Endocardite infecciosa. Terapêutica cirúrgica / Infective endocarditis. Surgical therapy
Arq. bras. cardiol
;
80(4): 424-437, Apr. 2003. ilus, tab, graf
Article
Dans Portugais, Anglais
| LILACS
| ID: lil-334406
RESUMO
OBJECTIVE:
To assess the major causes of surgical morbidity and mortality in patients with infective endocarditis operated upon in a regional cardiology center.METHODS:
Thirty-four patients underwent surgical treatment for infective endocarditis. Their ages ranged from 20 to 68 years (mean of 40.6) and 79 percent were males. Their NYHA functional classes were as follows IV - 19 (55.8 percent) patients; III - 12 (35.2 percent) patients; II - 3 (8.8 percent) patients. Blood cultures were positive in only 32 percent of the cases. Eight patients had already undergone previous cardiac surgery, whose major indication (82.3 percent) was heart failure refractory to clinical treatment.RESULTS:
Four (11.7 percent) patients died at the hospital. Follow-up was complete in 26 (86 percent) patients. Five (14.7 percent) patients died later, 12, 36, 48, 60, and 89 months after hospital discharge. Of the 21 patients being currently followed up, 1 is in NYHA functional class III, and 5 in NYHA functional class II.CONCLUSION:
A high degree of clinical suspicion, at an early diagnosis, and indication of surgical treatment prior to deterioration of left ventricular function and installation of generalized sepsis may improve prognosis
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Endocardite bactérienne
Type d'étude:
Étude observationnelle
/
Étude pronostique
/
Étude de dépistage
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Anglais
/
Portugais
Texte intégral:
Arq. bras. cardiol
Thème du journal:
Cardiologie
Année:
2003
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade de Passo Fundo/BR
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