The Role of Coronary Catheterization with Angiography in Surgically Managed Infectious Endocarditis

Coronary catheterization with angiography is often performed prior to surgical valve replacement in infectious endocarditis. There is no existing data as to whether this intervention is clinically necessary or leads to a change in surgical management. In order to determine the frequency with which coronary angiography impacts surgical management in infectious endocarditis we conducted a retrospective review of surgically managed endocarditis cases at a tertiary care medical center.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Brief Observation Source Type: research

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– We aimed to assess the benefit/risk ratio to perform a coronary angiography (CA) before surgery for infective endocarditis (IE).
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
We present the case of a 38-year-old male referred to our department, complaining of the sudden onset of a painful pulsatile mass 5 x 10 cm in the right antecubital fossa that slowly progressed over time. Two years before this, he underwent aortic and mitral valve replacement with mechanical prosthetic valves and tricuspid annuloplasty for IE with methicillin-susceptible Staphylococcus aureus after a six-week course of intravenous antibiotherapy with oxacillin. Clinical examination of the right upper limb revealed a pulsatile and compressible mass with a normal temperature and without other clinical signs of inflammation. ...
Source: The Heart Surgery Forum - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Heart Surg Forum Source Type: research
PET CT in endocarditis – Cardiology MCQ – Cardiology MCQ MCQ Radioactive tracer used for detection of active foci of inflammation/metabolism in infective endocarditis is – Correct answer: 4. Fluorine-18 fluorodeoxyglucose Supplementing Dukes criteria with 18F-FDG PET CT increased the sensitivity from 52% to 91% with a slight fall in specificity from 95% to 89%. The authors further noted that reclassification from possible endocarditis to either definite or rejected category could be done in 95% which has great clinical significance [1]. This would permit early initiation of antibiotic therapy in defi...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
PET CT in endocarditis – Cardiology MCQ – Answer Radioactive tracer used for detection of active foci of inflammation/metabolism in infective endocarditis is – Correct answer: 4. Fluorine-18 fluorodeoxyglucose Supplementing Dukes criteria with 18F-FDG PET CT increased the sensitivity from 52% to 91% with a slight fall in specificity from 95% to 89%. The authors further noted that reclassification from possible endocarditis to either definite or rejected category could be done in 95% which has great clinical significance [1]. This would permit early initiation of antibiotic therapy in definite cases w...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
AbstractBackgroundRat bite fever is a systemic febrile illness caused by infection with the Gram-negative bacillusStreptobacillus moniliformis following a bite, scratch, or contact with excrement. Only 26 cases of native valve endocarditis have been reported to date. We could find no other reports of severeStreptobacillus endocarditis requiring valve replacement in a young, pregnant patient.Case presentationA pregnant patient sought care for right leg pain, fevers, left upper quadrant pain, generalized weakness, fatigue, and inability to bear weight on her right leg. She had a syncopal episode 9 months earlier, resulting i...
Source: Antimicrobial Resistance and Infection Control - Category: Infectious Diseases Source Type: research
By MICHEL ACCAD Last month marked the 400th anniversary of the birth of John Graunt, commonly regarded as the father of epidemiology.  His major published work, Natural and Political Observations Made upon the Bills of Mortality, called attention to the death statistics published weekly in London beginning in the late 16th century.  Graunt was skeptical of how causes of death were ascribed, especially in times of plagues.  Evidently, 400 years of scientific advances have done little to lessen his doubts!  A few days ago, Fox News reported that Colorado governor Jared Polis ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: COVID-19 Medical Practice Physicians Diagnosis MICHEL ACCAD Source Type: blogs
Abstract Cardiovascular diseases are the most common cause of death in patients over 60 years old. Imaging methods of a pivotal role in cardiological diagnostic processes are echocardiography, magnetic resonance, multi-row-detector computed tomography, coronary angiography, and radioisotope tests. In this paper, we summarize the techniques of nuclear medicine (positron emission tomography, single-photon emission computed tomography, radionuclide ventriculography) that could be implemented in the cardiovascular diagnostic algorithms. Despite being acknowledged and positioned in a few cardiological guidelines, these...
Source: Polish Heart Journal - Category: Cardiology Authors: Tags: Kardiol Pol Source Type: research
Rapid and accurate diagnosis of cardiovascular device infection remains a challenge in the clinic. Anatomic imaging tools such as echocardiography and cardiac CT or CT angiography are the first-line modalities for clinically suspected endocarditis given their ability to detect vegetation and perivalvular complications. Accumulating data suggest that functional imaging with 18F-FDG PET/CT has unique merits over anatomic imaging and could potentially diagnose early cardiac device infection before morphologic damage ensues and identify infection sources or bacterial emboli in the rest of the body. Although an abnormal finding...
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Continuing Education Source Type: research
ConclusionsAddition of18F-FDG-PET/CT and/or CTA changed the final diagnosis in 33% of patients and proved to be a valuable diagnostic tool in patients with suspected TAVI-IE.
Source: Journal of Nuclear Cardiology - Category: Nuclear Medicine Source Type: research
CONCLUSIONS: Preoperative coronary angiography in patients affected by infective endocarditis provides relevant information in a significant proportion of patients and can be performed safely. PMID: 31734140 [PubMed - as supplied by publisher]
Source: Archives of Cardiovascular Diseases - Category: Cardiology Authors: Tags: Arch Cardiovasc Dis Source Type: research
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