Application of transthoracic echocardiography in diagnosis of infective endocarditis
10.13929/j.1003-3289.201702085
- VernacularTitle:经胸超声心动图在诊断感染性心内膜炎中的应用
- Author:
Qiuying LIU
1
;
Lulu WANG
;
Yunshan ZHANG
;
Wenhuan YAO
Author Information
1. 中国人民解放军海军总医院超声医学科
- Keywords:
Echocardiography;
Endocarditis,bacterial
- From:
Chinese Journal of Medical Imaging Technology
2017;33(11):1652-1655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinic value of transthoracic echocardiography in diagnosis of infective endocarditis.Methods Transthoracic echocardiography features and clinic data of 114 patients with infective endocarditis were analyzed retrospectively.The form,activity and coaptation of cardiac valve were observed.The vegetation was found,and the surrounding structure of valve and fundamental heart disease were studied.Results Among 114 patients,the primary symptom presented as fever in 104 patiens.Fundamental heart disease was found in 69 patients;and systemic disease was found in 5 patients.Blood culture was positive in 35 patients.Mitral valve was involved in 46 patients.Aortic valve was involved in 48 patients.Tricuspid valve was involved in 17 patients.Pulmonary valve was involved in 1 patient.Prosthetic valve was infected in 9 patients.Multi-valves were infected in 7 patients.There were serious complications in 19 patients.Ultrasound showed vegetation in 56 of 59 patients underwent surgery.And the diagnostic accuracy rate was 94.92％ (56/59).Conclusion Transthoracic echocardiography can be used to accurately diagnose infective endocarditis.
