2023 ESC Guidelines for the management of endocarditis

ESC Clinical Practice Guidelines

15 Nov 2023

The current guidelines have been developed to support healthcare professionals with the diagnosis and management of patients with infective endocarditis, an infrequent but oftentimes fatal disease that can present with multiple different clinical scenarios. The last version of the ESC Infective Endocarditis Guidelines was published in 2015. Since then there have been multiple developments in the care of patients with infective endocarditis including refinements of the indications for antibiotic prophylaxis, improvements in diagnostic capabilities, establishment of endocarditis teams and heart valve centres, identification of patients eligible for outpatient antibiotic therapy, diagnosis and risk-stratification of patients suffering complications of endocarditis (in particular stroke), management of patients with transcatheter heart valve- and cardiac implantable electronic device-associated infective endocarditis, and patient-centred care during the acute and follow-up phases of this challenging disease. In addition, the 2023 version of the Guidelines includes a new diagnostic algorithm, which will be particularly helpful in correctly classifying patients. The current document should serve as a guide for clinicians involved in the diagnosis and management of infective endocarditis patients and should lead to improved outcomes for this serious disease.

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Topic(s):

Treatment

Infective Endocarditis

Myocardial Disease

Congenital Heart Disease and Pediatric Cardiology

Pathophysiology and Mechanisms

Prevention

Epidemiology, Prognosis, Outcome

Valvular Heart Disease

Pericardial Disease

Clinical

Diagnostic Methods

Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure

Cardiac Implantable Device-related Endocarditis

Endorsed by cardiac societies

Austrian Society of Cardiology , Armenian Cardiologists Association , Azerbaijan Society of Cardiology , Belgian Society of Cardiology , Association of Cardiologists of Bosnia & Herzegovina , British Cardiovascular Society , Bulgarian Society of Cardiology , Croatian Cardiac Society , Czech Society of Cardiology , Estonian Society of Cardiology , Egyptian Society of Cardiology , Finnish Cardiac Society , French Society of Cardiology , Georgian Society of Cardiology , German Cardiac Society , Hellenic Society of Cardiology , Hungarian Society of Cardiology , Irish Cardiac Society , Israel Heart Society , Italian Federation of Cardiology , Kosovo Society of Cardiology , Kyrgyz Society of Cardiology , Lithuanian Society of Cardiology , Luxembourg Society of Cardiology , Maltese Cardiac Society , Moroccan Society of Cardiology , Norwegian Society of Cardiology , Polish Cardiac Society , Portuguese Society of Cardiology , Romanian Society of Cardiology , San Marino Society of Cardiology , Cardiology Society of Serbia , Slovak Society of Cardiology , Spanish Society of Cardiology , Swiss Society of Cardiology , Turkish Society of Cardiology

Main resources

: Full text and related materials

Corrigendum 13 December 2023

Declarations of interest

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: Scientific Presentation at ESC Congress 2023

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