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August 1, 2014Macedonian Medical ReviewOpen Access

Role of Echocardiography in Diagnosis and Treatment of Patients with Infective Endocarditis

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Key result

Echocardiography is essential for diagnosing infective endocarditis, assessing disease severity, predicting prognosis and embolic risk, and guiding surgical management.

Population

Patients with suspected or confirmed infective endocarditis

Design

Review

Authors

EKElizabeta Srbinovska KostovskaSaints Cyril and Methodius University of SkopjeSTSlavco TosevUniversity Clinic of TraumatologyVAValentina AndovaSaints Cyril and Methodius University of Skopje

Discussion

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Implication

Supports echocardiography as primary IE modality per ESC; reinforces consensus yet leaves prospective outcome trials open.

Structured PICO

P
Population
Patients with suspected or confirmed infective endocarditis
I
Intervention
Echocardiography (transthoracic and transesophageal)

This review reinforces the critical role of echocardiography, guided by ESC recommendations, as the primary imaging modality for the diagnosis and management of infective endocarditis.

Limitations

  • Negative transthoracic or transoesophageal echocardiography does not always exclude infective endocarditis, with false negatives occurring in about 15% of patients.
  • Differentiating anatomical characteristics such as thrombotic materials, calcium deposits, degenerative changes, and valve prolapse can present a diagnostic challenge.

Cite This Study

Kostovska et al. (2014) conducted a review in Infective endocarditis. Echocardiography was evaluated. Echocardiography is essential for diagnosing infective endocarditis, assessing disease severity, predicting prognosis and embolic risk, and guiding surgical management.

synapsesocial.com/papers/6a71c8e978a11c550e0bc3e1https://doi.org/10.2478/mmr-2014-0013
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Echocardiography in infective endocarditis2004 · 329 citations
  2. 2Echocardiography in infective endocarditis: Reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach1989 · 662 citations
  3. 3Improvement in the Diagnosis of Abscesses Associated with Endocarditis by Transesophageal Echocardiography1991 · 727 citations
  4. 4Proposed Modifications to the Duke Criteria for the Diagnosis of Infective Endocarditis2000 · 4,062 citations
  5. 5Prevention of Infective Endocarditis2007 · 2,823 citations