Kitai Takeshi, Masumoto Akiko, Okada Taiji, Koyama Tadaaki, Furukawa Yutaka
Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minamimachi, Chuo-ku, Kobe 6500047, Japan.
Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minamimachi, Chuo-ku, Kobe 6500047, Japan.
Cardiol Clin. 2021 May;39(2):197-209. doi: 10.1016/j.ccl.2021.01.002.
Infective endocarditis (IE) is a rare but serious condition with a dismal prognosis. One of the keys to improving outcomes is the prompt identification of high-risk patients who have intracardiac and extracardiac (systemic and neurologic) complications. However, as cardiac and extracardiac complications indicating surgery add to the surgical risk for active IE, controversies surround the optimal indication and timing for surgery, especially in patients presenting neurologic complications. This article reviews the necessary evaluation for patients with suspected IE and proposes a state-of-the-art patient flow chart for evaluation of suspected IE.
感染性心内膜炎（IE）是一种罕见但严重的疾病，预后不佳。改善预后的关键之一是及时识别有心脏内和心脏外（全身和神经）并发症的高危患者。然而，由于提示手术的心脏和心脏外并发症会增加活动性IE的手术风险，围绕手术的最佳指征和时机存在争议，尤其是在出现神经并发症的患者中。本文回顾了疑似IE患者的必要评估，并提出了一份最新的疑似IE评估患者流程图。
