Taradin G G, Vatutin N T, Prendergast B D, Newton J D, Chaus E A, Smyrnova A S
M. Gorky Donetsk National Medical University, Donetsk, Ukraine; V.K. Gusak Institute of Emergency and Reconstructive Surgery, Donetsk, Ukraine.
John Radcliffe Hospital, Oxford, United Kingdom.
Ter Arkh. 2016;88(11):128-137. doi: 10.17116/terarkh20168811128-137.
The review gives the current views of the etiology and risk factors of infective endocarditis (IE) in the elderly. It reports the specific clinical picture of the disease at this age, including clinically apparent syndromes, comorbidity, and various clinical signs and peculiarities of IE. Particular emphasis is placed on the diagnosis of an endocardial infectious lesion, which is based on the use of the modified Duke criteria. The methods of IE diagnosis, particularly microbiological examination, imaging techniques, among which echocardiography in different modes plays a particular role, are listed. The treatment of the disease is based on the latest recommendations for antibiotic therapy with and without regard to a specific etiological factor. The issues of surgical intervention, as well as approaches to preventing IE in elderly people are discussed.
该综述阐述了老年人感染性心内膜炎（IE）的病因及危险因素的当前观点。报告了该疾病在这个年龄段的具体临床表现，包括明显的临床综合征、合并症以及IE的各种临床体征和特点。特别强调了基于改良的杜克标准诊断心内膜感染性病变。列出了IE的诊断方法，尤其是微生物学检查、成像技术，其中不同模式的超声心动图发挥着特殊作用。该疾病的治疗基于抗生素治疗的最新建议，无论是否考虑特定的病因因素。讨论了手术干预问题以及老年人预防IE的方法。
