TY - JOUR
T1 - Imaging techniques for diagnosis of infective endocarditis
AU - Sachdev, Molly
AU - Peterson, Gail E.
AU - Jollis, James G.
PY - 2002/7/2
Y1 - 2002/7/2
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0036080308&partnerID=8YFLogxK
U2 - 10.1016/S0891-5520(02)00003-X
DO - 10.1016/S0891-5520(02)00003-X
M3 - Review article
C2 - 12092475
AN - SCOPUS:0036080308
SN - 0891-5520
VL - 16
SP - 319
EP - 337
JO - Infectious disease clinics of North America
JF - Infectious disease clinics of North America
IS - 2
ER -