Is transesophageal echocardiography overused in the diagnosis of infective endocarditis?

Because of its greater sensitivity, transesophageal echocardiography (TEE) is often misused as a screening tool for the exclusion of infective endocarditis (IE) in patients with small clinical probability of the disease. This study examined the role of using TEE exclusively at a Canadian tertiary ca...

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Bibliographic Details
Published in:The American journal of cardiology 2005-01, Vol.95 (2), p.295-297
Main Authors: Thangaroopan, Molly, Choy, Jonathan B.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Alberta - epidemiology
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Diagnostic tests
Echocardiography, Transesophageal - methods
Echocardiography, Transesophageal - utilization
Endocardial and cardiac valvular diseases
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - epidemiology
Endocarditis, Bacterial - microbiology
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Predictive Value of Tests
Studies
Ultrasonic imaging
Unnecessary Procedures - statistics & numerical data
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Description
Summary:Because of its greater sensitivity, transesophageal echocardiography (TEE) is often misused as a screening tool for the exclusion of infective endocarditis (IE) in patients with small clinical probability of the disease. This study examined the role of using TEE exclusively at a Canadian tertiary care center for the diagnosis of IE and determined which clinical variables are most often associated with positive or negative echocardiographic results supporting or refuting the diagnosis.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2004.09.022