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Diagnosis of implantable device related endocarditis – Cardiology MCQ

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Detection of vegetations on prosthetic material within the heart is often difficult as these structures may cause acoustic shadowing and reverberation artifacts. Which modality is most useful in diagnosis of implantable device related endocarditis?
a) Trans esophageal echocardiography (TEE)
b) Trans thoracic echocardiography (TTE)
c) Color Doppler echocardiography (CDE)
d) Intracardiac echo (ICE)
Please see the YouTube video above for the discussion

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