Pol-CDRIE registry – 1-year observational data on patients hospitalized due to cardiac device-related infective endocarditis in Polish referential cardiology centres
| Autor: | Krzysztof Boczar, Iwona Świątkiewicz, Anna Lisowska, Wojciech Kosmala, Edyta Płońska-Gościniak, Władysław Sinkiewicz, Joanna Jaroch, Maciej Kempa, Piotr Gościniak, Tomasz Hryniewiecki, Andrzej Szyszka, Rafal Mlynarski, Dariusz A. Kosior, Tomasz Kukulski, Agnieszka Wojtkowska, Katarzyna Mizia-Stec, Zbigniew Gąsior, Jarosław D. Kasprzak, Szymon Olędzki, Ludmiła Daniłowicz-Szymanowicz, Zofia Oko-Sarnowska, Ewa Nowalany-Kozielska |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pacemaker Artificial medicine.medical_specialty Prosthesis-Related Infections 030204 cardiovascular system & hematology Chest pain 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Endocarditis Registries Heart valve Device Removal Aged Aged 80 and over Heart Failure business.industry Incidence Incidence (epidemiology) Endocarditis Bacterial Middle Aged medicine.disease Anti-Bacterial Agents Defibrillators Implantable medicine.anatomical_structure Infective endocarditis Heart failure Cardiology Female Chills Cardiology Service Hospital Poland medicine.symptom Cardiology and Cardiovascular Medicine Complication business Echocardiography Transesophageal |
| Zdroj: | Kardiologia Polska. 77:561-567 |
| ISSN: | 1897-4279 0022-9032 |
| DOI: | 10.33963/kp.14811 |
| Popis: | Background: The rate of cardiac device–related infective endocarditis (CDRIE) is increasing worldwide, but no detailed data are available for Poland. Aims: We aimed to evaluate clinical, diagnostic, and therapeutic data of patients hospitalized due to CDRIE in 22 Polish referential cardiology centers from May 1, 2016 to May 1, 2017. Methods: Participating cardiology departments were asked to fill in a questionnaire that included data on the number of hospitalized patients, number and types of implanted cardiac electrotherapy devices, and number of infective endocarditis cases. We also collected clinical data and data regarding the management of patients with CDRIE. Results: Overall, 99 621 hospitalizations were reported. Infective endocarditis unrelated to cardiac device was the cause of 596 admissions (0.6%), and CDRIE, of 195 (0.2%). Pacemaker was implanted in 91 patients with CDRIE (47%); cardioverter‑defibrillator, in 51 (26%); cardiac resynchronization therapy‑defibrillator, in 48 (25%); and cardiac resynchronization therapy‑pacemaker, in 5 (2.5%). The most common symptoms were malaise (62%), fever/chills (61%), cough (21%), chest pain (19.5%), and inflammation of the device pocket (5.6%). Cultures were positive in 77.5% of patients. The cardiac device was removed in 91% of patients. The percutaneous approach was most common for cardiac device removal. All patients received antibiotic therapy, and 3 patients underwent a heart valve procedure. Transesophageal echocardiography was performed in 80% of patients. The most common complication was heart failure (25% of patients). Conclusions: The clinical profile, pathogen types, and management strategies in Polish patients with CDRIE are consistent with similar data from other European countries. Transesophageal echocardiography was performed less frequently than recommended. The removal rate in the Polish population is consistent with the general rates observed for interventional treatment in patients with CDRIE. |
| Databáze: | OpenAIRE |
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