Emergency Department Management Of Acute Infective Endocarditis

Steven G. Schauer, James A. Pfaff, Peter John Cuenca

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Infective endocarditis has a high rate of mortality, and most patients suspected of having the disease will require hospital admission. This review examines the literature as it pertains specifically to emergency clinicians who must maintain vigilance for risk factors and obtain a thorough history, including use of intravenous drugs, in order to guide the workup and treatment. Properly obtained cultures are critical during the evaluation, as they direct the course of antibiotic therapy. Although transthoracic echocardiography is widely available in United States emergency departments, it is not sensitive or specific enough to rule out a diagnosis of infective endocarditis. In high-risk patients, transesophageal echocardiography should be considered.

Original languageEnglish (US)
Pages (from-to)1-17; quiz 17-8
JournalEmergency medicine practice
Volume16
Issue number11
StatePublished - Nov 1 2014
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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