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Infective endocarditis: echocardiography as a method of primary visualization

https://doi.org/10.33667/2078-5631-2025-12-44-52

Abstract

In the modern world, the possibilities of cardiac surgery are expanding, which, along with the increase of the life expectancy of patients with prosthetic valves, intracardiac devices (ICD), degenerative heart valve diseases, increase the relevance of the problem of infective endocarditis (IE). Given the clinical significance of IE and the severity of its embolic complications, up to a fatal outcome, the use of optimal visualization methods comes to the fore. This review, based on a modern classification, presents the capabilities of first-line methods in the diagnosis of IE, namely, transthoracic and transesophageal echocardiography (TT and TE EchoCG). Both the main echographic signs of the disease and the ultrasound picture in a number of complications are discussed. Modern modified criteria for the diagnosis of IE are presented, including those incorporating data from visualization methods.

About the Authors

T. V. Naiden
North-Western State Medical University by I.I. Mechnikov, Saint Petersburg, Russian Federation
Russian Federation

Nayden Tatyana Viktorovna – PhD, Associate Professor, Department of Functional Diagnostics



S. Yu. Bartosh-Zelenaya
North-Western State Medical University by I.I. Mechnikov, Saint Petersburg, Russian Federation
Russian Federation

Bartosh-Zelenaya Svetlana Yuryevna – MD, PhD, prof., prof. of the Department of Functional Diagnostics



I. A. Evsikova
State hospital № 40, Saint Petersburg, Russian Federation
Russian Federation

Evsikova Irina Aleksandrovna – MD, PhD, functional diagnostics physician



O. A. Guseva
State hospital № 40, Saint Petersburg, Russian Federation
Russian Federation

Guseva Olesya Andreevna – MD, PhD, functional diagnostics physician



O. P. Mamaeva
State hospital № 40, Saint Petersburg, Russian Federation
Russian Federation

Mamaeva Olga Petrovna – MD, PhD, head of the functional diagnostics department



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Review

For citations:


Naiden T.V., Bartosh-Zelenaya S.Yu., Evsikova I.A., Guseva O.A., Mamaeva O.P. Infective endocarditis: echocardiography as a method of primary visualization. Medical alphabet. 2025;(12):44-52. (In Russ.) https://doi.org/10.33667/2078-5631-2025-12-44-52

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)