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Related Experiment Video

Updated: Jun 9, 2025

High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart
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Echocardiography in Endocarditis.

Cosimo Angelo Greco1,2, Salvatore Zaccaria1, Giovanni Casali1,3

  • 1Cardiac Surgery Unit, "Vito Fazzi" Hospital, ASL Le, Lecce, Italy.

Echocardiography (Mount Kisco, N.Y.)
|October 21, 2024
PubMed
Summary
This summary is machine-generated.

Echocardiography is the primary diagnostic tool for infective endocarditis (IE), even with negative initial results in high-risk patients. Prompt and skilled echocardiographic evaluation is crucial for timely management and surgical decisions.

Keywords:
echocardiographyinfective endocarditismultimodality imagingthree‐dimensional transesophageal echocardiography

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Infective endocarditis (IE) presents significant challenges with high adverse outcomes despite diagnostic advancements.
  • Echocardiography remains the recommended initial imaging modality for IE diagnosis and management.

Purpose of the Study:

  • To emphasize the critical role of echocardiography in diagnosing infective endocarditis.
  • To highlight the importance of timely and skilled echocardiographic interpretation for patient management and surgical intervention.

Main Methods:

  • Review of echocardiographic diagnostic strategies for infective endocarditis.
  • Focus on identifying IE lesions and associated complications through echocardiography.
  • Integration of echocardiography within a multimodality imaging approach and an "endocarditis team".

Main Results:

  • Echocardiography is essential for timely IE diagnosis and management, even if initial findings are negative in high-risk cases.
  • Repeated echocardiography is advised when clinical suspicion for IE persists despite initial negative results.
  • Systematic screening is not recommended for undifferentiated fever; clinical suspicion is key to avoid false positives.

Conclusions:

  • Skilled echocardiography is vital for identifying IE lesions and complications, guiding surgical decisions.
  • An integrated, multimodality imaging approach managed by an "endocarditis team" optimizes IE diagnosis and care.
  • Time-efficient and focused echocardiographic evaluation is crucial for effective infective endocarditis management.