Login
Search
Search
0 Dates
2025
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
CPC 2025
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Urgent Surgery for Infective Endocarditis: Are we falling behind the clock?
Session:
SESSÃO DE POSTERS 50 - DIAGNÓSTICO E PROGNÓSTICO NA CIRURGIA CARDÍACA
Speaker:
Joana Massa Pereira
Congress:
CPC 2025
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
16. Infective Endocarditis
Subtheme:
16.4 Infective Endocarditis – Treatment
Session Type:
Cartazes
FP Number:
---
Authors:
Joana Massa Pereira; Sofia Andraz; Lucas Hamann; Eunice Isabel Soromenho Silva; Joana Guerreiro Pereira; Migue Espírito Santo; Hugo Alex Costa; Daniela Carvalho; Pedro Azevedo; Raquel Fernandes; Dina Bento; Jorge Mimoso
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Introduction:</strong> Infective endocarditis (IE) is a severe condition associated with local and systemic complications, such as heart failure, uncontrolled infection, and septic embolization. These complications often necessitate urgent (within 3–5 days) or emergent (within 24 hours) surgical intervention, which can improve first-year survival rates by up to 20%.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Objectives:</strong> To characterize a population of patients diagnosed with IE and evaluate the timing of surgical intervention in patients with IE-related complications.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Methods:</strong> A retrospective analysis was conducted at a single medical center on patients diagnosed with IE and surgically intervened between January 2020 and December 2023, with a mean follow-up of 19.8±16.8 months. Patients were categorized based on the need for urgent surgery. Data included demographic characteristics, microorganisms, infection sites, vegetation size, and IE-related complications. Additionally, we assessed clinical outcomes, including IE recurrence, re-hospitalization rates, overall mortality, in-hospital mortality, and mortality within the first-year post-diagnosis.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Results:</strong> The study included 25 patients (mean age 62 ± 16 years; 76% male). Of these, 20 (80%) had indications for urgent surgery, and 5 (20%) did not. Both groups were largely similar in clinical characteristics, except for a significantly higher prevalence of cardiac devices in the non-urgent group (80% vs 15%, p=0.012). Aortic bioprosthetic valves were more frequently affected in the non-urgent group (33% vs 7%, p=0.029), while mitral valves were predominantly affected in the urgent surgery group (2% vs 0%, p=0.029). The absence of complications was more common in the non-urgent group (60% vs 0%, p<0.001).</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">Despite a higher trend of complications in the urgent surgery group, no significant differences in overall prevalence were observed. The mean time to surgery for patients with urgent indications was 27±20 days, with no patients undergoing surgery within the critical five-day window recommended by clinical guidelines.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Conclusion:</strong> While complications were more frequent in patients requiring urgent surgery, delays in intervention consistently exceeded guideline-recommended timelines, with no surgeries performed within five days. Although limited by the small sample size and single-center design, this study underscores the need for improved protocols to ensure timely surgical intervention, potentially enhancing outcomes for patients with IE-related complications.</span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site