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重复的胸前回声心脏成像的附加值,以排除感染性内心炎在患有黄金杆菌菌菌病的患者中

Rami M Abazid¹, Osama Smettei², Sameh Awadallah²

¹Division of Cardiology, Department of Medicine, Sault Area Hospital, Northern Ontario School of Medicine University, Sault Ste Marie, ON, Canada.

Journal of cardiovascular imaging

|February 10, 2026

概括

在一周内进行重复的跨胸腔心声扫描 (TTE) 显著改善了感染性内心炎 (IE) 的诊断,这些患者患有黄金杆菌菌菌病 (SAB). 这种更高的准确性可能会减少在特定情况下需要通过食道的心声回声学 (TEE).

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
诊断成像诊断成像诊断成像

背景情况:

传染性内心炎 (IE) 是一种严重的并发症,在患有黄金杆菌菌菌病 (SAB) 的患者.
早期和准确的IE诊断对于有效的治疗和改善患者的治疗结果至关重要.
胸外心声学 (TTE) 是主要的成像方法,但其在SAB中对IE的诊断性能可能有限.

研究的目的:

为了评估第二次TTE的附加诊断价值,在最初的TTE后5至7天内进行.
为了确定连续TTE是否可以改善SAB患者的IE检测.
评估重复TTE的潜力,以减少对跨食道心声学 (TEE) 的依赖.

主要方法:

潜在的连续SAB患者的招募,需要心声回声.
基线TTE的表现,然后在5-7天内进行第二次TTE.
排除患有不良声窗的患者,以前的IE,门疾病或特定的心脏设备/导管.
将TTE发现与过食管心声学 (TEE) 作为黄金标准进行比较.

主要成果:

总共有105名患者被纳入;15.2%通过TEE诊断出确定的IE.
最初的TTE显示IE检测的灵敏度为93.8%,准确度为88.6%.
与TEE相比,添加第二个TTE使灵敏度提高到100%,特异性提高到95.5%,诊断准确度提高到96.2%.
一个最初被第一个TTE遗漏的植被病例被第二个TTE和TEE检测出来.

结论:

在5-7天内重复的TTE显著提高了SAB患者IE的诊断准确性.
连续TTE改善了植被和膜并发症的检测.
这种方法可能有助于选择可以避免更具侵入性的TEE程序的患者.

关键词:

黄金葡萄球菌黄金葡萄球菌细菌病是什么意思细菌病是什么意思感染性内心炎感染性内心炎通过食道的心声回声学 (Transesophageal echocardiography) 是一种心声回声学.跨胸部心脏回声图 (Transthoracic echocardiogram) 是一种心脏回声图.

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