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多模态成像在感染性心内膜炎中的作用:美国和欧洲主要学会指南的比较

Role of multimodality imaging in infective endocarditis: A comparison of the major society guidelines in the United States and Europe.

作者信息

Vinod Poornima, Khayata Mohamed, Haouzi Alice, Xu Bo

机构信息

UNC Health at Southeastern, Department of Internal Medicine, Lumberton, NC 28358, USA.

Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydnell and Arnold Family Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

出版信息

Trends Cardiovasc Med. 2025 Jan;35(1):10-21. doi: 10.1016/j.tcm.2024.04.005. Epub 2024 Apr 26.

Abstract

Infective endocarditis (IE) is a life-threatening condition, and early diagnosis and management are critical. There is emerging evidence on the role of advanced imaging modalities including dedicated cardiac computed tomography (CCT), and F-fluorodeoxyglucose positron emission tomography (PET). The updated 2023 European Society of Cardiology (ESC) guidelines have emphasized increased utilization of multimodality imaging in the diagnosis and management of IE. In this review, we elaborate on recent recommendations from the updated 2023 ESC guidelines, with comparisons to the current American College of Cardiology (ACC)/American Heart Association (AHA) guidelines, focusing on multimodality imaging in IE.

摘要

感染性心内膜炎(IE)是一种危及生命的疾病,早期诊断和治疗至关重要。越来越多的证据表明,包括专用心脏计算机断层扫描(CCT)和氟脱氧葡萄糖正电子发射断层扫描(PET)在内的先进成像方式发挥着重要作用。2023年欧洲心脏病学会(ESC)更新的指南强调,在IE的诊断和治疗中应增加多模态成像的应用。在本综述中,我们详细阐述了2023年ESC更新指南中的最新建议,并与美国心脏病学会(ACC)/美国心脏协会(AHA)的现行指南进行比较,重点关注IE中的多模态成像。

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