A Potential Role of Hematologic Abnormalities as Prognostic Markers an Infective Endocarditis (IE)

Rizk Sh
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Abstract

Infective Endocarditis is a highly morbid disease whose diagnosis is largely based on the modified Duke Criteria. These criteria are mainly developed by expert opinion due to the low incidence of the disease, the low number of randomized trials, and the limited number of me-ta-analyses, making the evidence of their recommendations relatively low with major gaps. A prompt diagnosis of IE is crucial to avoid serious complications. However, the great clinical variability and non-specific manifestations, constitute diagnostic challenges. Hematologic abnormalities, especially anemia are frequently associated with IE. However, they have not been widely explored as potential diagnostic and prognostic parameters in IE patients. In this article, we explored the common hematologic abnormalities in IE patients and the available evidence of the impact of their changes on diagnosis and risk stratification in these patients.
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血液学异常作为感染性心内膜炎(IE)预后标志物的潜在作用
感染性心内膜炎是一种高度病态的疾病,其诊断主要基于修改后的杜克标准。由于该病发病率低、随机试验数量少、meta分析数量有限,这些标准主要是由专家意见制定的,因此其建议的证据相对较低,存在较大差距。IE的及时诊断对于避免严重并发症至关重要。然而,巨大的临床变异性和非特异性表现构成了诊断挑战。血液学异常,尤其是贫血常与IE相关。然而,它们还没有被广泛地作为IE患者的潜在诊断和预后参数。在这篇文章中,我们探讨了IE患者常见的血液学异常,以及他们的变化对这些患者诊断和风险分层的影响的现有证据。
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