Role of the New Physical Examination Minor Criterion (New Heart Murmur) for the Diagnosis of Infective Endocarditis.

IF 3.8 4区医学 Q2 IMMUNOLOGY

Open Forum Infectious Diseases Pub Date : 2024-12-19 eCollection Date: 2025-01-01 DOI:10.1093/ofid/ofae736

Matthaios Papadimitriou-Olivgeris, Pierre Monney, Michelle Frank, Georgios Tzimas, Nicolas Fourré, Virgile Zimmermann, Piergiorgio Tozzi, Matthias Kirsch, Mathias Van Hemelrijck, Omer Dzemali, Jana Epprecht, Benoit Guery, Barbara Hasse

引用次数: 0

Abstract

Among 3127 episodes of suspected infective endocarditis, the 2023 Duke-International Society for Cardiovascular Infectious Diseases clinical criteria showed an accuracy of 90% for infective endocarditis diagnosis. A new heart murmur was present in 690 (22%) episodes. Excluding imaging and surgical findings decreased the accuracy to 73%, while using the physical examination criterion slightly improved the accuracy to 78%.

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新体检小标准（新发心杂音）在感染性心内膜炎诊断中的作用。

在3127例疑似感染性心内膜炎患者中，2023年杜克-国际心血管传染病学会临床标准显示，感染性心内膜炎的诊断准确率为90%。690次（22%）出现新的心脏杂音。排除影像学和外科检查结果使准确率降低至73%，而使用体格检查标准则略微提高准确率至78%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Forum Infectious Diseases Medicine-Neurology (clinical)

CiteScore

6.70

自引率

4.80%

发文量

630

审稿时长

9 weeks

期刊介绍： Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.