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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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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
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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
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Type of valvular surgical procedure in active infective endocarditis in Portugal
Session:
Posters - F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Speaker:
Catarina Sousa
Congress:
CPC 2021
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
16. Infective Endocarditis
Subtheme:
16.4 Infective Endocarditis – Treatment
Session Type:
Posters
FP Number:
---
Authors:
Catarina Santos De Sousa; Paulo Nogueira; Fausto j. Pinto
Abstract
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Introduction</strong></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif">Type of surgical procedure and timing have been a matter of debate among the scientific community in the context of active infective endocarditis.</span></span></p> <p><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Objective:</strong></span></span></p> <p><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif">We aimed to characterize valvular involvement and surgical procedure in the management of patients hospitalized with IE submitted to surgery.</span></span></p> <p><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Methods:</strong></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif">A nationwide retrospective study of patients hospitalized with infective endocarditis, between 2010 and 2018, in Portugal. Patients undergoing valvular surgical intervention during the index hospitalization were selected.</span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Results:</strong></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif">937 (12.4%) patients had cardiac valve surgery during the first hospitalization for IE in the 9-year analysis. Most patients underwent single valve intervention (73,9%).102 patients (10,9%) presented combined procedures with repair and replacement techniques. Left heart valves were more prevalent in surgical intervention. Aortic valve was the most frequently involved, with a significant predominance on replacement. When the mitral valve was involved, repair overcame replacement only in 2014 and 2015.</span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Conclusion:</strong></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif">In Portugal, in patients submitted to surgery in the context of IE, left heart valves are more frequently affected, with a dominance of the aortic valve. Mitral valve replacement is still more prevalent than repair in the overall cohort of surgical patients with active IE.</span></span></p>
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