Role of the New Physical Examination Minor Criterion (New Heart Murmur) for the Diagnosis of Infective Endocarditis
Among 3127 episodes of suspected infective endocarditis, the 2023 Duke-International Society for Cardiovascular Infectious Diseases clinical criteria showed an accuracy of 90% for infective endocarditis diagnosis. A new heart murmur was present in 690 (22%) episodes. Excluding imaging and surgical findings decreased the accuracy to 73%, while using the physical examination criterion slightly improved the accuracy to 78%.
Authors
- Jana Epprecht (ORCID: https://orcid.org/0000-0003-3277-7044)
- Omer Dzemali (ORCID: https://orcid.org/0000-0001-7910-5152)
- Benoît Guéry (ORCID: https://orcid.org/0000-0002-6526-0714)
- Mathias Van Hemelrijck (ORCID: https://orcid.org/0000-0002-0191-757X)
- Γεώργιος Τζίμας (ORCID: https://orcid.org/0000-0002-2810-8887)
- Barbara Hasse (ORCID: https://orcid.org/0000-0001-7196-3734)
- Matthaios Papadimitriou‐Olivgeris (ORCID: https://orcid.org/0000-0003-0565-5105)
- Piergiorgio Tozzi (ORCID: https://orcid.org/0000-0002-2608-7568)
- Pierre Monney (ORCID: https://orcid.org/0000-0002-3083-7333)
- Matthias Kirsch (ORCID: https://orcid.org/0000-0002-9213-7578)
- Nicolas Fourré (ORCID: https://orcid.org/0009-0006-1660-9365)
- Virgile Zimmermann (ORCID: https://orcid.org/0009-0005-1812-0216)
- Michelle Frank (ORCID: https://orcid.org/0009-0001-9459-6022)
Institutions
- University of Zurich (CH)
- University Hospital of Zurich (CH)
- Hôpital de Sion (CH)
- University of Lausanne (CH)
Publication Details
- Journal
- Open Forum Infectious Diseases
- Published
- 2024-12-19
- DOI
- https://doi.org/10.1093/ofid/ofae736
- Citations
- 2
- Primary Topic
- Infective Endocarditis Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.77
Funders
- National Science Foundation
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Universität Zürich