The management of acute endocarditis

The management of acute endocarditis

Abstract

Infective endocarditis (IE) is an infection, usually of bacterial aetiology, which can affect any part of the endovascular surface of the heart or large intrathoracic vessels but most commonly affects cardiac valves. Without treatment this condition is invariably fatal and even with treatment is associated with a high incidence of morbidity and mortality. This article looks at the difficulties in diagnosing IE and the investigations used to confirm the diagnosis. It also lists the major causes of IE and its management.
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References

  1. Young SE. Aetiology and epidemiology of infective endocarditis in England and Wales. J Antimicrob Chemother 1987; 20(Suppl A): 7-14.
  2. Mylonakis E, Calderwood SB. Infective endocarditis in adults. N Engl J Med 2001; 345: 1318-30.
  3. Lewis T, Grant RT. Observations relating to subacute infective endocarditis. Heart 1923; 10: 21-99.
  4. Taran LM. Rheumatic fever and its relation to dental disease. NY J Dent 1944; 14: 107-13.
  5. Calderwood SB, Swinski LA, Waternaux CM et al. Risk factors for the development of prosthetic valve endocarditis. Circulation. 1985 Jul; 72(1):
    31-7.
  6. Mansur AJ, Grinberg M, da Luz PL et al. The complications of infective endocarditis. A reappraisal in the 1980s. Arch Intern Med. 1992 Dec; 152(12): 2428-32.
  7. Robbins MJ, Soeiro R, Frishman WH et al. Right-sided valvular endocarditis: aetiology, diagnosis, and an approach to therapy. Am Heart J. 1986 Jan; 111(1): 128-35.
  8. Horstkotte D, Follath F, Gutschik E et al. Guidelines on prevention, diagnosis and treatment of infective endocarditis executive summary; the task force on infective endocarditis of the European society of cardiology. Eur Heart J. 2004 Feb; 25(3): 267-76.
  9. Baddour LM, Wilson WR, Bayer AS, et al. Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America. Circulation. 2005 Jun 14; 111(23):
  10. Mugge A, Daniel WG, Frank G et al. Echocardiography in infective endocarditis: reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach. J Am Coll Cardiol. 1989 Sep; 14(3): 631-8.
  11. San Roman JA, Vilacosta I, Zamorano JL et al. Transesophageal echocardiography in right-sided endocarditis. J Am Coll Cardiol. 1993 Apr; 21(5): 1226-30.
  12. Reynolds HR, Jagen MA, Tunick PA et al. Sensitivity of transthoracic versus transesophageal echocardiography for the detection of native valve
    vegetations in the modern era. J Am Soc Echocardiogr. 2003 Jan; 16(1): 67-70.
  13. DeCastro S, d’Amati G, Cartoni D et al. Valvular perforation in left-sided infective endocarditis: a prospective echocardiographic evaluation and clinical outcome. Am Heart J 1997; 134: 656-64.
  14. Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service. Am J Med. 1994 Mar; 96(3): 200-9.
  15. Dodds GA, Sexton DJ, Durack DT et al. Negative predictive value of the Duke criteria for infective endocarditis. Am J Cardiol. 1996 Feb 15; 77(5):403-7.
  16. Bansal RC. Infective endocarditis. Med Clin North Am 1995; 79: 1205-40.
  17. Cabell CH, Jollis JG, Peterson GE, et al. Changing patient characteristics and the effect on mortality in endocarditis. Arch Intern Med. 2002 Jan 14; 162(1): 90-4.
  18. Bayer AS, Bolger AF, Taubert KA et al. Diagnosis and management of infective endocarditis and its complications. Circulation. 1998 Dec 22-29; 98(25): 2936-48.
  19. Hoen B, Selton-Suty C, Lacassin F et al. Infective endocarditis in patients with negative blood cultures: analysis of 88 cases from a one-year nationwide survey in France. Clin Infect Dis. 1995 Mar; 20(3): 501-6.
  20. Working Party of the British Society of Antimicrobial Chemotherapy. Antibiotic treatment of streptococcal, enterococcal, and staphylococcal endocarditis. Heart 1998; 79: 207-10.
  21. Sexton DJ, Spelman D. Current best practices and guidelines. Assessment and management of complications in infective endocarditis. Cardiol Clin. 2003 May; 21(2): 273-82.

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The management of acute endocarditis

24th February 2016
Authors Affiliations
Tim Wells BSc, MRCP, SpR Cardiology Fremantle Cardiac Unit, Fremantle Hospital, Perth, W.A. 6160. Australia.

The management of acute endocarditis

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The management of acute endocarditis

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