Journal article
Clinical and echocardiographic correlations in right heart endocarditis
International journal of cardiology, v 6(1), pp 17-31
1984
PMID: 6746135
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Abstract
The echocardiographic findings were correlated with the clinical findings and outcome in 23 patients with tricuspid valve or pulmonary valve endocarditis. There were 15 males and 8 females with a mean age of 33.1 ± 8.4 years. Eighteen patients had tricuspid valve endocarditis, 1 patient had pulmonary valve endocarditis, 3 patients had concomitant mitral valve and tricuspid valve endocarditis, and 1 patient had tricuspid valve and pulmonary valve endocarditis. Twenty of the 23 (87%) patients had a history of intravenous drug abuse. The most common organisms were
Staphylococcus aureus (10 of 23 patients or 43%),
Streptococcus viridans (5 patients) and
Pseudomonas aeruginosa (4 patients). Pulmonary manifestations with septic pulmonary emboli were present in
18
23
(80%) patients, and a regurgitant murmur in
16
23
(73%) patients. Vegetations on the tricuspid valve or pulmonary valve were detected in all patients who had 2D echo, but they were missed by M-mode echo in 2 patients. Nine of the 23 patients (40%) improved on medical therapy, 5 (21%) expired, and 7 (30%) required surgery (tricuspid valve or pulmonary valve replacement in 3, and tricuspid valve excision without replacement in 4). Conclusions: (1) 11 of 13 patients with persistent infection, multivalvular involvement, fungal or
Pseudomonas infection and increasing size of vegetations by echo died or underwent surgery compared to only 1 of 8 patients without these features (
P < 0.01). (2)
Staphylococcus aureus infection (10 patients) and flail tricuspid valve or pulmonary valve by echo (6 patients) were not predictive of outcome.
Metrics
Details
- Title
- Clinical and echocardiographic correlations in right heart endocarditis
- Creators
- Ioannis P. Panidis - Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAMorris N. Kotler - Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAGary S. Mintz - Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAJohn Ross - Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAJan Weber - Graduate HospitalJulia C Ross - Richard C. Goodwin College of Professional Studies (2001-)
- Publication Details
- International journal of cardiology, v 6(1), pp 17-31
- Publisher
- Elsevier Ireland Ltd
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Richard C. Goodwin College of Professional Studies
- Web of Science ID
- WOS:A1984SY90500003
- Scopus ID
- 2-s2.0-0021268336
- Other Identifier
- 991019184078104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems