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Infection of cardiac prosthetic valves and implantable electronic devices: early diagnosis and treatment.

ΤίτλοςInfection of cardiac prosthetic valves and implantable electronic devices: early diagnosis and treatment.
Publication TypeJournal Article
Year of Publication2020
AuthorsLakkas, L., Serim B. Dirlik, Fotopoulos A., Iakovou I., Doumas A., Korkmaz U., Michalis L. K., & Sioka C.
JournalActa Cardiol
Pagination1-7
Date Published2020 May 14
ISSN1784-973X
Abstract

There has been a recent rise in the use of implantable cardiac devices, mostly valves but also electronic ones, such as pacemakers, and implantable defibrillators. The increasing use of these devices had as a consequence the raised incidence of endocarditis, an infrequent but morbid complication of these procedures. Thus, early diagnosis of the implantable cardiac devices related infection and endocarditis became pivotal for appropriate management. For diagnostic purposes, the modified Duke criteria are widely used, which are based on clinical and imaging findings, in addition to serological analyses and blood cultures. 18F-fluoro-2-deoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) is a recently employed method in order to improve the early diagnosis of endocarditis as well as infection of the implantable device. It is likely, that combining the modified Duke criteria with the FDG PET/CT, will increase the sensitivity and specificity of diagnosis and will guide the treating physician to an early and appropriate management.

DOI10.1080/00015385.2020.1761594
Alternate JournalActa Cardiol
PubMed ID32406333

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