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To the Editor, Chambers et al1 give some wise recommendations regarding infective endocarditis management. They recognise the grim prognosis of the disease (mortality: 20–64%), the importance of dedicated teams of experts, and the prominent role of early surgery; despite this, they suggest that some patients can be adequately managed in centres without dedicated teams of experts and surgical facilities, and propose nine indications for transfer of patients to a …
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Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.