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Treatment of infective endocarditis: a 10-year comparative analysis.
Abstract
The results of surgical and non-surgical treatment of active infective endocarditis in 182 patients over a 10-year period were analyzed. Heart failure, annular and myocardial abscesses, heart block, and coronary embolism, seen most frequently with staphylococcal and fungal endocarditis, were the primary causes of death in both native valve endocarditis (NVE) and prosthetic valve endocarditis (PVE). In NVE, surgery significantly improved the survival in patients with moderate or severe heart failure (P less than 0.05) and in all patients with staphylococcal endocarditis (P less than 0.03). In PVE, surgery significantly influenced survival in patients with moderate or severe heart failure (P less than 0.05) and in the entire group with late PVE (P less than 0.01). Early surgery is recommended for patients with native valve endocarditis and moderate or severe heart failure; those patients with staphylococcal NVE, regardless of hemodynamic state, should undergo early valve replacement. Early surgery is recommended for PVE patients with moderate or severe heart failure. We also recommend early valve replacement for early and late staphylococcal PVE.
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Cited by
2006 WRITING COMMITTEE MEMBERS, Bonow, R. O., Carabello, B. A., Chatterjee, K., de Leon, A. C., Faxon, D. P., Freed, M. D., Gaasch, W. H., Lytle, B. W., Nishimura, R. A., et al. (2008) · Circulation · doi:10.1161/circulationaha.108.190748 · Cited by 1,114
Cahill, T. J., & Prendergast, B. D. (2016) · The Lancet · doi:10.1016/s0140-6736(15)00067-7 · Cited by 991
Update on clinical significance of coagulase-negative staphylococci
Kloos, W. E., & Bannerman, T. L. (1994) · Clinical Microbiology Reviews · doi:10.1128/cmr.7.1.117 · Cited by 835
Infective Endocarditis: An Analysis Based on Strict Case Definitions
VON REYN, C. F., LEVY, B. S., ARBEIT, R. D., FRIEDLAND, G., & CRUMPACKER, C. S. (1981) · Annals of Internal Medicine · doi:10.7326/0003-4819-94-4-505 · Cited by 775
Thuny, F., Disalvo, G., Belliard, O., Avierinos, J.-F., Pergola, V., Rosenberg, V., Casalta, J.-P., Gouvernet, J., Derumeaux, G., Iarussi, D., et al. (2005) · Circulation · doi:10.1161/circulationaha.104.493155 · Cited by 703
Metadata
- Authors
- Richardson, J. V., Karp, R. B., Kirklin, J. W., & Dismukes, W. E.
- Venue
- Circulation
- Published
- 1978-10
- Volume
- 58
- Issue
- 4
- Pages
- 589-597
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W1982608652
- Cited by
- 362
- References
- 0
- FWCI
- 17.29
- Type
- journal article
- Language
- en
- Open access
- closed
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- Richardson, J. V., Karp, R. B., Kirklin, J. W., & Dismukes, W. E. (1978). Treatment of infective endocarditis: a 10-year comparative analysis. Circulation. https://doi.org/10.1161/01.cir.58.4.589
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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