Infective endocarditis and echocardiography

O’Brien, John; Geiser, Edward A.

doi:10.1016/0002-8703(84)90630-6

Cited by 95 publications

(22 citation statements)

References 33 publications

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“…Culture negativity of systemic venous blood is known to occur in RSIE;"8 and in these patients echocardiography had diagnostic value. 9 As exemplified in other series clinical recognition of RSIE was often delayed because pulmonary manifestations rather than signs of right heart failure were the usual presenting symptoms. '0"' Fever, chest pain, cough and haemoptysis due to septic pulmonary emboli were the commonest symptoms.…”

Section: Discussionmentioning

confidence: 95%

Right-sided endocarditis in the non-drug addict

Naidoo

1993

Postgraduate Medical Journal

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Fifteen patients with right-sided infective endocarditis during a 5 year period (1985-1990) were retrospectively reviewed. Isolated tricuspid valve involvement occurred in nine patients. Staphylococcus aureus was the causative organism in seven cases; four were culture negative. The diagnosis was established by two-dimensional echocardiography in 11 patients and at postmortem in the remaining four patients who succumbed shortly after admission. Fever, tachypnoea and pneumonia were universal features. A successful outcome ensued in eight patients with medical therapy alone and in two patients who were submitted to valve replacement. Five patients died, two from uncontrolled infection with repeated pulmonary emboli. Right-sided infective endocarditis should be suspected in any pneumonic illness that complicates post-abortal infection or other inadequately treated sepsis. Two-dimensional echocardiography is important in diagnosis since cardiac signs are minimal at presentation.

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Section: Discussionmentioning

confidence: 95%

Right-sided endocarditis in the non-drug addict

Naidoo

1993

Postgraduate Medical Journal

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“…La válvula preferentemente afectada fue la aórtica (50%) seguida de la válvula mitral (18,7%), coincidiendo con otras series [10][11][12] . En dos casos se realizó recambio trivalvular en forma excepcional por compromiso de la válvula tricúspide y pulmonar respectivamente.…”

Section: Discussionunclassified

Factores asociados a mortalidad en la cirugía de reemplazo valvular por endocarditis complicada

et al. 2008

Rev Chil Cir

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RESUMENLa Endocarditis Infecciosa (EI) es una enfermedad grave, dada por la agresividad del agente sobre el aparato cardiovascular y otros órganos. La cirugía de reemplazo valvular (CRV) es el tratamiento definitivo frente al fracaso del tratamiento médico, la cual está asociada a una elevada mortalidad al presentarse con daño estructural severo. Objetivo: Evaluar los factores asociados a mortalidad en pacientes sometidos a CRV por EI. Pacientes y método: Estudio descriptivo de 32 pacientes consecutivos sometidos a CRV en el período 1993-2005, consignando antecedentes clínicos que determinen una probable mortalidad. Resultados: La mortalidad global fue de 25%, principalmente en los primeros 15 días (60%). Los principales factores asociados son sepsis (p =0.002), la cirugía mitro-aórtica (p <0.001) y la presencia de alcoholismo (p =0.049). La probabilidad de supervivencia actuarial es de 78% a 146 meses. Conclusión: La mortalidad de nuestra serie es semejante a otros centros, existiendo un mayor riesgo en los primeros días post CRV. El reemplazo bivalvular y la presencia de sepsis son los principales factores de riesgo precoz.PALABRAS CLAVE: Endocarditis bacteriana, prótesis valvular cardiaca, enfermedades del corazón. SUMMARYInfectious endocarditis is a severe illness related to the aggressiveness of the microbial agent to the cardiovascular system. Heart valve replacement surgery is the definitive treatment in these patients but is related to high mortality when the structural damage is severe. Objective: To assess risk factors related to mortality in patients operated for complicated endocarditis. Patients and method: Descriptive study of 32 patients operated between 1993-2005 period in which clinical factors were evaluated and related to mortality. Results: Overall mortality was 25%, mainly in the first two weeks after surgery (60%). Mortality related risk factors were sepsis (p =0.002), mitro-aortic replacement (p <0.001) and alcoholism (p =0.049). Actuarial survival probability is 78% to 146 months in the group. Conclusion: Mortality is similar

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“…However it is semi‐invasive, less well tolerated, costly and not available in all echocardiographic laboratories. The comparative efficacy of TTE and TEE in the diagnosis of IE has been extensively evaluated by several studies, most of which were carried on before recent advances in imaging technology became available …”

Section: Discussionmentioning

confidence: 99%