Document Detail


The use of echocardiography in diagnosing culture-negative endocarditis.
MedLine Citation:
PMID:  7020979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed M-mode and two-dimensional echocardiographic findings in 11 patients with abacteremic endocarditis to study the application of echocardiography in this setting. All patients had negative blood cultures but underwent surgery that confirmed the presence of active infective endocarditis. The infection involved native valves in five patients and prosthetic valves in six patients. Valvular masses were identified in eight patients. The other three patients, who had prosthetic aortic valves, had diastolic mitral valve vibration characteristic of aortic regurgitation. One of these also showed dehiscence of the prosthesis. Three patients had poorly defined clinical illnesses and echocardiography was a prime element in the diagnosis because valvular masses were identified. The operation was facilitated by knowledge of the mass indicated by echocardiography in these eight cases. Also, the surgical approach was affected by knowledge of dehiscence and perivalvular abscess formation in two cases each.
Authors:
D S Rubenson; C R Tucker; E B Stinson; E J London; P Oyer; R Moreno-Cabral; R L Popp
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Circulation     Volume:  64     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1981 Sep 
Date Detail:
Created Date:  1981-10-25     Completed Date:  1981-10-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  641-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abscess / complications
Adult
Aged
Aortic Valve / transplantation
Aortic Valve Insufficiency / etiology
Bacteriological Techniques
Bioprosthesis
Diastole
Echocardiography / methods*
Endocarditis, Bacterial / diagnosis*,  surgery
Female
Heart Valve Prosthesis
Humans
Male
Middle Aged
Mitral Valve / transplantation
Grant Support
ID/Acronym/Agency:
HL-7265/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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