Imaging techniques for diagnosis of infective endocarditis

Molly Sachdev, Gail E. Peterson, James G. Jollis

Research output: Contribution to journalReview articlepeer-review

50 Scopus citations


With the ability to structurally characterize cardiac manifestations, echocardiography is used for the diagnosis and management of infective endocarditis. In establishing the diagnosis according to the Duke criteria, the findings of endocardial involvement (vegetation, abscess, prosthetic valve dehiscence) or new valvular regurgitation represent "major" diagnostic criteria. As echocardiography cannot reliably differentiate noninfective from infective lesions, however, proper diagnosis lies in correlating echocardiography with clinical findings. The more invasive transesophageal approach provides substantially greater image resolution; this approach should be considered first in the evaluation of patients with higher prior probabilities of endocarditis and those with potential endocardial complications.

Original languageEnglish
Pages (from-to)319-337
Number of pages19
JournalInfectious disease clinics of North America
Issue number2
StatePublished - Jul 2 2002


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