The Clinical Challenge of Prosthetic Valve Endocarditis JACC Focus Seminar 3/4

被引：6

作者：

Cuervo, Guillermo ^{[1
,2
]}

Quintana, Eduard ^{[3
]}

Regueiro, Ander ^{[4
]}

Perissinotti, Andres ^{[5
,6
]}

Vidal, Barbara ^{[4
]}

Miro, Jose M. ^{[1
,2
,9
]}

Baddour, Larry M. ^{[7
,8
]}

机构：

[1] Univ Barcelona, Hosp Clin, August PiSunyer Inst Biomed Res IDIBAPS 1, Dept Infect Dis, Barcelona, Spain

[2] Carlos III Hlth Inst, Biomed Network Res Ctr Infect Dis CIBERINFEC, Madrid, Spain

[3] Univ Barcelona, Hosp Clin, Dept Cardiovasc Surg, Barcelona, Spain

[4] Univ Barcelona, Hosp Clin, Dept Cardiol, Barcelona, Spain

[5] Hosp Clin Barcelona, August PiSunyer Inst Biomed Res IDIBAPS 1, Carlos Hlth Inst 3, Dept Nucl Med, Barcelona, Spain

[6] Carlos III Hlth Inst, Biomed Res Networking Ctr Bioengn, Biomat, Nanomed CIBER BBN, Barcelona, Spain

[7] Mayo Clin, Dept Med, Div Publ Hlth Infect Dis & Occupat Med, Rochester, MN USA

[8] Mayo Clin, Dept Cardiovasc Med, Div Publ Hlth Infect Dis & Occupat Med, Rochester, MN USA

[9] Hosp Clin Barcelona, Infect Dis Serv, Villarroel 170, Barcelona 08036, Spain

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2024年 / 83卷 / 15期

关键词：

cardiac surgery; diagnosis; endocarditis; epidemiology; etiology; mortality; prevention; prognosis; prosthetic valve endocarditis; TAVR endocarditis; INFECTIVE ENDOCARDITIS; INTERNATIONAL COLLABORATION; SURGICAL-TREATMENT; REPLACEMENT; OUTCOMES; SURGERY; MANAGEMENT; DIAGNOSIS; RISK; IMPLANTATION;

D O I：

10.1016/j.jacc.2024.01.037

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

During the past 6 decades, there have been numerous changes in prosthetic valve endocarditis (PVE), currently affecting an older population and increasing in incidence in patients with transcatheter-implanted valves. Significant microbiologic (molecular biology) and imaging diagnostic (fluorine-18 fluorodeoxyglucose-positron emission tomography/computed tomography) advances have been incorporated into the 2023 Duke-International Society for Cardiovascular Infectious Diseases infective endocarditis diagnostic criteria, thus increasing the diagnostic sensitivity for PVE without sacrificing specificity in validation studies. PVE is a life-threatening disease requiring management by multidisciplinary endocarditis teams in cardiac centers to improve outcomes. Novel surgical options are now available, and an increasing set of patients may avoid surgical intervention despite indication. Selected patients may complete parenteral or oral antimicrobial treatment at home. Finally, patients with prosthetic valves implanted surgically or by the transcatheter approach are candidates for antibiotic prophylaxis before invasive dental procedures. (J Am Coll Cardiol 2024;83:1418-1430) (c) 2024 by the American College of Cardiology Foundation.

引用

页码：1418 / 1430

页数：13

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