Infective endocarditis—1973

Weinstein, Louis; Rubin, Robert H.

doi:10.1016/s0033-0620(73)80001-5

Cited by 251 publications

(44 citation statements)

References 320 publications

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“…15 Conjunctival petechiae can also be a sign of fat embolism, 16 cardiac bypass procedures, 17 and a host of primary infections and hematologic disorders. In all of these other conditions, however, heart failure is not an underlying feature.…”

Section: Special Report Continuedmentioning

confidence: 99%

“Eyeing” the Cause of Heart Failure: Visible Telltale Clues

2016

Texas Heart Institute Journal

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Section: Special Report Continuedmentioning

confidence: 99%

“Eyeing” the Cause of Heart Failure: Visible Telltale Clues

2016

Texas Heart Institute Journal

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“…Gross hematuria is considered suggestive of renal infarction, but firm supporting data for this are scarce and somewhat contradictory [29], Typically, infarcts occur prior to or early in the course of antibiotic therapy, but have been reported to occur months and years after the initial endocarditic episode [39], Renal infarction also occurs in some 10-15% of cases of right-sided endocarditis, pre sumably from septic emboli to pulmonary vessels which become thrombosed and the source of subsequent sys temic embolization [ 17. 40], The infarcted areas are ster ile and microscopically quite characteristic ( fig.…”

Section: Dr Eknoyanmentioning

confidence: 99%

Renal Complications of Bacterial Endocarditis

et al. 1985

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“…Acute aortic regurgitation, if unrecognized, carries an ominous prognosis [1], Congestive heart failure resulting from acute, severe aortic regurgitation is currently the leading cause of death from infective endocarditis [1,2], Early recognition of regurgitation severity and urgent sur gical intervention improve the prognosis significantly [3,4], In a critically ill patient, the assessment of the severity of aortic regurgitation by auscultation may be difficult due to associated sinus tachycardia and the presence of pulmonary rales. M-mode echocardiography in some pa tients can detect premature closure of the mitral valve, an indirect indicator of acute severe aortic regurgitation [5,6].…”

Section: Introductionmentioning

confidence: 99%

Acute Aortic Regurgitation in Critically III Patients: Importance of Echo-Doppler Studies

Goli¹,

Teague²,

Jamidar³

et al. 1993

Am J Noninvas Cardiol

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The aim of this study was to determine the relative value of clinical, échocardiographie, Doppler, and catheterization examinations in recognizing the presence and estimating the severity of acute aortic regurgitation in critically ill patients. Retrospective analyses of clinical, échocardiographie, Doppler, and cardiac catheterization data were performed. Twenty-four acutely ill patients with echo-Doppler evidence of acute severe aortic regurgitation who either underwent aortic valve replacement (n = 21) or died and had autopsies (n = 3) were studied. Clinically, acute severe regurgitation was diagnosed in the presence of an early diastolic murmur accompanied by tachypnea, tachycardia, and bilateral basilar rales. By echo-Doppler, acute severe aortic regurgitation was diagnosed in the presence of early closure of the mitral valve on the M-mode echocardiogram and an aortic regurgitation velocity half-time < 280 ms by continuous-wave Doppler ultrasound. The sensitivity of the clinical findings and noninvasive studies was assessed against invasive estimates of regurgitation severity by aortography in 12 patients and ventricular sump flow at the time of aortic valve replacement in 21 patients. By clinical examination, aortic regurgitation was detected in 18 (75%) patients, but was considered severe in only 12 (50%). M-mode echocardiography detected the presence of aortic regurgitation in 12 patients, but premature closure of the mitral valve was seen in only 6 (25%). Doppler studies detected the presence of aortic regurgitation in all 24 patients, and Doppler half-time <280 ms accurately predicted aortic regurgitation severity in all but 2 patients. The latter 2 patients had a markedly elevated left ventricular end-diastolic pressure and a moderately severe rather than a severe aortic regurgitation by aortography. Aortography added little to the information already obtained by Doppler studies. Two patients died while waiting for aortography. Coronary angiography detected associated coronary artery disease in 3 of the 12 patients. Clinically, it is difficult to evaluate the severity of acute aortic regurgitation in the critically ill. The continuous-wave Doppler half-time method permits noninvasive, rapid detection and accurate estimation of aortic regurgitation severity. Cardiac catheterization is recommended only when the noninvasive evaluation is inconclusive or evaluation of the coronary anatomy is indicated.

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Infective endocarditis—1973

Cited by 251 publications

References 320 publications

“Eyeing” the Cause of Heart Failure: Visible Telltale Clues

“Eyeing” the Cause of Heart Failure: Visible Telltale Clues

Renal Complications of Bacterial Endocarditis

Acute Aortic Regurgitation in Critically III Patients: Importance of Echo-Doppler Studies

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