February 14, 2012European Heart Journal - Cardiovascular Imaging
Respective effects of early cerebral and abdominal magnetic resonance imaging on clinical decisions in infective endocarditis
Key result
Early combined cerebral and abdominal MRI alters diagnosis or treatment in ~28% of IE patients.
- n=58
Why the study?
Does early combined cerebral and abdominal MRI improve diagnostic classification and therapeutic plans in adults with infective endocarditis?
Population
58 adults with endocarditis (initially classified as definite in 29, possible in 27, and excluded in 2)
Comparison
Systematic cerebral and abdominal magnetic… vs Clinical decisions established just before MRI
Design
Cohort
Authors
Discussion
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Member takes
Implication
May support early MRI in infective endocarditis evaluation; leaves open effects on outcomes.
Study Design
Type
Observational (n=58)
Multicenter
No
Structured PICO
Does early combined cerebral and abdominal MRI improve diagnostic classification and therapeutic plans in adults with infective endocarditis?
P
Population
58 adults with infective endocarditis who underwent systematic cerebral and abdominal MRI within 7 days following admission.
I
Intervention
Systematic cerebral and abdominal magnetic resonance imaging (MRI) within 7 days following admission
C
Comparator
Clinical decisions (diagnostic classification and therapeutic plans) established just before MRI
O
Outcome
Modification of diagnostic classification (Duke's modified criteria) and therapeutic plans
Early systematic cerebral and abdominal MRI in patients with infective endocarditis frequently detects asymptomatic lesions and leads to significant modifications in diagnostic classification and therapeutic management.
Cite This Study
Iung et al. (2012) conducted an observational in Infective endocarditis (n=58). Early combined cerebral and abdominal magnetic resonance imaging (MRI) vs. Clinical decisions before MRI was evaluated on Modification of diagnostic classification and/or therapeutic plans. Early combined cerebral and abdominal MRI led experts to modify diagnostic classification and/or therapeutic plans in 28% of adults with infective endocarditis.