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

Atp is an endothermic reaction., Production of ATP is an endothermic reacti...

Production of ATP is an endothermic reaction. How much energy in Kcal is having in 1 molecule of  ATP?

Help, #Predict: In order to be able to energize a transport protein by phos...

#Predict: In order to be able to energize a transport protein by phosphorylation (by addition of a phosphate group from ATP), the portion of the protein to which the phosphate grou

Cnidaria and protozoan, What are the advancement of cnidaria over protozoa

What are the advancement of cnidaria over protozoa

Introduction to population dynamics , Introduction: the term, population i...

Introduction: the term, population is derived from lation word' populus' meaning 'people'. Population is a group organism of same in a particular is at a definite time period.

Define counter stain - staining technique, Define Counter Stain - Staining ...

Define Counter Stain - Staining Technique? Finally, the smear is counter stained with a simple basic dye different in colour from crystal violet. Safranin is the most commonly

Types of ovules, Types of Ovules Anatropous This is the most com...

Types of Ovules Anatropous This is the most common type of ovule in angiosperms in which the ovule undergoes curvature such that the micropylar end comes to lie parallel

Define energy requirements during surgery, Define Energy Requirements durin...

Define Energy Requirements during Surgery? The energy requirements of the patient should be based upon his present body weight which should be followed by a comparative assessm

Primitive arthropods, Primitive Arthropods The primitive arthropods, O...

Primitive Arthropods The primitive arthropods, Onychophora (for example Peripatus) have a series of paired legs which are not jointed but have a ringed appearance because of t

Assume the effect on turnover, Explain two ways in which a changing climate...

Explain two ways in which a changing climate may impact the nutrient cycle. Predict  the effect on turnover.

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