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Kommentar zu den 2015-Leitlinien der Europäischen Gesellschaft für Kardiologie zur Infektiösen Endokarditis

Commentary on the 2015 European Society of Cardiology guidelines for infectious endocarditis

  • Leitlinien
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Zusammenfassung

Die 2015 publizierten Endokarditisleitlinien der Europäischen Gesellschaft für Kardiologie (ESC) geben praktische Hinweise zur Diagnostik und Therapie der Endokarditis. Veränderungen haben sich insbesondere ergeben durch Verbesserung in der Bildgebung (CT, nuklearmedizinische Bildgebung), die nun fest in die Leitlinien und die modifizierten Duke-Kriterien integriert sind. Therapeutische Entscheidungen werden verbessert durch die Einführung von interdisziplinären „Endokarditisteams“. Therapeutisch legt die erste randomisierte Studie eine frühe Operation bei Patienten mit Embolierisiko nahe, außerdem konnten antimikrobielle Strategien optimiert werden.

Abstract

The 2015 European Society of Cardiology (ESC) endocarditis guidelines give advice on how to diagnose and treat endocarditis. Recommendations were changed due to improved imaging modalities (CT, nuclear imaging) that are now integrated in the modified Duke criteria. Therapeutic decision-making is improved by interdisciplinary endocarditis teams. Therapeutically, the first randomized study suggests early operation in patients with increased embolic risk; furthermore, antimicrobial strategies could be optimized.

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Authors and Affiliations

  1. Universitätsklinik und Poliklinik für Innere Medizin III, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland

    S. Frantz

  2. Medizinische Klinik II – Kardiologie, Angiologie, Internistische Intensivmedizin, St. Marien-Krankenhaus Siegen GmbH, Siegen, Deutschland

    M. Buerke

  3. Klinik für Kardiologie, Herz-und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Deutschland

    D. Horstkotte

  4. Kardiologische Gemeinschaftspraxis und Herzkatheterlabor, Berlin, Deutschland

    B. Levenson

  5. Klinik für Herzchirurgie, Universitätsklinikum Bonn, Bonn, Deutschland

    F. Mellert

  6. Klinik für Kardiologie und Angiologie, Elisabeth-Krankenhaus, Essen, Deutschland

    C. K. Naber

  7. Universitätsklinik für Innere Medizin I, Klinische Abteilung für Infektionen und Tropenmedizin, Medizinische Universität Wien, Wien, Österreich

    F. Thalhammer

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  1. S. Frantz
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  2. M. Buerke
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  3. D. Horstkotte
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  4. B. Levenson
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  5. F. Mellert
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  6. C. K. Naber
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  7. F. Thalhammer
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Corresponding author

Correspondence to S. Frantz.

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Den Interessenkonflikt der Autoren finden Sie online auf der DGK-Homepage unter http://leitlinien.dgk.org/ bei der entsprechenden Publikation.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Additional information

B. Levenson für die Kommission für Klinische Kardiologie der DGK

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Frantz, S., Buerke, M., Horstkotte, D. et al. Kommentar zu den 2015-Leitlinien der Europäischen Gesellschaft für Kardiologie zur Infektiösen Endokarditis. Kardiologe 10, 142–148 (2016). https://doi.org/10.1007/s12181-016-0058-4

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  • DOI: https://doi.org/10.1007/s12181-016-0058-4

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