with a poor outcome in terms of survival. Conclusion:The disease profile of patients has undergone a change with an increase in mean age and a higher percentage of streptococcal endocarditis. The yield of blood culture has almost doubled over the last three decades. Despite significant advances in medical technology over the last 3 decades, mortality rate remains the same.

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“…The presence and characteristics of vegetations were evaluated according to transesophageal echocardiography. Valvular vegetation was defined as an oscillating or fixed mass associated with a valve or its supporting apparatus, distinct in echogenic structure, and with motion independent from the remainder of the involved leaflet [12]. The lesion had to be detectable throughout the complete cardiac cycle.…”

Section: Methodsmentioning

confidence: 99%

Increased mean platelet volume in patients with infective endocarditis and embolic events

et al. 2015

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Background: Platelet activation appears to play an important role in thromboembolic complications of infective endocarditis (IE). Mean platelet volume (MPV) is subjects (10.62 ± 1.13 vs. 9.25 ± 0.97 and 8.93 ± 0.82 fL, p < 0.001, respectively). Similarly, the patients with embolic events had increased PDW compared to the non-embolic ones and the control group (16.31 ± 2.42 vs. 14.35 ± 1.97 and 14.04 ± 1.82%, p < 0.001, respectively (Cardiol J 2015; 22, 1: 37-43)

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Transesophageal Echocardiography in Diagnosis of Infective Endocarditis

Cited by 210 publications

References 19 publications

Diagnosis and Management of Infective Endocarditis and Its Complications

Diagnosis and Management of Infective Endocarditis and Its Complications

Changing Trends of Infective Endocarditis in India: A South Indian Experience

Increased mean platelet volume in patients with infective endocarditis and embolic events

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