Embolic risk in subacute bacterial endocarditis: Determinants and role of transesophageal echocardiography

被引:13
作者
Habib G. [1 ]
机构
[1] Hôpital Timone, Department of Cardiologie B, 13005 Marseille, Boulevard Jean Moulin
关键词
Mitral Valve; Endocarditis; Infective Endocarditis; Transesophageal Echocardiography; Embolic Event;
D O I
10.1007/s11908-005-0058-1
中图分类号
学科分类号
摘要
Embolic events are a frequent and life-threatening complication of subacute bacterial endocarditis (SBE) and are associated with a high mortality and morbidity. The prediction of the embolic risk in an individual patient remains a challenge. Echocardiography plays a key role in the management of infective endocarditis both for the diagnostic and prognostic assessment of these patients, but its value in predicting embolic events is still debated. This review focuses on the characteristics of embolic events in SBE, and on the role of echocardiography, especially transesophageal echocardiography (TEE), in the prediction of embolic events. The review confirms that, among other factors, TEE may be helpful in both the prediction of the embolic risk and the decision to perform early surgery. Copyright © 2005 by Current Science Inc.
引用
收藏
页码:264 / 271
页数:7
相关论文
共 36 条
[1]  
Di Salvo G., Habib G., Pergola V., Et al., Echocardiography predicts embolic events in infective endocarditis, J. Am. Coll. Cardiol., 37, pp. 1069-1076, (2001)
[2]  
Hoen B., Alla F., Selton-Suty C., Et al., Changing profile of infective endocarditis. Results of a 1-year survey in France, JAMA, 288, pp. 75-81, (2002)
[3]  
Mugge A., Daniel W.G., Echocardiographic assessment of vegetations in patients with infective endocarditis, Echocardiography, 12, pp. 651-661, (1995)
[4]  
Kemp W.E., Citrin B., Byrd B.F., Echocardiography in infective endocarditis, South Med. J., 92, pp. 744-754, (1999)
[5]  
Steckelberg J.M., Murphy J.G., Ballard D., Et al., Emboli in infective endocarditis: The prognostic value of echocardiography, Ann. Intern. Med., 114, pp. 635-640, (1991)
[6]  
De Castro S., Magni G., Beni S., Et al., Role of transthoracic and transesophageal echocardiography in predicting embolic events with active infective endocarditis involving native cardiac valves, Am. J. Cardiol., 80, pp. 1030-1034, (1997)
[7]  
Heinle S., Wilderman N., Harrison K., Et al., Value of transthoracic echocardiography in predicting embolic events in active infective endocarditis, Am. J. Cardiol., 74, pp. 799-801, (1994)
[8]  
Yvorchuk K.J., Chan K.L., Application of transthoracic and transesophageal echocardiography in the diagnosis and management of infective endocarditis, J. Am. Soc. Echocardiogr., 14, pp. 294-308, (1994)
[9]  
Rohmann S., Erbel R., Gorge G., Et al., Clinical relevance of vegetation localization by transoesophageal echocardiography in infective endocarditis, Eur. Heart J., 13, pp. 446-452, (1992)
[10]  
Vilacosta I., Graupner C., San Roman J.A., Et al., Risk of embolization after institution of antibiotic therapy for infective endocarditis, J. Am. Coll. Cardiol., 39, pp. 1489-1495, (2002)