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01-04-2020 | Editorial

Optimizing the diagnostic workup of infective endocarditis: An urgent need for studies focused on defining the decision-making process

Authors: María Nazarena Pizzi, MD, Nuria Fernández-Hidalgo, MD, PhD

Published in: Journal of Nuclear Cardiology | Issue 2/2020

Excerpt

For decades, the modified Duke criteria1 have been widely used in the diagnosis of infective endocarditis (IE). Nonetheless, because of the technical limitations of echocardiography, the sensitivity and specificity of the Duke criteria are low in the growing percentage of complex IE patients with repaired congenital heart diseases, prosthetic tubes, valves, and other devices. …

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Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 ESC guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015;36:3075-128.CrossRef

Gomes A, van Geel PP, Santing M, Prakken NHJ, Ruis ML, van Assen S, et al. Imaging infective endocarditis: Adherence to a diagnostic flowchart and direct comparison of imaging techniques. J Nucl Cardiol 2018. https://doi.org/10.1007/s12350-018-1383-8.CrossRefPubMed

Gomes A, Glaudemans AWJM, Touw DJ, van Melle JP, Willems TP, Maass AH, et al. Diagnostic value of imaging in infective endocarditis: a systematic review. Lancet Infect Dis 2017;17:e1-14.CrossRef

Saby L, Laas O, Habib G, Cammilleri S, Mancini J, Tessonnier L, et al. Positron emission tomography/computed tomography for diagnosis of prosthetic valve endocarditis: Increased valvular ¹⁸F-fluorodeoxyglucose uptake as a novel major criterion. J Am Coll Cardiol 2013;61:2374-82.CrossRef

Pizzi MN, Roque A, Fernández-Hidalgo N, Cuéllar-Calabria H, Ferreira-González I, Gonzàlez-Alujas MT, et al. Improving the diagnosis of infective endocarditis in prosthetic valves and intracardiac devices with ¹⁸F-fluordeoxyglucose positron emission tomography/computed tomography angiography: initial results at an infective endocarditis referral center. Circulation 2015;132:1113-26.CrossRef

Swart LE, Gomes A, Scholtens AM, Sinha B, Tanis W, Lam MGEH, et al. Improving the diagnostic performance of ¹⁸F-FDG PET/CT in prosthetic heart valve endocarditis. Circulation 2018. https://doi.org/10.1161/CIRCULATIONAHA.118.035032.CrossRefPubMed

Van Riet J, Hill EE, Gheysens O, et al. ¹⁸F-FDG PET/CT for early detection of embolism and metastatic infection in patients with infective endocarditis. Eur J Nucl Med Mol Imaging 2010;37:1189-97.CrossRef

Bonfiglioli R, Nanni C, Morigi JJ, et al. ¹⁸F-FDG PET/CT diagnosis of unexpected extracardiac septic embolisms in patients with suspected cardiac endocarditis. Eur J Nucl Med Mol Imaging 2013;40:1190-6.CrossRef

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Kestler M, Muñoz P, Rodríguez-Créixems M, Collaboration with the Group for the Management of Infectious Endocarditis (GAME), et al. Role of ¹⁸F-FDG PET in patients with infectious endocarditis. J Nucl Med 2014;55:1-6.CrossRef

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Granados U, Fuster D, Pericas JM, et al. Diagnostic accuracy of ¹⁸F-FDG PET/CT in infective endocarditis and implantable cardiac electronic device infection: a cross-sectional study. J Nucl Med 2016;57:1726-32.CrossRef

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Duval X, Iung B, Klein I, Brochet E, Thabut G, Arnoult F, et al. Effect of early cerebral magnetic resonance imaging on clinical decisions in infective endocarditis: a prospective study. Ann Intern Med 2010;152:497-504, W175.

Title: Optimizing the diagnostic workup of infective endocarditis: An urgent need for studies focused on defining the decision-making process
Authors: María Nazarena Pizzi, MD
Nuria Fernández-Hidalgo, MD, PhD
Publication date: 01-04-2020
Publisher: Springer International Publishing
Published in: Journal of Nuclear Cardiology / Issue 2/2020
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-018-1434-1

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