Native valve infective endocarditis

What is the optimal timing for surgery?

A. J. Chamoun, Vincent Conti, D. J. Lenihan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

IE remains a dreaded disease masquerading under a myriad of presentations in an evolving epidemiological environment. In our continuing endeavor against this deadly disease, echocardiography has evolved into an indispensable diagnostic tool to define structural complications and guide therapy. Timing of surgical intervention for IE remains a subject of intense debate and depends on the cardiac and systemic complications of the infection, the virulence of the organism, and the responsiveness to medical therapy. A judicious agreement among cardiologist, cardiovascular surgeon, and infectious disease specialist should define whether surgical intervention is warranted and, if so, the optimal timing. Further optimization of guidelines will help in the diagnosis and treatment of endocarditis but will never be a substitute for sound judgment and experience.

Original languageEnglish (US)
Pages (from-to)255-262
Number of pages8
JournalAmerican Journal of the Medical Sciences
Volume320
Issue number4
StatePublished - 2000

Fingerprint

Endocarditis
Communicable Diseases
Virulence
Echocardiography
Cardiovascular Diseases
Therapeutics
Guidelines
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Native valve infective endocarditis : What is the optimal timing for surgery? / Chamoun, A. J.; Conti, Vincent; Lenihan, D. J.

In: American Journal of the Medical Sciences, Vol. 320, No. 4, 2000, p. 255-262.

Research output: Contribution to journalArticle

@article{d8b63e4d48c546dda361dcab1abcfdf8,
title = "Native valve infective endocarditis: What is the optimal timing for surgery?",
abstract = "IE remains a dreaded disease masquerading under a myriad of presentations in an evolving epidemiological environment. In our continuing endeavor against this deadly disease, echocardiography has evolved into an indispensable diagnostic tool to define structural complications and guide therapy. Timing of surgical intervention for IE remains a subject of intense debate and depends on the cardiac and systemic complications of the infection, the virulence of the organism, and the responsiveness to medical therapy. A judicious agreement among cardiologist, cardiovascular surgeon, and infectious disease specialist should define whether surgical intervention is warranted and, if so, the optimal timing. Further optimization of guidelines will help in the diagnosis and treatment of endocarditis but will never be a substitute for sound judgment and experience.",
author = "Chamoun, {A. J.} and Vincent Conti and Lenihan, {D. J.}",
year = "2000",
language = "English (US)",
volume = "320",
pages = "255--262",
journal = "American Journal of the Medical Sciences",
issn = "0002-9629",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Native valve infective endocarditis

T2 - What is the optimal timing for surgery?

AU - Chamoun, A. J.

AU - Conti, Vincent

AU - Lenihan, D. J.

PY - 2000

Y1 - 2000

N2 - IE remains a dreaded disease masquerading under a myriad of presentations in an evolving epidemiological environment. In our continuing endeavor against this deadly disease, echocardiography has evolved into an indispensable diagnostic tool to define structural complications and guide therapy. Timing of surgical intervention for IE remains a subject of intense debate and depends on the cardiac and systemic complications of the infection, the virulence of the organism, and the responsiveness to medical therapy. A judicious agreement among cardiologist, cardiovascular surgeon, and infectious disease specialist should define whether surgical intervention is warranted and, if so, the optimal timing. Further optimization of guidelines will help in the diagnosis and treatment of endocarditis but will never be a substitute for sound judgment and experience.

AB - IE remains a dreaded disease masquerading under a myriad of presentations in an evolving epidemiological environment. In our continuing endeavor against this deadly disease, echocardiography has evolved into an indispensable diagnostic tool to define structural complications and guide therapy. Timing of surgical intervention for IE remains a subject of intense debate and depends on the cardiac and systemic complications of the infection, the virulence of the organism, and the responsiveness to medical therapy. A judicious agreement among cardiologist, cardiovascular surgeon, and infectious disease specialist should define whether surgical intervention is warranted and, if so, the optimal timing. Further optimization of guidelines will help in the diagnosis and treatment of endocarditis but will never be a substitute for sound judgment and experience.

UR - http://www.scopus.com/inward/record.url?scp=0033791699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033791699&partnerID=8YFLogxK

M3 - Article

VL - 320

SP - 255

EP - 262

JO - American Journal of the Medical Sciences

JF - American Journal of the Medical Sciences

SN - 0002-9629

IS - 4

ER -