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Circulation, Vol 60, 728-733, Copyright © 1979 by American Heart Association

ARTICLES

Comparison of M-mode and cross-sectional echocardiography in infective endocarditis

LS Wann, CC Hallam, JC Dillon, AE Weyman and H Feigenbaum

Cross-sectional and M-mode echocardiograms were performed on 23 consecutive patients with infective endocarditis. Both M-mode and cross- sectional echocardiography identified vegetations in 18 patients, 10 of whom required valve replacement within 1 month of presentation. Cross- sectional echocardiography alone identified a vegetation in one patient with a prosthetic valve. Neither technique identified vegetations in five instances. The size and shape of a vegetation on cross-sectional echocardiography did not accurately predict the need for early valve replacement of the incidence of major peripheral emboli.

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