Cardiac Imaging for Diagnosis and Management of Infective Endocarditis

Jeffrey J Silbiger; Eman Rashed; Huazhen Chen; Elliot Wiesenfeld; Sam E Robinson; Matthew Cagliostro

doi:10.1016/j.echo.2022.04.007

Cardiac Imaging for Diagnosis and Management of Infective Endocarditis

J Am Soc Echocardiogr. 2022 Sep;35(9):910-924. doi: 10.1016/j.echo.2022.04.007. Epub 2022 Apr 27.

Authors

Jeffrey J Silbiger¹, Eman Rashed², Huazhen Chen², Elliot Wiesenfeld², Sam E Robinson², Matthew Cagliostro²

Affiliations

¹ Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: jeffrey.silbiger@mssm.edu.
² Icahn School of Medicine at Mount Sinai, New York, New York.

PMID: 35487472
DOI: 10.1016/j.echo.2022.04.007

Abstract

Imaging is central to the care of patients with infective endocarditis. Although transthoracic and transesophageal echocardiography are the principal imaging techniques, additional modalities including positron emission tomography and cardiac computed tomography, and to a lesser extent intracardiac echocardiography, play an increasing role. This review discusses the role of cardiac imaging in establishing the diagnosis of endocarditis, in predicting its embolic risk, and in making decisions regarding the need for and timing of surgery.

Keywords: Cardiac implantable electronic device infections; Infective endocarditis; Modified Duke criteria; Multimodality imaging; Systemic embolism.

Publication types

Review

MeSH terms

Echocardiography / methods
Echocardiography, Transesophageal
Endocarditis* / diagnostic imaging
Endocarditis, Bacterial* / diagnostic imaging
Heart Valve Prosthesis*
Humans