EVALUATION OF ECHOCARDIOGRAPHY IN PATIENTS WITH INFECTIOUS ENDOCARDITIS[J]. Journal of Chongqing Medical University, 1987,(1):29-32. DOI: 10.13406/j.cnki.cyxb.1987.01.011.
Echocardiograms of 43 hospitalized patients with Infectious Endocarditis (IE) were analyzed. There were 33 males
10 females
aged 13-58. Vegetations were found in patients with rheumatic heart disease more than 60%. Aortic Valve Vegetations were most common(42.9%)
mitral valve was the next(35.7%). The sensitivity of M-Mode UCG is only 22%
while that of 2-Dimensional echocardiography is 76%
which is higher than that of M-Mode.The positive rate of blood culture is only 26% in this group.The diagnostic value of blood culture in patients with IE is lower than that of UCG. In this group 5 cases were noticed as IE because the vegetations were found by UCG
however the clinical symptoms were atypical. Thus the diagnostic value of UCG in patients with IE is not only higher than that of the blood culture
but it also provide the important diagnostic clue in patients with fewer clinical symptoms of IE. The data of this group indicated that the prognosis of the patients with vegetations was more serious. Both the incidence of embolism and mortality in patients with vegetations were higher than that of the patients without vegetations. These results were compatible with the other essays.However
there was no statistically positive correlation found between the presence of vegetations and congestive heart failure in this group