Infektiöse Endokarditis

Abstract

Infective endocarditis is a severe, mostly bacterial disease characterized by high mortality and morbidity. Both diagnosis and therapy are difficult, and mortality rates have not improved over decades. We review diagnostic and management problems, the disease's modern face in the era of widespread cardiac implants and valve interventions, and current diagnostic and therapeutic recommendations.

Die infektiöse Endokarditis (IE) ist eine schwere, meist bakterielle Erkrankung – oft tödlich oder mit einer hohen Morbidität belastet. Diagnose und Therapie der IE gehören zu den schwierigsten Aufgaben in der Kardiologie. Dieser Beitrag stellt die diagnostischen Herausforderungen dieser sehr oft zu spät erkannten und behandelten Krankheit in den Vordergrund und beschreibt aktuelle Erscheinungsformen, Diagnosestrategien und Behandlungsoptionen.

Schlüsselwörter

Endokarditis - transösophageale Echokardiografie - Antibiotikaprophylaxe - Endokarditis-Team - Herzklappenprothesen

Key words

endocarditis - transesophageal echocardiography - antibiotic prophylaxis - endocarditis team - heart valve prostheses

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