Rossel A, Carballo D, Carballo S
Service de médecine interne générale, HUG, 1211 Genève 14.
Rev Med Suisse. 2012 Oct 17;8(358):1966-8, 1970-1.
Despite progress in medical and surgical treatment, morbidity and mortality remain high in infective endocarditis. Multiple diagnostic tools are now available to decrease delays in the diagnosis and instauration of appropriate treatment. Identification of patients at high risk of developing complications and those who may benefit from early surgery could improve prognosis and outcome. This article reviews some of the existing tools and options available for the diagnosis, risk evaluation and treatment of infective endocarditis, as well as the evidence for their systematic use.
尽管在药物和手术治疗方面取得了进展，但感染性心内膜炎的发病率和死亡率仍然很高。现在有多种诊断工具可用于减少诊断和开始适当治疗的延迟。识别有发生并发症高风险的患者以及可能从早期手术中获益的患者，可能会改善预后和结局。本文综述了一些现有的用于感染性心内膜炎诊断、风险评估和治疗的工具及选择，以及它们系统应用的证据。
