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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
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
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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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Clinical features and outcomes in patients with active infective endocarditis submitted to valve surgery
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:
16.2 Infective Endocarditis – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Catarina Santos De Sousa
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">In patients hospitalized with infective endocarditis (IE), up to half were submitted to surgery in observational studies from developed countries.</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 clinical features and outcomes in patients hospitalized with IE submitted to surgery in a populational study.</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. These were younger, predominantly male, with a higher prevalence of valve disease or valve prosthesis, a lower prevalence of comorbidities (diabetes mellitus, chronic renal or hepatic disease, cancer, or chronic lung disease), higher proportion of patients with <em>Streptococcus</em>. The mortality rate from the medical-surgical patients was lower than the mortality rate from non-surgical patients. In-hospital mortality rate (15.6%) with a stable estimated annual rate (p=0.12). Independent prognostic factors of in-hospital mortality in IE patients submitted to surgery were: older age, female gender, previous coronary intervention, hemorrhagic stroke, acute renal failure and the presence of sepsis.</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 hospitalized with IE, a stable surgical rate was noted in the 9-year analysis. Surgical intervention was associated with an 84,4% survival rate. Older age, female gender, previous coronary intervention, hemorrhagic stroke, acute renal failure and the presence of sepsis predicted higher mortality.</span></span></p>
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