Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis

Journal of Investigative Medicine High Impact Case Reports
Ying Chi YangAbdul Wase

Abstract

Infective endocarditis (IE) can lead to significant morbidity and mortality without appropriate treatment. Modified Duke Criteria are accepted by many professional societies to establish the diagnosis of IE, and cardiac imaging is one of the major diagnostic criteria. Transesophageal echocardiography is an algorithmic escalation to diagnose IE when transthoracic echo does not appreciate a positive finding. In patients with contraindications to transesophageal echocardiography, cardiac magnetic resonance imaging, cardiac computed tomography (CT), cardiac CT angiography, and fluorodeoxyglucose positron emission tomography with CT or CT angiography may be alternative diagnostic tools. However, these imaging modalities have their own limitations such as local unavailability, the presence of non-magnetic resonance imaging compatible implants, or impaired renal function. Intracardiac echocardiography could be a considerable alternative under those circumstances.

References

Aug 1, 1991·Journal of the American College of Cardiology·B K ShivelyN B Schiller
Mar 21, 1991·The New England Journal of Medicine·W G DanielP R Lichtlen
Jan 31, 2009·Journal of the American College of Cardiology·Gudrun M FeuchtnerHatem Alkadhi
May 14, 2011·Echocardiography·Sheharyar AliSanthosh K G Koshy
Mar 19, 2013·Journal of the American College of Cardiology·Maria Lucia NarducciAntonio Dello Russo
Nov 29, 2014·Diagnostic and Interventional Radiology : Official Journal of the Turkish Society of Radiology·Memduh DursunAygün Dindar

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