Experiencia de cinco años en el manejo de endocarditis infecciosa complicada en un centro de referencia nacional.
| Autor: | Polo Lecca GDC; Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima-Perú*. Lima Perú., Torres Villacorta L; Servicio de Cardiología. Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú. Lima Perú., Yarahuaman Mora J; Instituto Nacional Cardiovascular INCOR. Lima, Perú. Lima Perú., Lobato Jerí C; Instituto Nacional Cardiovascular INCOR. Lima, Perú. Lima Perú., Uribe Badillo E; Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima-Perú*. Lima Perú. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Archivos peruanos de cardiologia y cirugia cardiovascular [Arch Peru Cardiol Cir Cardiovasc] 2023 Sep 30; Vol. 1 (3), pp. 151-156. Date of Electronic Publication: 2023 Sep 30 (Print Publication: 2023). |
| DOI: | 10.47487/apcyccv.v1i3.77 |
| Abstrakt: | Objective: To evaluate the epidemiological, clinical, echocardiographic, microbiological characteristics and complications of patients with complicated infective endocarditis (IE) in a Peruvian refence hospital. Material and Methods: A retrospective, descriptive study was carried out reviewing the medical records of patients diagnosed with IE treated at Instituto Nacional Cardiovascular-INCOR between years 2012 and 2016; collecting clinical, imaging and laboratory variables. Results: 59 cases were included, predominantly males (66.1%) and the median age was 50 years (IQR 37-62). The most frequent comorbidities were congenital heart disease (42.3%) and the presence of a prosthetic valve (23.7%). The most frequent sign found in the physical examination was fever (69.49%) and the most common symptom was dyspnea (52.5%). The proportion of positive blood cultures was 55.9%, and in 51.5% of these the isolated pathogen was Staphylococcus spp. The most affected valve was the aortic (72.8%), the most frequent finding by echocardiography was the presence of vegetations (91.5%). The most common complications were atrioventricular block (28.8%) and heart failure (22%). Overall, in-hospital mortality was 20.3%. Conclusion: IE continues to be a challenging pathology, our clinical-epidemiological results are comparable to those found internationally, which reflect the change in the microbiology and in its epidemiology. However, despite advances in diagnosis and treatment, mortality remains unchanged. Competing Interests: Conflictos de interés: Los autores declaran no tener ningún conflicto de interés |
| Databáze: | MEDLINE |
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