2016


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2016/№4

Features of clinical picture and diagnostics of infectious endocarditis in the elderly

Taradin G. G.1, Vatutin N. T.1, Prendergast B. D.2, Newton D. D.2, Chaus E. A.1, Smirnova A. S.1
1 – “M. Gorky Donetsk National Medical University” of the Ukraine Ministry of Health Care, Prospekt Iljicha 16, Donetsk 83003, Ukraine
2 – John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford OX3 9DU, United Kingdom

Keywords: infective endocarditis, elderly age, clinical picture, diagnostics, EchoCG, complications

DOI: 10.18087/rhj.2016.4.2200

This review addresses an up-to-date cardiology issue, clinics and diagnostics of infectious endocarditis (IE) in elderly individuals. The importance of this issue is based on increasing morbidity in the elderly, high incidence of associated diseases, and numerous methods of diagnostics and treatment. The review identifies RFs of age-related IE and divides them into non-cardiac and cardiac conditions and diseases that increase the probability of infections damage to the endocardium. Features of IE onset and clinical manifestations are described. The section on IE detection includes, along with the provided diagnostic criteria, also features of microbiological and, especially, EchoCG diagnostics of IE in the elderly. Special attention is paid to new methods for visualization of infectious endocardial damage and its complications, including transesophageal EchoCG, MRI, CT and other methods.
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