Experiencia de cinco años en el manejo de endocarditis infecciosa complicada en un centro de referencia nacional

ObjectiveTo evaluate the epidemiological, clinical, echocardiographic, microbiological characteristics and complications of patients with complicated infective endocarditis (IE) in a Peruvian refence hospital.Material and methodsA retrospective, descriptive study was carried out reviewing the medica...

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Published in:Archivos peruanos de cardiología y cirugía cardiovascular 2023-09, Vol.1 (3), p.151-156
Main Authors: Polo Lecca, Gracia Del Carmen, Torres Villacorta, Lucio, Yarahuaman Mora, Jhoel, Lobato Jerí, Carlos, Uribe Badillo, Edwin
Format: Article
Language:spa ; eng
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Summary:ObjectiveTo evaluate the epidemiological, clinical, echocardiographic, microbiological characteristics and complications of patients with complicated infective endocarditis (IE) in a Peruvian refence hospital.Material and methodsA retrospective, descriptive study was carried out reviewing the medical records of patients diagnosed with IE treated at Instituto Nacional Cardiovascular-INCOR between years 2012 and 2016; collecting clinical, imaging and laboratory variables.Results59 cases were included, predominantly males (66.1%) and the median age was 50 years (IQR 37-62). The most frequent comorbidities were congenital heart disease (42.3%) and the presence of a prosthetic valve (23.7%). The most frequent sign found in the physical examination was fever (69.49%) and the most common symptom was dyspnea (52.5%). The proportion of positive blood cultures was 55.9%, and in 51.5% of these the isolated pathogen was Staphylococcus spp. The most affected valve was the aortic (72.8%), the most frequent finding by echocardiography was the presence of vegetations (91.5%). The most common complications were atrioventricular block (28.8%) and heart failure (22%). Overall, in-hospital mortality was 20.3%.ConclusionIE continues to be a challenging pathology, our clinical-epidemiological results are comparable to those found internationally, which reflect the change in the microbiology and in its epidemiology. However, despite advances in diagnosis and treatment, mortality remains unchanged.
ISSN:2708-7212
2708-7212
DOI:10.47487/apcyccv.v1i3.77