Echocardiography in Patients With Infective Endocarditis and the Impact of Diagnostic Delays on Clinical Outcomes
作者: William J YoungDaniel A JefferyAlina HuaChris PrimusRobert Serafino WaniSatya DasKit WongRakesh UppalMartin ThomasCeri DaviesGuy LloydSimon WoldmanSanjeev Bhattacharyya
作者单位: 1Echocardiography Laboratory, Barts Heart Centre, St Bartholomew's Hospital, London, UK
2Department of Cardiology, Barts Heart Centre, St Bartholomew's Hospital, London, UK
3Department of Microbiology, St Bartholomew's Hospital, London, UK
4Department of Cardiac Surgery, Barts Heart Centre, St Bartholomew's Hospital, London UK
刊名: The American Journal of Cardiology, 2018
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjcard.2018.04.039
关键词: EchocardiographyValvular Heart DiseaseInfective endocarditis
原始语种摘要: Abstract(#br)Infective endocarditis (IE) is associated with high mortality and morbidity. The aim of this study was to investigate the impact of timing of echocardiography on IE complications. We studied 151 consecutive patients with definite IE. Valve destruction was defined as ≥1 of severe regurgitation, cardiac abscess or fistula. A definitive echocardiogram was the first echocardiogram (transthoracic (TTE) or Transesophageal (TEE)) which identified pathology consistent with IE and further echocardiography was not required for the diagnosis. TTE and TEE were performed within 4 days of admission in 62% and 15% patients respectively. Definitive echocardiography was achieved with TTE in 60% patients and required additional TEE in 40% patients. Significantly more in-patient embolic events...
全文获取路径: Elsevier  (合作)
影响因子:3.209 (2012)

  • definitive 确定
  • endocarditis 心内膜炎
  • required 必需
  • transthoracic 经胸廓的
  • valve 贝壳
  • predictor 预示
  • regurgitation 回流反流反胃
  • embolism 栓塞
  • events 定时
  • proportion 比例