The Role of Modern-Era Echocardiography in Identification of Cardiac Risk Factors for Infective Endocarditis

J. Sedgwick, G. Scalia
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Abstract

This chapter provides an updated overview of the scientific literature on cardiac pathology predisposing to infective endocarditis and the estimated risk associated with selected lesion-specific abnormalities, in an era of changing epidemiology and advanced echocardiographic imaging. Importantly, with the evolution of modern-era echo, subtle changes in valve structure and function are now easily detectable and a proportion of cases of apparently ‘normal’ valves involved with IE, may in fact have subtle pre-existing pathological and/or haemodynamic abnormalities. The chapter will have a clinical focus with an aim to provide the Physician with up-to-date and practical information on cardiac risk factor identification for infective endocarditis.
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现代超声心动图在感染性心内膜炎心脏危险因素鉴别中的作用
本章提供了在不断变化的流行病学和先进的超声心动图成像时代,心脏病理易发感染性心内膜炎和与选定病变特异性异常相关的估计风险的最新科学文献概述。重要的是,随着现代回声技术的发展,瓣膜结构和功能的细微变化现在很容易检测到,一部分明显“正常”的瓣膜涉及IE,实际上可能存在微妙的预先存在的病理和/或血流动力学异常。本章将有一个临床重点,目的是为医生提供最新的和实用的信息,心脏危险因素识别感染性心内膜炎。
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