Erschienen in:
01.02.2017 | Cardiovascular Infections (B Hoen, Section Editor)
Cardiac Imaging of Infective Endocarditis, Echo and Beyond
verfasst von:
Bernard Iung, François Rouzet, Eric Brochet, Xavier Duval
Erschienen in:
Current Infectious Disease Reports
|
Ausgabe 2/2017
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Abstract
Purpose of Review
The visualization of cardiac lesions is a major component of the diagnosis of infective endocarditis (IE). We review the usefulness of different cardiac imaging techniques for the diagnosis and management of IE.
Recent Findings
Transthoracic echocardiography is indicated in all cases of suspected IE. Transesophageal echocardiography is used in most patients due to its higher sensitivity. When diagnosis remains doubtful, in particular for IE on foreign material, multislice computed tomography and nuclear medicine techniques, i.e., positron emission tomography and radiolabelled leucocyte scintigraphy, enable a higher proportion of IE to be classified as definite or rejected at an early stage. Imaging also plays a role in prognostic stratification and follow-up.
Summary
Nuclear medicine and radiological imaging techniques are useful to diagnose cardiac lesions on IE when echocardiography is not conclusive. They should be used in selected patients and their findings should be integrated in a multidisciplinary management in endocarditis teams.