Silbiger Jeffrey J, Rashed Eman, Chen Huazhen, Wiesenfeld Elliot, Robinson Sam E, Cagliostro Matthew
Icahn School of Medicine at Mount Sinai, New York, New York.
Icahn School of Medicine at Mount Sinai, New York, New York.
J Am Soc Echocardiogr. 2022 Sep;35(9):910-924. doi: 10.1016/j.echo.2022.04.007. Epub 2022 Apr 27.
Imaging is central to the care of patients with infective endocarditis. Although transthoracic and transesophageal echocardiography are the principal imaging techniques, additional modalities including positron emission tomography and cardiac computed tomography, and to a lesser extent intracardiac echocardiography, play an increasing role. This review discusses the role of cardiac imaging in establishing the diagnosis of endocarditis, in predicting its embolic risk, and in making decisions regarding the need for and timing of surgery.
影像学检查对于感染性心内膜炎患者的治疗至关重要。虽然经胸超声心动图和经食管超声心动图是主要的影像学技术，但包括正电子发射断层扫描和心脏计算机断层扫描在内的其他检查方式，以及在较小程度上的心腔内超声心动图，发挥着越来越重要的作用。本综述讨论了心脏成像在感染性心内膜炎诊断、预测其栓塞风险以及决定是否需要手术及手术时机方面的作用。
