Echocardiography, Biology

Assignment Help:

Echocardiographic evaluation should be performed in all patients with clinically suspected IE, including those with negative blood cultures.  Not only is TEE the preferred approach in patients with clinically suspected IE in whom TTE is suboptimal it is also the procedure of choice for imaging the pulmonic valve, patients with PVE (especially at the mitral site) and patients who are at high risk for intracardiac complications or those with sign of persistent or invasive infection despite adequate antimicrobial therapy.

The sensitivity of TTE for the detection of vegetations in NVE is less than 65 per cent, although its specificity is excellent. In contrast, in proven NVE the sensitivity for vegetation detection of TEE was 90 to 100 per cent, and in clinically suspected NVE, it ranged from 82 to 94 per cent. In patients with PVE, TTE is limited by the shadowing effect of the mitral valve prosthesis. The sensitivity of TEE for detecting vegetations in PVE, involving mechanical or bioprosthetic devices ranged from 80 to 96 per cent, whereas that of TTE was from 36 to 16 per cent.   Despite the sensitivity of TEE in detecting vegetations in patients with proven IE, echocardiography does not itself provide a definite diagnosis. Vegetations and valve dysfunction may be demonstrated, but determination of causality requires clinical or direct anatomical and microbiological confirmation.  Infectious vegetation cannot be distinguished from marantic lesions, nor can vegetations be distinguished from thrombus or pannus on prostheses. Further more, it is usually not possible to distinguish active from healed vegetations in NVE. Thickened valves, ruptured chordae or valve calcifications and nodules may be mistaken for vegetations, indicating the specificity limitations of echocardiography.


Related Discussions:- Echocardiography

What is low gradient aortic stenosis, Q. What is Low Gradient Aortic Stenos...

Q. What is Low Gradient Aortic Stenosis? One may come across patients who have severe left ventricular dysfunction and modest gradients across aortic valve. This situation may

Name the corrosion resistant metals, Name the corrosion resistant metals ...

Name the corrosion resistant metals Most of the corrosion resistant metals or alloys used for implants have a layer of oxides on their surface. The thin (approximately 5 nm) la

Differences between meiosis and mitosis, Q. Concerning their final products...

Q. Concerning their final products daughter cells and their ploidies what are the differences between meiosis and mitosis? In mitosis one cell for illustration with 2n chromoso

Problem of potency of blastema cells, Problem of Potency of Blastema Cells ...

Problem of Potency of Blastema Cells The local cells are accountable for regeneration. Now you could ask which of the blastema cells differentiated into which type of limb ti

Skeleton, what is the biological significance of skeleton

what is the biological significance of skeleton

Examples of genetic engineering that are improve crop plant, Give three exa...

Give three examples of genetic engineering that are intended to improve crop plants. Genetic engineering of crop plants can improve resistance to pests, retard ripening, impro

Results-types of surgery, Results: Early mortality for tricuspid valve re...

Results: Early mortality for tricuspid valve replacement is around six per cent. But depending on the patient's class of symptoms and the number of concomitant procedures, this c

test the hypothesis , A classic study of extrasensory perception tests the...

A classic study of extrasensory perception tests the ability of one person to read another's mind. The test uses five cards with different designs, all known to both participants.

Explain about the colorimeter, Explain about the Colorimeter? Colorimet...

Explain about the Colorimeter? Colorimeter is an instrument for measuring the colour or colour intensity of a solution. It is an instrument that measures the concentration of a

How can nutrients are classified, Q. According to their functions how can n...

Q. According to their functions how can nutrients are classified? One possible and utile functional classification for nutrients is the one that separates them into energetic,

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd