Diagnostic Impact of

Aged Chronic Disease Defibrillators, Implantable / microbiology Endocarditis / diagnostic imaging Female Fluorodeoxyglucose F18 Humans Leukocytes Male Pacemaker, Artificial / microbiology Positron Emission Tomography Computed Tomography / methods Prosthesis-Related Infections / diagnostic imaging Radiopharmaceuticals Reproducibility of Results Retrospective Studies Sensitivity and Specificity Single Photon Emission Computed Tomography Computed Tomography / methods
cardiac pacemaker, artificial diagnosis implantable cardioverter-defibrillators infection positron-emission tomography radionuclide imaging

Journal

Circulation. Cardiovascular imaging
ISSN: 1942-0080
Titre abrégé: Circ Cardiovasc Imaging
Pays: United States
ID NLM: 101479935

Informations de publication

Date de publication:
07 2019
Historique:
entrez: 12 7 2019
pubmed: 12 7 2019
medline: 28 4 2020
Statut: ppublish

Résumé

Cardiac implantable electronic devices (CIEDs) chronic infection diagnosis is challenging because the clinical presentation is frequently misleading and echocardiography may be inconclusive. The aim of this study was to evaluate the diagnostic value of Forty-eight consecutive patients with suspicion of CIED infection who underwent both In the overall study population, the diagnostic sensitivity, specificity, positive predictive value, and negative predictive value were respectively 80%, 91%, 80%, and 91% for Nuclear imaging can improve the diagnostic performances of the Duke-Li score at admission in a selected population of patients with suspected CIED infection, particularly when the infection was initially graded as possible. Whenever possible, imaging should be performed before or early after antibiotic initiation.

Sections du résumé

BACKGROUND
Cardiac implantable electronic devices (CIEDs) chronic infection diagnosis is challenging because the clinical presentation is frequently misleading and echocardiography may be inconclusive. The aim of this study was to evaluate the diagnostic value of
METHODS
Forty-eight consecutive patients with suspicion of CIED infection who underwent both
RESULTS
In the overall study population, the diagnostic sensitivity, specificity, positive predictive value, and negative predictive value were respectively 80%, 91%, 80%, and 91% for
CONCLUSIONS
Nuclear imaging can improve the diagnostic performances of the Duke-Li score at admission in a selected population of patients with suspected CIED infection, particularly when the infection was initially graded as possible. Whenever possible, imaging should be performed before or early after antibiotic initiation.

Identifiants

DOI: 10.1161/CIRCIMAGING.117.007188 PMID: 31291779
pubmed: 31291779
doi: 10.1161/CIRCIMAGING.117.007188
doi:

Substances chimiques

Radiopharmaceuticals 0
Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e007188

Commentaires et corrections

Type : CommentIn

Auteurs

Jérémie Calais (J)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).

Aziza Touati (A)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).

Nathalie Grall (N)

INSERM, UMR 1137 (IAME), Paris, France (N.G., C.L., X.D.).
Microbiology Laboratory (N.G.), AP-HP, Bichat Hospital, Paris, France.

Cédric Laouénan (C)

Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM, UMR 1137 (IAME), Paris, France (N.G., C.L., X.D.).
Department of Biostatistics (C.L.), AP-HP, Bichat Hospital, Paris, France.

Khadija Benali (K)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM UMR 1148 (LVTS), Paris, France (K.B., B.M., J.V., F.H., D.L.G., F.R.).

Besma Mahida (B)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM UMR 1148 (LVTS), Paris, France (K.B., B.M., J.V., F.H., D.L.G., F.R.).

Jonathan Vigne (J)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM UMR 1148 (LVTS), Paris, France (K.B., B.M., J.V., F.H., D.L.G., F.R.).

Fabien Hyafil (F)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM UMR 1148 (LVTS), Paris, France (K.B., B.M., J.V., F.H., D.L.G., F.R.).

Bernard Iung (B)

Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
Department of Cardiology (B.I.), AP-HP, Bichat Hospital, DHU FIRE, Paris, France.

Xavier Duval (X)

Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM, UMR 1137 (IAME), Paris, France (N.G., C.L., X.D.).
INSERM, Clinical Investigation Centre, Bichat (X.D.).

Laurent Lepage (L)

Department of Cardiac surgery (L.L.), AP-HP, Bichat Hospital, DHU FIRE, Paris, France.

Dominique Le Guludec (D)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM UMR 1148 (LVTS), Paris, France (K.B., B.M., J.V., F.H., D.L.G., F.R.).

François Rouzet (F)

Department of Nuclear Medicine, AP-HP, Bichat Hospital and DHU FIRE, Paris, France (J.C., A.T., K.B., B.M., J.V., F.H., D.L.G., F.R.).
Université de Paris, F-75018, France (J.C., A.T., C.L., K.B., B.M., J.V., F.H., B.I., X.D., D.L.G., F.R.).
INSERM UMR 1148 (LVTS), Paris, France (K.B., B.M., J.V., F.H., D.L.G., F.R.).

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Diagnostic Impact of
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Diagnostic Impact of
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Électrodes implantées › Défibrillateurs implantables › Diagnostic Impact of
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Endocardite › Diagnostic Impact of
questionsmedicales.fr › Glucides › Désoses › Désoxyglucose › Fluorodésoxyglucose F18 › Diagnostic Impact of
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Diagnostic Impact of
questionsmedicales.fr › Systèmes sanguin et immunitaire › Système immunitaire › Leucocytes › Diagnostic Impact of
questionsmedicales.fr › Équipement et fournitures › Équipement et fournitures électriques › Électrodes › Pacemaker › Diagnostic Impact of
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic radioisotopique › Scintigraphie › Tomoscintigraphie › Tomographie par émission de positons › Tomographie par émission de positons couplée à la tomodensitométrie › Diagnostic Impact of
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Infections dues aux prothèses › Diagnostic Impact of
questionsmedicales.fr › Actions chimiques et utilisations › Utilisations spécialisées de produits chimiques › Produits chimiques de laboratoire › Indicateurs et réactifs › Radiopharmaceutiques › Diagnostic Impact of
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Reproductibilité des résultats › Diagnostic Impact of
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Diagnostic Impact of
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Sensibilité et spécificité › Diagnostic Impact of
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic radioisotopique › Scintigraphie › Tomoscintigraphie › Tomographie par émission monophotonique › Tomographie par émission monophotonique couplée à la tomodensitométrie › Diagnostic Impact of