作者
Giovanni Di Salvo, Gilbert Habib, Valeria Pergola, Jean-François Avierinos, Emmanuel Philip, Jean-Paul Casalta, Jean-Marie Vailloud, Genevieve Derumeaux, Joany Gouvernet, Pı̈erre Ambrosi, Marc Lambert, Ange Ferracci, Didier Raoult, Roger Luccioni
发表日期
2001/3/15
期刊
Journal of the American College of Cardiology
卷号
37
期号
4
页码范围
1069-1076
出版商
American College of Cardiology Foundation
简介
OBJECTIVES
The aim of our study was to assess the value of transesophageal echocardiography (TEE) in predicting embolic events (EEs) in a large group of patients with definite endocarditis according to the Duke criteria, including silent embolism.
BACKGROUND
The value of echocardiography in predicting embolism in patients with endocarditis remains controversial. Some studies reported an increased risk of embolism in patients with large and mobile vegetations, whereas other studies failed to demonstrate such a relationship.
METHODS
Multiplane transesophageal echocardiograms of 178 consecutive patients with definite infective endocarditis (IE) were analyzed. The incidence of embolism was compared with the echocardiographic characteristics (localization, size and mobility) of the vegetations. To detect silent embolism, cerebral and thoraco-abdominal scans were performed in 95% of patients.
RESULTS …
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G Di Salvo, G Habib, V Pergola, JF Avierinos, E Philip… - Journal of the American College of Cardiology, 2001