[关于感染性心内膜炎的十个问题]。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Giornale italiano di cardiologia Pub Date : 2024-10-01 DOI:10.1714/4336.43212
Federico Fortuni, Giuseppe Ciliberti, Nina Ajmone Marsan, Victoria Delgado, Luca Franchin, Michele Magnesa, Antonella Spinelli, Enrica Vitale, Stefano Cangemi, Stefano Cornara, Domenico Gabrielli, Furio Colivicchi, Massimo Grimaldi, Fabrizio Oliva
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引用次数: 0

摘要

感染性心内膜炎(IE)是一种涉及心内膜的感染过程,更常见的是涉及原发性心脏瓣膜、瓣膜假体和心脏植入式电子设备。感染性心内膜炎可表现为各种非特异性症状,因此诊断难度很大。这种疾病的院内死亡率和长期死亡率都很高。因此,通过采取适当的抗生素预防措施来预防这种疾病尤为重要,尤其是对接受侵入性手术的高危患者。此外,及时诊断 IE、检测是否存在局部和全身并发症、制定适当的抗生素治疗方案以及确定手术治疗的适应症和时机也至关重要。在这篇重点综述中,我们将解答有关 IE 的流行病学、病因、预防、诊断、抗生素和手术治疗等方面最常见的问题。
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[Ten questions about infective endocarditis].

Infective endocarditis (IE) is an infective process involving the endocardium and, more frequently, the native heart valves, valvular prostheses and cardiac implantable electronic devices. IE can manifest with various non-specific symptoms making the diagnosis challenging. This condition is associated with high in-hospital and long-term mortality. Therefore, it is particularly important to prevent it by implementing an adequate antibiotic prophylaxis especially in patients at high risk undergoing invasive procedures. Moreover, it is pivotal to promptly diagnose IE, detect the presence of local and systemic complications, establish appropriate antibiotic therapy and identify the indication and timing for surgical treatment. In this focused review, we will provide answers to the most common questions regarding the epidemiology, causes, prophylaxis, diagnosis and antibiotic and surgical treatment of IE.

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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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