Non-bacterial thrombotic endocarditis echocardiography and ultrasound: Difference between revisions
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==Echocardiography/Ultrasound== | ==Echocardiography/Ultrasound== | ||
*Echocardiography may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It is especially important in visualizing valvular vegetations suggestive of NBTE | *[[Echocardiography]] may be helpful in the [[diagnosis]] of [[non-bacterial thrombotic endocarditis]]. It is especially important in visualizing [[Cardiac valve|valvular]] [[Vegetation (pathology)|vegetations]] suggestive of NBTE | ||
*Left sided valves are more commonly affected with 75% of cases seen in the mitral valve. | *Left sided valves are more commonly affected with 75% of cases seen in the [[mitral valve]]. | ||
*The vegetations in NBTE are typically <1cm, broad-based, and irregularly shaped. | *The vegetations in NBTE are typically <1cm, broad-based, and irregularly shaped. | ||
*Transesophageal echocardiography is more sensitive (90%) than transthoracic echocardiography, especially for vegetations <5mm. | *[[Transesophageal echocardiography (TEE)|Transesophageal echocardiography]] is more [[Sensitivity (tests)|sensitive]] (90%) than [[transthoracic echocardiography]], especially for vegetations <5mm. | ||
*Because transesophageal echocardiography is an invasive procedure, evaluation of patients with this modality should be cased-based. | *Because transesophageal echocardiography is an [[Invasive (medical)|invasive]] procedure, evaluation of patients with this modality should be cased-based. | ||
*The two-dimensional transesophageal echocardiography (2D-TEE) has a higher diagnostic value for the detection of | *The two-dimensional transesophageal echocardiography (2D-TEE) has a higher diagnostic value for the detection of vegetations in NBTE, however, the three-dimensional TEE (3D-TEE) has the following benefits over it: | ||
**Improved detection | **Improved [[Detection and Diagnosis in Adulthood|detection]] | ||
**Improved characterization | **Improved characterization | ||
**Improved clinical correlations of | **Improved clinical correlations of NBTE vegetations | ||
**Provides clinically relevant additive information complementing the 2D-TEE for the characterization, detection, and association with the cerebrovascular disease of | **Provides clinically relevant additive information complementing the 2D-TEE for the characterization, detection, and association with the cerebrovascular disease of NBTE endocarditis. | ||
**Even though echocardiography is important in the diagnosis of vegetations in cardiac valves, it does not differentiate vegetations due to t[[Infective endocarditis|hrombotic infection]] from vegetations as a result of [[Aggregation|aggregations]] of [[platelets]] and [[Fibrin|fibrin.]] | |||
==References== | ==References== | ||
Revision as of 21:09, 17 August 2020
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non-bacterial thrombotic endocarditis |
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Differentiating non-bacterial thrombotic endocarditis from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Non-bacterial thrombotic endocarditis echocardiography and ultrasound On the Web |
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American Roentgen Ray Society Images of Non-bacterial thrombotic endocarditis echocardiography and ultrasound |
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FDA on Non-bacterial thrombotic endocarditis echocardiography and ultrasound |
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CDC on Non-bacterial thrombotic endocarditis echocardiography and ultrasound |
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Non-bacterial thrombotic endocarditis echocardiography and ultrasound in the news |
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Blogs on Non-bacterial thrombotic endocarditis echocardiography and ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]
Overview
There are no echocardiography/ultrasound findings associated with [disease name].
OR
Echocardiography/ultrasound may be helpful in the diagnosis of [disease name]. Findings on an echocardiography/ultrasound suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
There are no echocardiography/ultrasound findings associated with [disease name]. However, an echocardiography/ultrasound may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].
Echocardiography/Ultrasound
- Echocardiography may be helpful in the diagnosis of non-bacterial thrombotic endocarditis. It is especially important in visualizing valvular vegetations suggestive of NBTE
- Left sided valves are more commonly affected with 75% of cases seen in the mitral valve.
- The vegetations in NBTE are typically <1cm, broad-based, and irregularly shaped.
- Transesophageal echocardiography is more sensitive (90%) than transthoracic echocardiography, especially for vegetations <5mm.
- Because transesophageal echocardiography is an invasive procedure, evaluation of patients with this modality should be cased-based.
- The two-dimensional transesophageal echocardiography (2D-TEE) has a higher diagnostic value for the detection of vegetations in NBTE, however, the three-dimensional TEE (3D-TEE) has the following benefits over it:
- Improved detection
- Improved characterization
- Improved clinical correlations of NBTE vegetations
- Provides clinically relevant additive information complementing the 2D-TEE for the characterization, detection, and association with the cerebrovascular disease of NBTE endocarditis.
- Even though echocardiography is important in the diagnosis of vegetations in cardiac valves, it does not differentiate vegetations due to thrombotic infection from vegetations as a result of aggregations of platelets and fibrin.