| Autor: |
Lowes, J.A., Williams, G., Tabaqchali, S., Hill, I.M., Hamer, J., Houang, E., Shaw, E.J., Rees, G.M. |
| Zdroj: |
The Lancet; January 1980, Vol. 315 Issue: 8160 p133-136, 4p |
| Abstrakt: |
A retrospective survey of patients with infective endocarditis at St. Bartholomew's Hospital in the decade 1966-75 showed a male/ female ratio of 1·5/1. The commonest presenting features were malaise, fever, new cardiac symptoms, heart-failure, splenomegaly, and finger clubbing. The commonest problem during treatment was heart-failure. As in the two previous decades, viridans streptococci were the commonest causative organisms. Acute endocarditis was caused by Staphylococcus aureus.6 patients' lives were saved by heart-valve replacement during medical treatment. Of 3 patients who relapsed, 1 died. The overall mortality at six months was 20%, compared with 40% in the two previous decades. Of the patients with proven subacute infective endocarditis thought to have received adequate antibiotic treatment, only 5 of 49 (10%) died; in a similar group of patients in the previous decade 19% died. Early surgical intervention probably accounts for the improved prognosis. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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