Login
Search
Search
0 Dates
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
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
Endocarditis: correlation between microbiology and lesions
Session:
Posters 2 - Écran 07 - Doença Valvular
Speaker:
Sara Ranchordás
Congress:
CPC 2018
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
16. Infective Endocarditis
Subtheme:
16.8 Infective Endocarditis - Other
Session Type:
Posters
FP Number:
---
Authors:
Sara Ranchordás; Márcio Madeira; Marta Marques; Luís Baptista; José Calquinha; Miguel Abecasis; Miguel Sousa Uva; José Pedro Neves
Abstract
<p><u>Introduction</u></p> <p>Infective endocarditis is a rare but potentially fatal disease. The microorganism involved determines the antibiotic therapy chosen and some especially virulent organisms when present may constitute an indication for surgery.</p> <p><u>Objective</u></p> <p>Evaluate if there is a relation between the infecting microorganism and endocarditis lesions found in the echocardiogram and during surgery.</p> <p><u>Methods</u></p> <p>Analysis of all patients with infective endocarditis, who were submitted to cardiac surgery due to active or healed endocarditis from June 2014 to June 2016. Pathological lesions were coded prospectively by consultation of the surgical team. The coding form was obtained through translation to Portuguese of the coding form suggested by Pettersson et al.</p> <p>Other pre and postoperative variables were collected through consultation of the department´s database or clinical registries. Statistical analysis was performed with SPSS using the appropriate statistical tests (Chi square and Fisher´s exact test).</p> <p><u>Results</u></p> <p>A total of 55 patients were included, 41 male, mean age of 60 years. Endocarditis was aortic in 34 cases, mitral in 27 and multivalvular in 11 patients. Prosthetic endocarditis occurred in 9 cases.</p> <p>Blood cultures pre operatively were positive in 39 cases (71%) and serology tests allowed identification of agent in 2 cases. Staphylococcus were the most frequently identified species (16 cases), followed by streptococci (10 cases) and enterococci (7 cases). More than one microrganism was isolated in 4 cases.</p> <p>Endocarditis was active at the time of surgery in 43 cases. Surgically collected material yielded a positive culture in 14 cases, one case had two microorganisms identified.</p> <p>Echocardiography described vegetations in 82% of cases, local invasion in 14.5% and anomalies of the valve integrity in 31%. During surgery a total of 40 (73%) patients with vegetations were reported, local invasion was found in 19 (34.5%) and disruption of the valve was described in 41 (74.5%).</p> <p>During surgery, vegetations were found in most patients infected with Staphylococcus spp. (13 out of 16) and Streptococcus (9 out of 10 cases), whereas only 3 out of 7 cases infected with enterococci had vegetations. Valvular integrity was compromised in 10 cases of Staphylococcus infection (62%), 9 of Streptococcus (90%) and 4 of enterococcus (57%). Local invasion was found in 31% of patients infected with staphylococci, 40% of those infected with streptococci and 14% of enterococci cases.</p> <p>No statistically significant relations were found between the microorganism identified pre or intraoperatively (staphylococcus spp. vs non-staphylococcus spp) and lesions found in echocardiogram or surgery.</p> <p><u>Conclusion</u></p> <p>In this study there was no significant relation between the microorganism isolated in cultures and endocarditis lesions.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site