Relation between the presence of echocardiographic vegetations and the complication rate in infective endocarditis

Diagnosis and Management of Infective Endocarditis and Its Complications

“…25,80,89,90 Emboli often involve major arterial beds, including lungs, coronary arteries, spleen, bowel, and extremities. Up to 65% of embolic events involve the central nervous system, and Ͼ90% of central nervous system emboli lodge in the distribution of the middle cerebral artery.…”

Achados ecocardiográficos em pacientes com suspeita diagnóstica de endocardite infecciosa

“…Some studies [24][25][26][27] report a greater frequency of embolic phenomena in patients with vegetations with dimensions > 10 mm, with great mobility, and with involvement of the mitral valve 26 . Other series do not report a greater frequency of embolic phenomena in patients with vegetations > 10 mm [28][29][30] and with great mobility 28,30 . The different series diverge in regard to the results and the echocardiographic methods used for identifying the vegetations.…”

“…Up to 65% of the embolic events may affect the central nervous system 2 , with a lower frequency in the different organs and places 23,24 . Previous studies [24][25][26][27][28][29][30] about the frequency of embolic phenomena in regard to the dimensions and mobility of vegetations are considered controversial. Some studies [24][25][26][27] report a greater frequency of embolic phenomena in patients with vegetations with dimensions > 10 mm, with great mobility, and with involvement of the mitral valve 26 .…”

“…The different series diverge in regard to the results and the echocardiographic methods used for identifying the vegetations. Some series used only the transthoracic investigation 25,27,29 , while others the transesophageal 24,26,28,30 .…”

Türki̇ye Yüksek İhti̇sas Hastanesi̇ Kardi̇yoloji̇ Kli̇ni̇ği̇nde Ocak 1990-Aralik 1995 Arasinda İzlenen İnfekti̇f Endokardi̇t Vakalarinin Kli̇ni̇k, Bakteri̇yoloji̇k Ve Ekokardi̇yografi̇k Değerlendi̇ri̇lmesi̇

“…Birçok çalışmanın sonuçlarının ortak değer-lendirilmesi sonucu vejetasyon pozitif hastalarda konjestif kalp yetmezliği %58, vejetasyon negatif hastalarda % 23 oranında bildirilmiştir. Yine vejetasyon pozitif vakalarda embolik olay % 36, vejetasyon negatif vakalarda ise % 15 oranında bildirilmiştir (32). Çalış-mamızda embolik olaylar benzer oranda görülmekle birlikte, konjestif kalp yetmezliği görülme oranı daha yüksek bulunmuştur.…”