Transthoracic Echocardiography in Assessing Patients with Suspected Infective Endocarditis (TEASE): An Exploratory Study DOI Open Access
Nello Cambise, Saverio Tremamunno, Angelo Giuseppe Marino

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(7), С. 2195 - 2195

Опубликована: Март 24, 2025

Background: An extensive use of transesophageal echocardiography (TEE) has recently been suggested for the diagnosis infective endocarditis (IE). In this study, we investigated whether among patients with negative transthoracic (TTE), subgroups can be identified whom TEE avoided/delayed. Methods: We conducted a retrospective study 637 consecutive who underwent suspected IE. selected 375 TTE. For each patient, obtained age, sex, blood culture (BC), exams, evidence embolism, presence moderate/severe heart valve disease, prostheses, and intracardiac devices. Results: IE was eventually diagnosed in 56 patients. Variables independently associated at multivariate analysis included positive BC (OR 3.45; p = 0.006), embolism 13.0; < 0.001), bioprosthetic valves 4.31; 0.001) platelet count 150,000/mL 2.47; 0.014). without any these predictors (n 81), only 1 had no in-hospital IE-related deaths occurred. Among 127), prevalence increased number other predictors, but mortality 0%. (10.8%) related (2.7%) were also rather low independent 20% (IE-related 3.8%) 71% 28.6%) those one or 2-3 respectively. Conclusions: Our data suggest that, TTE, might safely avoided delayed.

Язык: Английский

Transthoracic Echocardiography in Assessing Patients with Suspected Infective Endocarditis (TEASE): An Exploratory Study DOI Open Access
Nello Cambise, Saverio Tremamunno, Angelo Giuseppe Marino

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(7), С. 2195 - 2195

Опубликована: Март 24, 2025

Background: An extensive use of transesophageal echocardiography (TEE) has recently been suggested for the diagnosis infective endocarditis (IE). In this study, we investigated whether among patients with negative transthoracic (TTE), subgroups can be identified whom TEE avoided/delayed. Methods: We conducted a retrospective study 637 consecutive who underwent suspected IE. selected 375 TTE. For each patient, obtained age, sex, blood culture (BC), exams, evidence embolism, presence moderate/severe heart valve disease, prostheses, and intracardiac devices. Results: IE was eventually diagnosed in 56 patients. Variables independently associated at multivariate analysis included positive BC (OR 3.45; p = 0.006), embolism 13.0; < 0.001), bioprosthetic valves 4.31; 0.001) platelet count 150,000/mL 2.47; 0.014). without any these predictors (n 81), only 1 had no in-hospital IE-related deaths occurred. Among 127), prevalence increased number other predictors, but mortality 0%. (10.8%) related (2.7%) were also rather low independent 20% (IE-related 3.8%) 71% 28.6%) those one or 2-3 respectively. Conclusions: Our data suggest that, TTE, might safely avoided delayed.

Язык: Английский

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