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March 21, 1991New England Journal of MedicineOpen Access

Improvement in the Diagnosis of Abscesses Associated with Endocarditis by Transesophageal Echocardiography

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Why the study?

Does transesophageal echocardiography improve the detection of abscesses in patients with infective endocarditis compared to transthoracic echocardiography?

Population

118 consecutive patients with infective endocarditis of 137 native or prosthetic valves documented during…

Comparison

Transesophageal echocardiography vs Transthoracic echocardiography

Design

Cohort

Authors

WDWerner G. DanielAMAndreas MüggeRMRandolph P. Martin

Discussion

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Overview

TEE may offer superior sensitivity for abscess detection in infective endocarditis; leaves open whether routine use improves outcomes.

Structured PICO

Does transesophageal echocardiography improve the detection of abscesses in patients with infective endocarditis compared to transthoracic echocardiography?

P
Population
118 consecutive patients with infective endocarditis of 137 native or prosthetic valves documented during surgery or at autopsy.
I
Intervention
Transesophageal echocardiography
C
Comparator
Transthoracic echocardiography
O
Outcome
Detection of abscesses associated with endocarditis (sensitivity, specificity, positive and negative predictive values)surrogate

Transesophageal echocardiography provides significantly higher sensitivity than transthoracic echocardiography for detecting abscesses in patients with infective endocarditis.

Cite This Study

Daniel et al. (1991) studied this question.

synapsesocial.com/papers/6a708ff22163a0a01bc4c6bbhttps://doi.org/10.1056/nejm199103213241203
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