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Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review
Infective endocarditis is a common and treatable condition that carries a high mortality rate. Currently the workup of infective endocarditis relies on the integration of clinical, microbiological and echocardiographic data through the use of the modified Duke criteria (MDC). However, in cases of pr...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720921/ https://www.ncbi.nlm.nih.gov/pubmed/34988125 http://dx.doi.org/10.3389/fcvm.2021.750573 |
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author | Eder, Maxwell D. Upadhyaya, Krishna Park, Jakob Ringer, Matthew Malinis, Maricar Young, Bryan D. Sugeng, Lissa Hur, David J. |
author_facet | Eder, Maxwell D. Upadhyaya, Krishna Park, Jakob Ringer, Matthew Malinis, Maricar Young, Bryan D. Sugeng, Lissa Hur, David J. |
author_sort | Eder, Maxwell D. |
collection | PubMed |
description | Infective endocarditis is a common and treatable condition that carries a high mortality rate. Currently the workup of infective endocarditis relies on the integration of clinical, microbiological and echocardiographic data through the use of the modified Duke criteria (MDC). However, in cases of prosthetic valve endocarditis (PVE) echocardiography can be normal or non-diagnostic in a high proportion of cases leading to decreased sensitivity for the MDC. Evolving multimodality imaging techniques including leukocyte scintigraphy (white blood cell imaging), (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET), multidetector computed tomographic angiography (MDCTA), and cardiac magnetic resonance imaging (CMRI) may each augment the standard workup of PVE and increase diagnostic accuracy. While further studies are necessary to clarify the ideal role for each of these imaging techniques, nevertheless, these modalities hold promise in determining the diagnosis, prognosis, and care of PVE. We start by presenting a clinical vignette, then evidence supporting various modality strategies, balanced by limitations, and review of formal guidelines, when available. The article ends with the authors' summary of future directions and case conclusion. |
format | Online Article Text |
id | pubmed-8720921 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87209212022-01-04 Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review Eder, Maxwell D. Upadhyaya, Krishna Park, Jakob Ringer, Matthew Malinis, Maricar Young, Bryan D. Sugeng, Lissa Hur, David J. Front Cardiovasc Med Cardiovascular Medicine Infective endocarditis is a common and treatable condition that carries a high mortality rate. Currently the workup of infective endocarditis relies on the integration of clinical, microbiological and echocardiographic data through the use of the modified Duke criteria (MDC). However, in cases of prosthetic valve endocarditis (PVE) echocardiography can be normal or non-diagnostic in a high proportion of cases leading to decreased sensitivity for the MDC. Evolving multimodality imaging techniques including leukocyte scintigraphy (white blood cell imaging), (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET), multidetector computed tomographic angiography (MDCTA), and cardiac magnetic resonance imaging (CMRI) may each augment the standard workup of PVE and increase diagnostic accuracy. While further studies are necessary to clarify the ideal role for each of these imaging techniques, nevertheless, these modalities hold promise in determining the diagnosis, prognosis, and care of PVE. We start by presenting a clinical vignette, then evidence supporting various modality strategies, balanced by limitations, and review of formal guidelines, when available. The article ends with the authors' summary of future directions and case conclusion. Frontiers Media S.A. 2021-12-20 /pmc/articles/PMC8720921/ /pubmed/34988125 http://dx.doi.org/10.3389/fcvm.2021.750573 Text en Copyright © 2021 Eder, Upadhyaya, Park, Ringer, Malinis, Young, Sugeng and Hur. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Eder, Maxwell D. Upadhyaya, Krishna Park, Jakob Ringer, Matthew Malinis, Maricar Young, Bryan D. Sugeng, Lissa Hur, David J. Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review |
title | Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review |
title_full | Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review |
title_fullStr | Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review |
title_full_unstemmed | Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review |
title_short | Multimodality Imaging in the Diagnosis of Prosthetic Valve Endocarditis: A Brief Review |
title_sort | multimodality imaging in the diagnosis of prosthetic valve endocarditis: a brief review |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720921/ https://www.ncbi.nlm.nih.gov/pubmed/34988125 http://dx.doi.org/10.3389/fcvm.2021.750573 |
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