Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis

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 echocardiograph...

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Main Authors: Ying Chi Yang MD, Thein Tun Aung MD, FACC, Sarah Khan, Abdul Wase MD, FACC, FACP, FHRS
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709618822075
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author Ying Chi Yang MD
Thein Tun Aung MD, FACC
Sarah Khan
Abdul Wase MD, FACC, FACP, FHRS
author_facet Ying Chi Yang MD
Thein Tun Aung MD, FACC
Sarah Khan
Abdul Wase MD, FACC, FACP, FHRS
author_sort Ying Chi Yang MD
collection DOAJ
description 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.
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spelling doaj.art-5812899f09c947d7a1ecfc6eacf36b032022-12-22T01:43:04ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962019-01-01710.1177/2324709618822075Utility of Intracardiac Echocardiography to Diagnose Infective EndocarditisYing Chi Yang MD0Thein Tun Aung MD, FACC1Sarah Khan2Abdul Wase MD, FACC, FACP, FHRS3University of Iowa Hospitals and Clinics, Iowa City, IA, USAUniversity of Iowa Hospitals and Clinics, Iowa City, IA, USANorth East Ohio Medical University, Rootstown, OH, USAWright State University, Dayton, OH, USAInfective 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.https://doi.org/10.1177/2324709618822075
spellingShingle Ying Chi Yang MD
Thein Tun Aung MD, FACC
Sarah Khan
Abdul Wase MD, FACC, FACP, FHRS
Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis
Journal of Investigative Medicine High Impact Case Reports
title Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis
title_full Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis
title_fullStr Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis
title_full_unstemmed Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis
title_short Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis
title_sort utility of intracardiac echocardiography to diagnose infective endocarditis
url https://doi.org/10.1177/2324709618822075
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