2019
DOI: 10.1007/s12350-018-1333-5
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Guidelines in review: Comparison of ESC and AHA guidance for the diagnosis and management of infective endocarditis in adults

Abstract: Over recent years, new evidence has led a rethinking of the available guidance on the diagnosis and management of infective endocarditis (IE). This review compares the most recently available guidance provided by the American Heart Association (AHA) IE Writing Committee, and the Task Force for the management of IE of the European Society of Cardiology (ESC). This represents the sixth of a new series of comparative guidelines review published in the Journal.

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Cited by 23 publications
(16 citation statements)
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“…5 The ESC guideline states that FDG PET/CT may help reduce the number of misdiagnosed infective endocarditis classified in the ''possible'' category of the modified Duke criteria, and may help visualize peripheral emboli and metastatic infective events. 6 On the other hand, the AHA guideline states that more studies are needed to determine the roles of FDG PET/CT in the diagnosis and management of patients with infective endocarditis.…”
Section: The Incremental Value Of Fdg Pet/ct In Infective Endocarditismentioning
confidence: 99%
“…5 The ESC guideline states that FDG PET/CT may help reduce the number of misdiagnosed infective endocarditis classified in the ''possible'' category of the modified Duke criteria, and may help visualize peripheral emboli and metastatic infective events. 6 On the other hand, the AHA guideline states that more studies are needed to determine the roles of FDG PET/CT in the diagnosis and management of patients with infective endocarditis.…”
Section: The Incremental Value Of Fdg Pet/ct In Infective Endocarditismentioning
confidence: 99%
“…However, despite attempts to standardize the practice in IE, the lack of powered randomized clinical evidence and the changing scenario of this daunting disease prompted over the course of the years new studies and updates of both the European and American Society's guidelines for the management of IE (8).…”
Section: Introductionmentioning
confidence: 99%
“…When analyzing the current guidelines that regulate the treatment of this condition from both European Society of Cardiology (ESC) (9) and the American Heart Association (AHA)/American College of Cardiology (ACC) (3) it is possible to notice some aspects of non-univocal consensus regarding the diagnostics and treatment of the disease. A comparison focusing on the role of imaging in the evaluation and management of IE has been recently published (8).…”
Section: Introductionmentioning
confidence: 99%
“…[1][2][3] This commentary aims at discussing main differences between the recommendations of the U.S. and European guidelines as they relate to the use of imaging.…”
mentioning
confidence: 99%
“…2,3 As highlighted in the review by Murphy et al, TEE is needed in most patients with high clinical suspicion of endocarditis and in the presence of initially positive TTE. [1][2][3] The European guideline also specifically recommend TEE always in the presence of suspected prosthetic valve endocarditis (PVE) due to its better sensitivity and specificity in this setting compared with TTE. 2 The echocardiographic findings of IE include vegetation, perivalvular abscess, perivalvular pseudoaneurysm or intracardiac fistula, valvular perforation or valvular aneurysm, and a new dehiscence of a prosthetic valve.…”
mentioning
confidence: 99%