دورية أكاديمية
In-hospital mortality risk factors for patients with cerebral vascular events in infectious endocarditis. A correlative study of clinical, echocardiographic, microbiologic and neuroimaging findings.
| العنوان: | In-hospital mortality risk factors for patients with cerebral vascular events in infectious endocarditis. A correlative study of clinical, echocardiographic, microbiologic and neuroimaging findings. |
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| المؤلفون: | González-Melchor L; Departamento de Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F., Mexico. Electronic address: dra_glezmelchor@hotmail.com., Kimura-Hayama E; Departamento de Radiología e Imagen, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F., Mexico., Díaz-Zamudio M; Departamento de Radiología e Imagen, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F., Mexico., Higuera-Calleja J; Departamento de Neuroradiología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, D.F., Mexico., Choque C; Departamento de Radiología e Imagen, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F., Mexico., Soto-Nieto GI; Departamento de Infectología, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F., Mexico. |
| المصدر: | Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2015 Jul-Sep; Vol. 85 (3), pp. 195-200. Date of Electronic Publication: 2015 May 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Permanyer Mexico Country of Publication: Mexico NLM ID: 101126728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1665-1731 (Electronic) Linking ISSN: 16651731 NLM ISO Abbreviation: Arch Cardiol Mex Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : [Mexico, D.F.] : Permanyer Mexico Original Publication: México, D.F. : Instituto Nacional de Cardiología Ignacio Chávez, 2001- |
| مواضيع طبية MeSH: | Hospital Mortality*, Endocarditis/*complications , Endocarditis/*diagnosis , Stroke/*diagnosis , Stroke/*mortality, Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Endocarditis/diagnostic imaging ; Female ; Humans ; Infant ; Male ; Middle Aged ; Neuroimaging ; Retrospective Studies ; Risk Factors ; Stroke/complications ; Stroke/microbiology ; Ultrasonography ; Young Adult |
| مستخلص: | Objective: Cardiac complications in infectious endocarditis (IE) are seen in nearly 50% of cases, and systemic complications may occur. The aim of the present study was to determine the characteristics of inpatients with IE who suffered acute neurologic complications and the factors associated with early mortality. Methods: From January 2004 to May 2010, we reviewed clinical and imaging charts of all of the patients diagnosed with IE who presented a deficit suggesting a neurologic complication evaluated with Computed Tomography or Magnetic Resonance within the first week. This was a descriptive and retrolective study. Results: Among 325 cases with IE, we included 35 patients (10.7%) [19 males (54%), mean age 44-years-old]. The most common underlying cardiac disease was rheumatic valvulopathy (n=8, 22.8%). Twenty patients survived (57.2%, group A) and 15 patients died (42.8%, group B) during hospitalization. The main cause of death was septic shock (n=7, 20%). There was no statistical difference among groups concerning clinical presentation, vegetation size, infectious agent and vascular territory. The overall number of lesions was significantly higher in group B (3.1 vs. 1.6, p=0.005) and moderate to severe cerebral edema were more frequent (p=0.09). Sixteen patients (45.7%) (12 in group A and 4 in group B, p=0.05) were treated by cardiac surgery. Only two patients had a favorable outcome with conservative treatment (5.7%). Conclusions: In patients with IE complicated with stroke, the number of lesions observed in neuroimaging examinations and conservative treatment were associated with higher in-hospital mortality. (Copyright © 2014 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Accidente cerebrovascular; Echocardiography; Ecocardiografía; Endocarditis; Imagen; Imaging; Mexico; México; Stroke; Valves; Válvulas |
| تواريخ الأحداث: | Date Created: 20150603 Date Completed: 20160804 Latest Revision: 20161125 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.acmx.2015.04.002 |
| PMID: | 26031364 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1665-1731 |
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| DOI: | 10.1016/j.acmx.2015.04.002 |