A. Diagnosis
B. Follow-up under medical therapy
C. Intraoperative echocardiography
D. Following completion of treatment
A. DIAGNOSIS:
TTE is recommended as the first-line imaging in suspected IE. |
| Class |
Level |
| I |
B |
| A. TEE is recommended in patients with high clinical suspicion of IE and normal TTE. |
| Class |
Level |
| I |
B |
| A. Repeat TTE/TEE within 7-10 days in case of negative initial examination and if clinical suspicion of IE persists. |
| Class |
Level |
| I |
B |
| A. TEE should be considered in most of adult patients with suspected IE, even in case of positive TTE. |
| Class |
Level |
| IIa |
C |
| A. TEE is not indicated in patients with a good quality negative TTE and low suspicion of IE. |
| Class |
Level |
| III |
C |
B. FOLLOW-UP UNDER MEDICAL THERAPY:
Repeat TTE and TEE is recommended as soon as a new complication of IE is suspected. |
| Class |
Level |
| I |
B |
| B. Repeat TTE and TEE should be considered during F.U. of uncomplicated IE: time & mode depend on the initial findings, type of microorganisms and initial response to treatment. |
| Class |
Level |
| IIa |
B |
C. INTRAOPERATIVE ECHOCARDIOGRAPHY:
Recommended in all cases of IE requiring |
| Class |
Level |
| I |
C |
D. FOLLOWING COMPLETION OF TREATMENT:
TTE is recommended at completion of antibiotic treatment for evaluation of cardiac and valve morphology and function. |
| Class |
Level |
| I |
C |