McDonald Jay R
Infectious Disease Section, Specialty Care Service, St. Louis VA Medical Center, 915 N Grand Boulevard, Mailcode 151/JC, St. Louis, MO 63106, USA.
Infect Dis Clin North Am. 2009 Sep;23(3):643-64. doi: 10.1016/j.idc.2009.04.013.
Acute infective endocarditis is a complex disease with changing epidemiology and a rapidly evolving knowledge base. To consistently achieve optimal outcomes in the management of infective endocarditis, the clinical team must have an understanding of the epidemiology, microbiology, and natural history of infective endocarditis, as well as a grasp of guiding principles of diagnosis and medical and surgical management. The focus of this review is acute infective endocarditis, though many studies of diagnosis and treatment do not differentiate between acute and subacute disease, and indeed many principles of diagnosis and management of infective endocarditis for acute and subacute disease are identical.
急性感染性心内膜炎是一种复杂的疾病,其流行病学不断变化,知识基础也在迅速发展。为了在感染性心内膜炎的管理中持续取得最佳结果,临床团队必须了解感染性心内膜炎的流行病学、微生物学和自然史,以及掌握诊断和内科及外科治疗的指导原则。本综述的重点是急性感染性心内膜炎,尽管许多诊断和治疗研究并未区分急性和亚急性疾病,而且实际上,急性和亚急性感染性心内膜炎的许多诊断和管理原则是相同的。