Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC)

Habib, Gilbert; Hoën, Bruno; Tornos, Pilar; Thuny, Franck; Prendergast, Bernard; Vilacosta, Isidre; Moreillon, Philippe; Antunes, Manuel; Thilén, Ulf; Lekakis, John; Lengyel, M; Müller, Ludwig; Naber, Christopher; Nihoyannopoulos, Petros; Moritz, Anton; Zamorano, José-Luis; Auricchio, Angelo; Bax, Jeroen J.; Ceconi, Claudio; Dean, Veronica; Filippatos, Gerasimos; Funck‐Brentano, Christian; Hobbs, Richard; Kearney, Peter; McDonagh, TA; McGregor, Keith; Popescu, Bogdan A.; Reiner, Željko; Sechtem, Udo; Sirnes, Per Anton; Tendera, M; Vardas, Panos; Widimský, Petr; Vahanian, Alec; Aguilar, Río; Bongiorni, M. G.; Borger, Michael A.; Butchart, Eric G.; Danchin, Nicolás; Delahaye, François; Erbel, Raimund; Franzen, D.; Gould, Kate; Hall, Roger; Hassager, Christian; Kjeldsen, Keld; McManus, Richard; Miró, José M.; Mokráček, Aleš; Rosenhek, Raphaël; Calvar, José Alberto San Román; Seferović, Petar; Selton‐Suty, Christine; Uva, Miguel Sousa; Trinchero, Rita; Camp, Guy Van

doi:10.1093/eurheartj/ehp285

Cited by 1,748 publications

(1,004 citation statements)

References 365 publications

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“…We found significant independent associations between mortality and nearly all IE complications that are accepted indications for surgical intervention 6, 17. Importantly, in the validated model using the ICE‐PLUS cohort, all IE complications that predicted mortality occurred before surgery was performed in those patients, illustrating the longer term prognostic significance of these sequelae, even with surgical treatment.…”

Section: Discussionmentioning

confidence: 68%

“…Regional differences in IE characteristics and treatment may exist within the cohort, but sensitivity analysis by geographic region did not substantially change the hazard ratios for mortality in the derivation model. The use of surgery was not prespecified by a study protocol, but we have previously found that surgery was performed for guideline‐directed indications6, 7 in the ICE‐PLUS cohort 12. Although treatment selection bias for surgery may influence the results of the present study, surgical intervention was evaluated as a time‐dependent variable with inverse probability adjustment for surgery in both models.…”

Section: Discussionmentioning

confidence: 99%

“…The model included variables that were selected a priori by an experienced cardiologist (A.W.) and from practice guidelines6, 7 and previous studies1, 12, 13 because those would be evaluated in the decision to treat IE with surgery. These variables were age >70 years, history of hemodialysis, history of intravenous drug use, time of ≥1 month since first IE manifestation, paravalvular complication, New York Heart Association class 3 or 4 (versus 1 or 2), aortic valve vegetation, new mitral or aortic valve regurgitation, and causative microorganism ( S aureus , coagulase‐negative staphylococci, and viridans group streptococci).…”

Section: Methodsmentioning

confidence: 99%

“…In patients with active IE, complications such as heart failure, abscess formation, and embolic events portend poor prognosis and are regarded as indications for surgical intervention to improve the chance of survival 6, 7. These complications have been associated with increased in‐hospital mortality, yet their impact on longer term outcome is not well defined.…”

Section: Introductionmentioning

confidence: 99%

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Validated Risk Score for Predicting 6‐Month Mortality in Infective Endocarditis

Park

Peterson

Skoutelis

et al. 2016

JAHA

111

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BackgroundHost factors and complications have been associated with higher mortality in infective endocarditis (IE). We sought to develop and validate a model of clinical characteristics to predict 6‐month mortality in IE.Methods and ResultsUsing a large multinational prospective registry of definite IE (International Collaboration on Endocarditis [ICE]–Prospective Cohort Study [PCS], 2000–2006, n=4049), a model to predict 6‐month survival was developed by Cox proportional hazards modeling with inverse probability weighting for surgery treatment and was internally validated by the bootstrapping method. This model was externally validated in an independent prospective registry (ICE‐PLUS, 2008–2012, n=1197). The 6‐month mortality was 971 of 4049 (24.0%) in the ICE‐PCS cohort and 342 of 1197 (28.6%) in the ICE‐PLUS cohort. Surgery during the index hospitalization was performed in 48.1% and 54.0% of the cohorts, respectively. In the derivation model, variables related to host factors (age, dialysis), IE characteristics (prosthetic or nosocomial IE, causative organism, left‐sided valve vegetation), and IE complications (severe heart failure, stroke, paravalvular complication, and persistent bacteremia) were independently associated with 6‐month mortality, and surgery was associated with a lower risk of mortality (Harrell's C statistic 0.715). In the validation model, these variables had similar hazard ratios (Harrell's C statistic 0.682), with a similar, independent benefit of surgery (hazard ratio 0.74, 95% CI 0.62–0.89). A simplified risk model was developed by weight adjustment of these variables.ConclusionsSix‐month mortality after IE is ≈25% and is predicted by host factors, IE characteristics, and IE complications. Surgery during the index hospitalization is associated with lower mortality but is performed less frequently in the highest risk patients. A simplified risk model may be used to identify specific risk subgroups in IE.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Validated Risk Score for Predicting 6‐Month Mortality in Infective Endocarditis

Park

Peterson

Skoutelis

et al. 2016

JAHA

111

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“…Несмотря на последние достижения в области диагностики, включая методы визуализации, широ-кое применение современных антибактериальных средств, а также доступность оперативных вмеша-тельств, ИЭ по-прежнему вызывает трудности в постановке диагноза и ведении пациентов [5]. Наи-более уязвимая возрастная группа для развития ИЭ в настоящее время представлена пожилыми лицами, доля которых во многих странах имеет стойкую тен-денцию к возрастанию.…”

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Infective endocarditis

2016

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В представленном обзоре отмечено изменение эпидемиологического про-филя инфекционного эндокардита (ИЭ) с увеличением заболеваемости в пожилом возрасте. Обсуждаются факторы риска ИЭ, включая перенесен-ные ранее заболевания эндокарда различного генеза, имплантацию искус-ственного клапана, проведение различных лечебных и диагностических инвазивных процедур и особенно кардиохирургических вмешательств. Среди факторов риска, предрасполагающих к инфекционному поражению эндокарда у пожилых лиц, отмечены кальцификация клапанов, возрастные изменения эндокарда, наличие сахарного диабета, воспалительных забо-леваний желудочно-кишечного и урогенитального тракта. приведены осо-бенности этиологического спектра возбудителей ИЭ, характеризующиеся увеличением частоты случаев, вызванных S. bovis, энтерококками, коагула-зонегативными стафилококками по сравнению с более молодыми группами больных. В обзоре особое внимание уделяется микробиологической диа-гностике, как одному из больших критериев в диагностике ИЭ. подходы к лечению заболевания приведены с учетом общих принципов, выбора эмпирической терапии и назначения соответствующих антибактериальных препаратов после получения результатов бактериологического исследова-ния гемокультуры. принципы лечения пожилых больных с ИЭ основаны на рекомендациях экспертов Европейского Общества кардиологов и Аме-риканской Ассоциации Сердца, опубликованных в 2015г. подчеркивается важность профилактики инфекционного поражения эндокарда у лиц высо-кого риска при применении манипуляций высокого риска, а также соблюде-ния общих гигиенических мер и санитарных норм.

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Can We Really Achieve a 1-Year Mortality Rate Lower Than 10% in Patients With Infective Endocarditis?

Tattevin¹,

Donal²,

Revest³

2010

Arch Intern Med

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Published in "Archives of Internal Medicine" vol.170, n°2Letter to the editor. We read with much interest the article by Botelho-Nevers et al1 titled "Dramatic Reduction of Infective Endocarditis-Related Mortality With a Management-Based Approach" that recently appeared in the Archives.1 This study attracted much attention in the field of infective endocarditis (IE), as the authors reported a 1-year mortality at 8.2% (13 of 160), while previous studies invariably reported in-hospital mortality rates of 15% to 25%, even in expert centers such as those participating in the International Collaboration on Endocarditis

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Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC)

Cited by 1,748 publications

References 365 publications

Validated Risk Score for Predicting 6‐Month Mortality in Infective Endocarditis

Validated Risk Score for Predicting 6‐Month Mortality in Infective Endocarditis

Infective endocarditis

Can We Really Achieve a 1-Year Mortality Rate Lower Than 10% in Patients With Infective Endocarditis?

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