Endocarditis in the elderly: clinical, echocardiographic, and prognostic features

Salvo, Giovanni Di; Thuny, Franck; Rosenberg, Valerie; Pergola, Valeria; Belliard, Olivier; Dérumeaux, Geneviève; Cohen, Ariel; Iarussi, D; Giorgi, Roch; Casalta, Jean‐Paul; Caso, Pio; Habib, Gilbert

doi:10.1016/s0195-668x(03)00309-9

Cited by 116 publications

(104 citation statements)

References 19 publications

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“…The germs encountered in our study were the same for the young and the old patients. Conversely, some authors found some germs related to acute IE of elderly patients [4,7]. Particularly, we did not find in our study, a higher streptococcus bovis rate for elderly patients, in spite of the higher neoplasm rate in this class of age.…”

Section: Hospital Mortalitycontrasting

confidence: 99%

“…Overall mortality younger and older patients [4,7]. The germs encountered in our study were the same for the young and the old patients.…”

Section: Hospital Mortalitymentioning

confidence: 52%

“…Acute IE in elderly patients is relatively frequent, ranging from 15 to 30% of all the IE [4,7,8]. Medical or surgical treatment of acute IE for older patients remains critical because of associated comorbidities with an increased presence of chronic medical disease.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Infective endocarditis in elderly patients: clinical characteristics and outcome

Rémadi

Nadji

Goissen

et al. 2009

European Journal of Cardio-Thoracic Surgery

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Section: Hospital Mortalitycontrasting

confidence: 99%

“…Overall mortality younger and older patients [4,7]. The germs encountered in our study were the same for the young and the old patients.…”

Section: Hospital Mortalitymentioning

confidence: 52%

See 1 more Smart Citation

Infective endocarditis in elderly patients: clinical characteristics and outcome

Rémadi

Nadji

Goissen

et al. 2009

European Journal of Cardio-Thoracic Surgery

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“…It can reach as high as 25% of cases in some specific groups of patients, such as patients developing endocarditis after hematopoietic stem cell transplantation [19]. Multivalvular location is independent of age [20,21] and no predisposing factors could be identified from the French cohort.…”

Section: Epidemiologymentioning

confidence: 99%

Clinical and Microbiologic Features of Multivalvular Endocarditis

Selton-Suty

Doco‐Lecompte

Bernard

et al. 2010

Curr Infect Dis Rep

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Multivalvular endocarditis accounts for 15% of all endocarditis. The mechanisms of spread of the infection differs whether endocarditis is only left-sided (involving both the mitral and aortic valves) or bilateral. In left-sided bivalvular endocarditis, it is often a secondary mitral lesion following a primary aortic endocarditis. Multivalvular endocarditis often results in severe and extensive cardiac lesions, well described at echocardiography and frequently responsible for severe heart failure. Patients often need surgery, which consists of radical debridement of all the infected tissue with reconstruction using different types of prostheses; therefore, the surgery may be very complex. The goal should be an early diagnosis of endocarditis to avoid spread of the infection to more than one valve, to improve the prognosis for those patients.

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“…Basierend auf den Erfahrungen spezialisierter Zentren ist bei frühem operativem Eingreifen v. a. im Bereich der Atrioventrikularklappen (aber auch bei der Aortenklappe) häufig ein rekonstruktives Vorgehen möglich ohne die Notwendigkeit eines vollständigen Klappenersatzes [12]. Hierbei ist das Alter des Patienten nicht als eine Indikationseinschränkung für ein chirurgisches Vorgehen zu bewerten, wie auch Ergebnisse eigener Analysen zeigen [13].…”

Section: Prinzip Und Methodsenunclassified

Die infektiöse Endokarditis bei Intensivpatienten

Dietz

Lemm

Raaz

et al. 2012

Med Klin Intensivmed Notfmed

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Infectious endocarditis is a rare disease with high mortality. Epidemiological changes in recent years, the emergence of new risk factors, and the increasing use of intravasal prosthetic materials has led to changes in not only the clinical appearance of this disease but also in its diagnosis and treatment. Early diagnosis of infectious endocarditis is crucial. However, the often unspecific symptoms and the changes in its epidemiologic profile pose a challenge for the treating physician. This is especially true since the incidence of hospital-acquired, "nosocomial" cases of infectious endocarditis is increasing and often affects severely ill patients in intensive care units (ICU). There are diagnostic and therapeutic algorithms to guide the physician from an early diagnosis to an adequate treatment of the disease. In some critically ill patients, only surgery in combination with antimicrobial treatment may lead to complete eradication of the infectious disease. This review aims to subsume the guidelines, paying special attention to aspects that are important for intensive care and emergency doctors.

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Endocarditis in the elderly: clinical, echocardiographic, and prognostic features

Cited by 116 publications

References 19 publications

Infective endocarditis in elderly patients: clinical characteristics and outcome

Infective endocarditis in elderly patients: clinical characteristics and outcome

Clinical and Microbiologic Features of Multivalvular Endocarditis

Die infektiöse Endokarditis bei Intensivpatienten

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