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The role of echocardiography as a risk-stratification tool in infective endocarditis

  • Lourdes Vicent
    Affiliations
    Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Madrid, Spain
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  • Hugo González Saldivar
    Affiliations
    Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Madrid, Spain
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  • Patricia Muñoz
    Affiliations
    Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Madrid, Spain

    CIBER Enfermedades Respiratorias - CIBERES (CB06/06/0058), Madrid, Spain

    Departamento de Medicina, Universidad Complutense, Madrid, Spain
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  • Emilio Bouza
    Affiliations
    Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Madrid, Spain

    CIBER Enfermedades Respiratorias - CIBERES (CB06/06/0058), Madrid, Spain

    Departamento de Medicina, Universidad Complutense, Madrid, Spain
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  • Manuel Martínez-Sellés
    Correspondence
    Corresponding author at: Cardiology Department, Hospital Universitario Gregorio Marañón, Calle Doctor Esquerdo, 46, 28007 Madrid, Spain.
    Affiliations
    Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Madrid, Spain

    Departamento de Medicina, Universidad Complutense, Madrid, Spain

    Universidad Europea, Madrid, Spain
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Published:February 26, 2018DOI:https://doi.org/10.1016/j.ejim.2018.02.027
      We would like to thank the interest in our paper “Prognostic implications of a negative echocardiography in patients with infective endocarditis” [
      • Vicent L.
      • Saldivar H.G.
      • Bouza E.
      • Muñoz P.
      • Cuerpo G.
      • de Alarcón A.
      • et al.
      Prognostic implications of a negative echocardiography in patients with infective endocarditis.
      ]. Our aim was to address the impact of echocardiographic results on the prognosis of this group of patients. Echocardiography is one of the pillars for the diagnosis of infective endocarditis (IE), especially transoesophageal echocardiography [
      • Sedgwick John F.
      • Scalia Gregory M.
      Advanced Echocardiography for the Diagnosis and Management of Infective Endocarditis, Contemporary Challenges in Endocarditis.
      ]. Echocardiography continues to be the first imaging examination to perform in cases of suspected IE [
      • Habib G.
      • Lancellotti P.
      • Antunes M.J.
      • Bongiorni M.G.
      • Casalta J.P.
      • Del Zotti F.
      • et al.
      ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).
      ], as it is readily available, low-cost and a non-invasive method. Echocardiography helps to determine the hemodynamic state, valvular and cardiac function, and to diagnose complications at the bedside, which is therefore, of great value for unstable and severely ill patients. This technique is also very helpful to provide the indication of surgery in IE, and also guide it, as intraoperative echocardiography can give a real-time comprehensive assessment of the extent of intracardiac pathology. Echocardiography also enables an almost daily follow-up.
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