Cardiac Magnetic Resonance Imaging for the Diagnosis of Infective Endocarditis in the COVID-19 Era
Current Problems in Cardiology
; 48(1), 2023.
Article
in English
| Scopus | ID: covidwho-2239181
ABSTRACT
In the COVID-19 pandemic, to minimize aerosol-generating procedures, cardiac magnetic resonance imaging (CMR) was utilized at our institution as an alternative to transesophageal echocardiography (TEE) for diagnosing infective endocarditis (IE). This retrospective study evaluated the clinical utility of CMR for detecting IE among 14 patients growing typical microorganisms on blood cultures or meeting modified Duke Criteria. Seven cases were treated for IE. In 2 cases, CMR results were notable for possible leaflet vegetations and were clinically meaningful in guiding antibiotic therapy, obtaining further imaging, and/or pursuing surgical intervention. In 2 cases, vegetations were missed on CMR but detected on TEE. In 3 cases, CMR was non-diagnostic, but patients were treated empirically. There was no difference in antibiotic duration or outcomes over 1 year. CMR demonstrated mixed results in diagnosing valvular vegetations and guiding clinical decision-making. Further prospective controlled trials of CMR Vs TEE are warranted. © 2022 Elsevier Inc.
COVID-19; Echocardiography, Transesophageal; Endocarditis; Endocarditis, Bacterial; Humans; Magnetic Resonance Imaging; Pandemics; Retrospective Studies; amoxicillin plus clavulanic acid; ampicillin; antibiotic agent; cefalexin; cefazolin; ceftriaxone; daptomycin; gadolinium; gentamicin; imipenem; linezolid; micafungin; nafcillin; vancomycin; adult; aged; alpha hemolytic Streptococcus; antibiotic therapy; bacteremia; bacterial arthritis; blood culture; Candida glabrata; cardiovascular magnetic resonance; Citrobacter youngae; clinical article; clinical decision making; coagulase negative Staphylococcus; coronavirus disease 2019; diskitis; Enterococcus avium; Enterococcus faecalis; female; hemodialysis; human; infective endocarditis; Klebsiella oxytoca; late gadolinium enhancement imaging; male; methicillin resistant Staphylococcus aureus; methicillin susceptible Staphylococcus aureus; nuclear magnetic resonance imaging; observational study; osteomyelitis; pandemic; phlegmon; polymerase chain reaction; psoas muscle; retrospective study; Review; risk factor; skin infection; soft tissue infection; Streptococcus constellatus; transesophageal echocardiography; transthoracic echocardiography; vegetation; bacterial endocarditis; complication; diagnostic imaging; pathology; procedures
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Databases of international organizations
Database:
Scopus
Language:
English
Journal:
Current Problems in Cardiology
Year:
2023
Document Type:
Article
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