感染性心内膜炎有哪些新进展?

IF 5.9 2区 医学 Q2 Medicine
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引用次数: 0

摘要

感染性心内膜炎是一种不断发展的疾病。现在的患者与几十年前的患者有很大不同:他们往往年龄较大,合并症和与医疗相关的发作较多,同时出现了新的心内膜炎患者群体,如使用经皮人工瓣膜的患者。诊断技术也发生了变化。虽然经胸和经食道超声心动图仍是最常用的成像方式,但其他技术,如三维经食道超声、心脏计算机断层扫描和核医学检查(PET/CT 和 SPECT/CT),正越来越多地用于诊断疾病及其并发症。近年来,抗生素治疗也取得了重大进展。目前,有几种治疗策略可用于缩短特定患者的住院期,从而减少与住院相关的并发症,提高患者及其家属的生活质量,并降低该疾病的医疗费用。本综述讨论了感染性心内膜炎在流行病学、诊断和治疗方面的主要最新进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novedades en la endocarditis infecciosa

Infective endocarditis is a continually evolving disease. Present-day patients differ significantly from those treated a few decades ago: they tend to be older and have more comorbidities and health care-related episodes, while new groups of patients have emerged with new types of endocarditis, such as those affecting patients with percutaneous valve prostheses. There have also been changes in diagnostic techniques. Although transthoracic and transesophageal echocardiography are still the most commonly used imaging modalities, other techniques, such as 3-dimensional transesophageal ultrasound, cardiac computed tomography, and nuclear medicine tests (PET/CT and SPECT/CT), are increasingly used for diagnosing both the disease and its complications. In recent years, there have also been significant developments in antibiotic therapy. Currently, several treatment strategies are available to shorten the hospital phase of the disease in selected patients, which can reduce the complications associated with hospitalization, improve the quality of life of patients and their families, and reduce the health care costs of the disease. This review discusses the main recent epidemiological, diagnostic and therapeutic developments in infective endocarditis.

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来源期刊
Revista espanola de cardiologia
Revista espanola de cardiologia 医学-心血管系统
CiteScore
4.20
自引率
13.60%
发文量
257
审稿时长
28 days
期刊介绍: Revista Española de Cardiología, Revista bilingüe científica internacional, dedicada a las enfermedades cardiovasculares, es la publicación oficial de la Sociedad Española de Cardiología.
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