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Cited by 261

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Echocardiographic documentation of vegetative lesions in infective endocarditis: clinical implications.

Stewart, J A, Silimperi, D, Harris, P, Wise, N K, Fraker, T D, Kisslo, J A·1980·Circulation

Abstract

Eighty-seven patients with the clinical syndrome of infective endocarditis were examined by M-mode and two-dimensional echocardiography. Patients were divided into two groups based on the presence or absence of echocardiographically detected vegetative lesions. Group 1 consisted of 47 patients with one or more vegetations. Group 2 consisted of 40 patients without evidence of vegetations. Group 1 patients had a higher rate of complications: emboli, congestive heart failure and the need for surgical intervention. Analysis of morphologic characteristics of the vegetations in group 1 was of no predictive value for complications in individual patients. Two-thirds of the vegetations persisted unaltered well beyond the period of bacteriologic cure without significant complications. No characteristic alteration of the vegetations predicted the efficacy of medical therapy. Although the detection of vegetations by echocardiography in patients with the clinical syndrome of endocarditis clearly identifies a subgroup at risk for complications, decisions regarding clinical management made solely on the basis of the presence or absence of vegetative lesions are hazardous. Management of such patients must continue to be based on the clinical integration of multiple factors.

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Metadata

Authors
Stewart, J. A., Silimperi, D., Harris, P., Wise, N. K., Fraker, T. D., & Kisslo, J. A.
Venue
Circulation
Published
1980-02
Volume
61
Issue
2
Pages
374-380
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2041460710
Cited by
261
References
16
FWCI
22.02
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Echocardiographic documentation of vegetative lesions in infective endocarditis: clinical implications. https://app.cochat.ai/papers/10.1161/01.cir.61.2.374
The paper
Stewart, J. A., Silimperi, D., Harris, P., Wise, N. K., Fraker, T. D., & Kisslo, J. A. (1980). Echocardiographic documentation of vegetative lesions in infective endocarditis: clinical implications. Circulation. https://doi.org/10.1161/01.cir.61.2.374

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