EACVI survey on the evaluation of infective endocarditis
EACVI survey on the evaluation of infective endocarditis
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DOI：
10.1093/ehjci/jeaa066
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发表时间：
2020-08-01
影响因子：
6.2
通讯作者：
Haugaa, Kristina H.
中科院分区：
文献类型：
--
作者：
Holte, Espen;Dweck, Marc R.;Haugaa, Kristina H.
为了评价疑似心内膜炎患者的诊断和成像以及欧洲常规临床实践中的管理，EACVI科学倡议委员会在欧洲各中心进行了一项调查。特别是，常规使用的超声心动图，先进的成像模式和多学科team explored.Methods和结果-共有100个欧洲超声心动图实验室从29个不同的国家回答了调查，其中包括20个问题。对于大多数超声心动图和高级成像的使用，来自中心的答案相对一致，并表现出对当前建议的良好依从性。特别是，三分之二的中心报告使用特定的心内膜炎团队进行决策。超声心动图在心内膜炎的诊断和治疗中起着关键作用。核成像模式在各中心广泛使用，主要用于人工瓣膜心内膜炎和心脏器械相关感染性心内膜炎。计算机断层扫描（CT）广泛用于评估结构性瓣膜异常、神经系统并发症和冠状动脉术前评估。大多数机构提供结构化的患者后续hospitaldischarge.Conclusion在欧洲，一个相对同质的遵守目前的建议，观察到大多数诊断和管理，包括心内膜炎患者的后续行动。决策通常由多学科团队执行。超声心动图仍然是患者诊断和评估的一线和中心成像模式，但60%的中心也通常使用CT，而正电子发射断层扫描成像用于人工瓣膜心内膜炎或器械感染患者。
Aims To evaluate the diagnosis and imaging of patients with suspected endocarditis and the management in routine clinical practice across Europe, the EACVI Scientific Initiatives Committee performed a survey across European centres. In particular, the routine use of echocardiography, advanced imaging modalities and multidisciplinary team was explored.Methods and results A total of 100 European Echocardiography Laboratories from 29 different countries responded to the survey, which consisted of 20 questions. For most of the use of echocardiography and advanced imaging, answers from the centres were relatively homogeneous and demonstrated good adherence to current recommendations. In particular, two-thirds of centres report the use of a specific endocarditis team for decision-making. Echocardiography plays a key role in the diagnosis and management of endocarditis. Nuclear imaging modalities are broadly available among the centres and are mainly used in prosthetic valve endocarditis and cardiac device-related infective endocarditis. Computed tomography (CT) is widely available and used to assess for structural valve abnormalities, neurological complications, and to preoperative assessment of the coronary arteries. Most institutions provide structured patients follow-up following hospital discharge.Conclusion In Europe, a relatively homogenous adherence to current recommendation was observed for most diagnostic and management including the follow-up of patients with endocarditis. Decision-making is most commonly performed by a multidisciplinary team. Echocardiography remains the first line and central imaging modality for patient diagnosis and assessment, but 60% of centres also commonly use CT, whilst positron emission tomography imaging is used in patients with prosthetic valve endocarditis or device infection.