新的体格检查次要标准（新发心脏杂音）在感染性心内膜炎诊断中的作用。
Role of the New Physical Examination Minor Criterion (New Heart Murmur) for the Diagnosis of Infective Endocarditis.
作者信息
Papadimitriou-Olivgeris Matthaios, Monney Pierre, Frank Michelle, Tzimas Georgios, Fourré Nicolas, Zimmermann Virgile, Tozzi Piergiorgio, Kirsch Matthias, Van Hemelrijck Mathias, Dzemali Omer, Epprecht Jana, Guery Benoit, Hasse Barbara
机构信息
Infectious Diseases Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Infectious Diseases Service, Cantonal Hospital of Sion and Institut Central des Hôpitaux, Sion, Switzerland.
出版信息
Open Forum Infect Dis. 2024 Dec 19;12(1):ofae736. doi: 10.1093/ofid/ofae736. eCollection 2025 Jan.
Abstract
Among 3127 episodes of suspected infective endocarditis, the 2023 Duke-International Society for Cardiovascular Infectious Diseases clinical criteria showed an accuracy of 90% for infective endocarditis diagnosis. A new heart murmur was present in 690 (22%) episodes. Excluding imaging and surgical findings decreased the accuracy to 73%, while using the physical examination criterion slightly improved the accuracy to 78%.
摘要
在3127例疑似感染性心内膜炎病例中，2023年杜克大学 - 国际心血管传染病学会临床标准对感染性心内膜炎诊断的准确率为90%。690例（22%）病例出现了新的心杂音。排除影像学和手术检查结果后，准确率降至73%，而使用体格检查标准可将准确率略微提高至78%。
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