Pfister, Roman, Betton, Yann, ten Freyhaus, Henrik, Jung, Norma, Baldus, Stephan and Michels, Guido (2016). Three-dimensional compared to two-dimensional transesophageal echocardiography for diagnosis of infective endocarditis. Infection, 44 (6). S. 725 - 732. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1439-0973

Full text not available from this repository.

Abstract

Purpose Transesophageal echocardiography is crucial for the diagnosis of infective endocarditis (IE). Use of three-dimensional transesophageal echocardiography (3D-TEE) could improve the reliability of echocardiographic findings. This study sought to determine the value of 3D-TEE in the diagnosis of IE in comparison to two-dimensional (2D)-TEE and 2D transthoracic echocardiography (2D-TTE). Methods In this prospective cohort study in a tertiary care university hospital 144 consecutive patients with clinically suspected IE were included. The patients were subjected to clinical, microbiological and echocardiographic evaluation (2D-TTE, 2D-TEE and 3D-TEE) and their clinical history evaluated retrospectively to establish a reference diagnosis of IE in accordance to current guideline recommendations. Results In 48 (33 %) patients the diagnosis of IE was established. 2D-TEE and 3D-TEE showed a sensitivity, specificity, positive and negative predictive value for diagnosis of IE of 94 % and 63, 90 and 95 %, 82 and 86 % and 97 and 83 %, respectively, with similar results in patients with native and prosthetic valves. Vegetations and abscess were detected in 43 and 5 patients with final diagnosis of IE by any of the assessed echocardiographic modalities, with only one case of vegetation detected by 3D-TEE only and not by 2D-TEE. Conclusions In this cohort of patients with suspected IE, 3D-TEE showed substantial lower sensitivity and negative predictive value for diagnosis of IE when compared to 2D-TEE. 3D-TEE might provide additive diagnostic information with impact on clinical decisions only in individual cases.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Pfister, RomanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Betton, YannUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
ten Freyhaus, HenrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jung, NormaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baldus, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michels, GuidoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-254350
DOI: 10.1007/s15010-016-0908-9
Journal or Publication Title: Infection
Volume: 44
Number: 6
Page Range: S. 725 - 732
Date: 2016
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1439-0973
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PROSTHETIC VALVE ENDOCARDITIS; INITIAL-EXPERIENCE; DUKE CRITERIA; RECOMMENDATIONS; DISEASEMultiple languages
Infectious DiseasesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/25435

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item