A narrative review of early surgery versus conventional treatment for infective endocarditis: do we have an answer?

ABSTRACT: The most appropriate strategy and timing for surgery in infective endocarditis (IE) remains an argument of debate. Despite some authors promote the adoption of an early surgical approach (within 48 hours) to limit mortality and complications, no robust randomized trials are available on this argument and the evidence on this subject remain at the "expert opinion" level. Additionally, the different messages promulgated by the American and European guidelines contributed to fuel confusion regarding the relative priority of the surgical over medical therapy in IE. The European Society of Cardiology (ESC) guidelines individuates three level of urgency: emergency surgery, to be performed within 24 hours; urgent surgery, recommended within a few days; elective surgery to be performed after 1-2 w

SUBMITTER: Benedetto U 

PROVIDER: S-EPMC7791236 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature