Chamoun A J, Conti V, Lenihan D J
Division of Cardiology, University of Texas Medical Branch, Galveston 77555-0553, USA.
Am J Med Sci. 2000 Oct;320(4):255-62. doi: 10.1097/00000441-200010000-00006.
IE remains a dreaded disease masquerading under a myriad of presentations in an evolving epidemiological environment. In our continuing endeavor against this deadly disease, echocardiography has evolved into an indispensable diagnostic tool to define structural complications and guide therapy. Timing of surgical intervention for IE remains a subject of intense debate and depends on the cardiac and systemic complications of the infection, the virulence of the organism, and the responsiveness to medical therapy. A judicious agreement among cardiologist, cardiovascular surgeon, and infectious disease specialist should define whether surgical intervention is warranted and, if so, the optimal timing. Further optimization of guidelines will help in the diagnosis and treatment of endocarditis but will never be a substitute for sound judgment and experience.
在不断演变的流行病学环境中，感染性心内膜炎（IE）仍然是一种可怕的疾病，呈现出各种各样的症状。在我们持续对抗这种致命疾病的过程中，超声心动图已发展成为一种不可或缺的诊断工具，用于明确结构并发症并指导治疗。IE外科干预的时机仍是一个激烈争论的话题，它取决于感染的心脏和全身并发症、病原体的毒力以及对药物治疗的反应。心脏病专家、心血管外科医生和传染病专家之间达成明智的共识，应能确定是否有必要进行外科干预，如果有必要，则能确定最佳时机。指南的进一步优化将有助于心内膜炎的诊断和治疗，但永远无法替代合理的判断和经验。
