open access

Ahead of print
State-of-the-art review
Published online: 2017-05-18
Submitted: 2017-05-05
Accepted: 2017-05-10
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Infective endocarditis — Cinderella in cardiology

Amit Kaura, Dorota Dworakowska, Rafal Dworakowski
DOI: 10.5603/KP.a2017.0099

open access

Ahead of print
State-of-the-art review
Published online: 2017-05-18
Submitted: 2017-05-05
Accepted: 2017-05-10

Abstract

Infective endocarditis (IE) is uncommon, however, the incidence is on the rise [1]. Despite improvements in its management, infective endocarditis (IE) is associated with significant short- and long-term morbidity and mortality [2]. A definitive diagnosis of IE may be challenging and is often delayed due to the highly variable and non-specific symptoms at patient presentation, alongside limited availability of specialist services [3]. In addition to IE remaining a diagnostic challenge, the decisions about the treatment modality (medical vs surgical) and the timing of potential valve surgery are demanding, despite established national and international guidelines [4]. Prolonged treatment with antibiotics are required, even following surgical intervention, which incorporate as many as 50% of patients with IE [5]. IE is considered as the ‘Cinderella’ of heart disease, receiving relatively low media profile and limited research funding as conditions such as acute coronary syndrome. In this article we discuss the recent advances in the diagnostic approach and treatment strategies available for patients with IE.

Abstract

Infective endocarditis (IE) is uncommon, however, the incidence is on the rise [1]. Despite improvements in its management, infective endocarditis (IE) is associated with significant short- and long-term morbidity and mortality [2]. A definitive diagnosis of IE may be challenging and is often delayed due to the highly variable and non-specific symptoms at patient presentation, alongside limited availability of specialist services [3]. In addition to IE remaining a diagnostic challenge, the decisions about the treatment modality (medical vs surgical) and the timing of potential valve surgery are demanding, despite established national and international guidelines [4]. Prolonged treatment with antibiotics are required, even following surgical intervention, which incorporate as many as 50% of patients with IE [5]. IE is considered as the ‘Cinderella’ of heart disease, receiving relatively low media profile and limited research funding as conditions such as acute coronary syndrome. In this article we discuss the recent advances in the diagnostic approach and treatment strategies available for patients with IE.

Get Citation

Keywords

infective endocarditis; valvular heart disease

About this article
Title

Infective endocarditis — Cinderella in cardiology

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Ahead of print

Published online

2017-05-18

DOI

10.5603/KP.a2017.0099

Keywords

infective endocarditis
valvular heart disease

Authors

Amit Kaura
Dorota Dworakowska
Rafal Dworakowski

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