Division of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Division of Cardiac Surgery, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Echocardiography. 2024 Nov;41(11):e15934. doi: 10.1111/echo.15934.
Infective endocarditis and infection of cardiac devices are conditions characterized by high morbidity and mortality, thus requiring a prompt diagnosis. Advanced imaging modalities are often required in the management of infectious endocarditis according to guidelines. The aim of this review is to collect and describe evidence-based knowledge about the diagnostic role and clinical usefulness of [F]FDG PET/CT in endocarditis and cardiac device infections based on published systematic reviews and meta-analyses on this topic and on recent guidelines. [F]FDG PET/CT is recommended only in selected cases. This imaging method has good diagnostic accuracy in detecting prosthetic valve endocarditis and cardiac device infection. Furthermore, it can identify extra-cardiac infectious foci changing the clinical management in a significant percentage of cases.
感染性心内膜炎和心脏器械感染是发病率和死亡率均较高的疾病，因此需要迅速诊断。根据指南，在感染性心内膜炎的治疗中常需要采用先进的影像学方法。本综述的目的是收集和描述基于已发表的关于该主题的系统评价和荟萃分析以及最新指南，有关 [F]FDG PET/CT 在感染性心内膜炎和心脏器械感染中的诊断作用和临床应用的循证知识。仅在某些特定情况下推荐使用 [F]FDG PET/CT。这种影像学方法在诊断人工瓣膜心内膜炎和心脏器械感染方面具有良好的诊断准确性。此外，它还可以识别出大量的心脏外感染灶，从而显著改变临床管理。
