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- W2034035596 abstract "Background: Infective endocarditis (IE) is a frequent indication for echocardiograms. We examine the application of Modified Duke Criteria in guiding the appropriate use of transoesophageal echocardiograms (TOE's) in an era when improved imaging technology of transthoracic echocardiograms (TTE's) are widely available and whether better imaging resulted in improved outcomes. Methods: A retrospective observational study across Northern and Western hospital was performed. All patients who had a TOE to investigate for IE were included. The data collected included indications, TTE and TOE findings; fulfillment of Modified Dukes Criteria; duration of antibiotic treatment and clinical outcome. Results: Eighty patients were included with ages ranging 18–86. A total of 29 patients were treated for IE (confirmed or suspected), and all fulfilled the Modified Dukes Criteria (24 definite, 5 possible). Twenty-one patients were confirmed to have vegetations. All patients with confirmed IE on TOE fulfilled the Modified Dukes Criteria (19 definite, 2 possible). Eight patients (27%) died despite medical ± surgical intervention (n = 1). Conclusions: The Modified Duke Criteria is a reliable guide for diagnosing IE as well as assisting with determining who may require a TOE. Prolonged intravenous antibiotic use without evidence of vegetations on cardiac imaging was a common practice. IE remains a high mortality risk despite accurate diagnosis." @default.
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- W2034035596 date "2012-01-01" @default.
- W2034035596 modified "2023-09-27" @default.
- W2034035596 title "Infective Endocarditis: Fulfilling the Modified Duke Criteria and Clinical Outcome" @default.
- W2034035596 doi "https://doi.org/10.1016/j.hlc.2012.05.621" @default.
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