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Multimodality Imaging in the Diagnostic Work-Up of Endocarditis and Cardiac Implantable Electronic Device (CIED) Infection
- Source :
- Journal of Clinical Medicine, Journal of Clinical Medicine, Vol 9, Iss 2237, p 2237 (2020)
- Publication Year :
- 2020
-
Abstract
- Infective endocarditis (IE) is a serious cardiac condition, which includes a wide range of clinical presentations, with varying degrees of severity. The diagnosis is multifactorial and a proper characterization of disease requires the identification of the primary site of infection (usually the cardiac valve) and the search of secondary systemic complications. Early depiction of local complications or distant embolization has a great impact on patient management and prognosis, as it may induce to aggressive antibiotic treatment or, in more advanced cases, cardiac surgery. In this setting, the multimodality imaging has assumed a pivotal role in the clinical decision making and it requires the physician to be aware of the advantages and disadvantages of each imaging technique. Echocardiography is the first imaging test, but it has several limitations. Therefore, the integration with other imaging modalities (computed tomography, magnetic resonance imaging, nuclear imaging) becomes often necessary. Different strategies should be applied depending on whether the infection is suspected or already ascertained, whether located in native or prosthetic valves, in the left or right chambers, or if it involves an implanted cardiac device. In addition, detection of extracardiac IE-related lesions is crucial for a correct management and treatment. The aim of this review is to illustrate strengths and weaknesses of the various methods in the most common clinical scenarios.
- Subjects :
- medicine.medical_specialty
positron emission tomography
medicine.medical_treatment
Infective endocarditi
lcsh:Medicine
Disease
Review
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
multimodality imaging
TRANSESOPHAGEAL ECHOCARDIOGRAPHY
03 medical and health sciences
0302 clinical medicine
medicine
Endocarditis
echocardiography
magnetic resonance imaging
COMPUTED-TOMOGRAPHY
endocarditis team
Embolization
nuclear imaging
DRUG-USERS
medicine.diagnostic_test
business.industry
EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY
lcsh:R
Magnetic resonance imaging
computed tomography
General Medicine
DUKE CRITERIA
medicine.disease
F-18-FDG PET/CT
Work-up
Cardiac surgery
CONGENITAL HEART-DISEASE
Positron emission tomography
PROSTHETIC VALVE ENDOCARDITIS
Infective endocarditis
RISK-FACTORS
Radiology
business
CT
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine, Journal of Clinical Medicine, Vol 9, Iss 2237, p 2237 (2020)
- Accession number :
- edsair.doi.dedup.....29926a33425ce47dad746cd2075469bf