Author/Editor | Koželj, M; Lejko-Zupanc, T | |
Title | Ehokardiografska diagnostika infekcijskega endokarditisa | |
Translated title | Echocardiographic findings in infective endocarditis | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 33, št. 4 | |
Publication year | 1994 | |
Volume | str. 509-18 | |
Language | slo | |
Abstract | Echocardiography has an established role in evaluation of patients with infective endocarditis. Positive echocardiogram is one of the Duke's major critera for infective endocarditis. Transthoracic and transesophageal echocardiography can localize the vegetations, demonstrate infective complications such as abscesses, local mycotic aneurysms, or fistulas. The valve dysfunction is assessed by Doppler echocardiography. The sensitivity for detection of endocarditic lesions is much greater by transesophageal than by transthoracic echocardiography. Transesophageal echocardiography is most important in evaluating infective endocarditis in prosthetic valve endocarditis. Echocardiography has an important role in management of patients with infective endocarditis and in decision making about the necessity and timing of surgical intervention. | |
Summary | Ehokardiografija je osrednja preiskovalna metoda v diagnostiki infekcijskega endokarditisa. Značilen ehokardiografski izvid je eno od glavnih (major) kliničnih meril za diagnozo infekcijskega endokarditisa (Duke Endocarditis Service). S transtorakalno in s transezofagealno ehokardiografijo ugotovimo mesto vegetacije in prisotnost morebitnih zapletov, kot so absces, mikotične anevrizme in fistulacije. Z doplersko ehokardiografijo pa ocenimo motnjo v delovanju zaklopke. Občutljivost transezofagealne ehokardiografije je veliko večja od občutljivosti transtorakalnega pristopa. Posebno velik pomen ima transezofagealna ehokardiografija v diagnostiki infekcijskega endokarditisa na umetnih zaklopkah. Ehokardiografija ni samo diagnostična metoda, pač pa tudi ena najpomembnejših metod za spremljanje uspeha zdravljenja endokarditisa in nepogrešljiva pomoč pri načrtovanju operativnega zdravljenja. | |
Descriptors | ENDOCARDITIS, BACTERIAL |