感染性心内膜炎，无心内装置或潜在的结构性心脏病。

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.21000666

Abelardo Flores-Morales, Andrés Jacobo-Ruvalcaba, Ariana C Acevedo-Meléndez, María J Fernández-Muñoz, Héctor A Carmona-Ruiz, Gabriela Borrayo-Sánchez, Alberto Chaparro-Sánchez, Óscar Orihuela-Rodríguez

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引用次数: 0

摘要

目的:描述无心脏内装置或潜在结构性心脏病的特定患者的心内膜炎的临床、微生物学和超声心动图方面。方法:回顾1997 ~ 2020年的回顾性研究、临床记录和超声心动图报告。采用杜克大学修改后的标准。统计分析:用频率表示的单变量，使用分散和集中趋势的措施。结果:回顾3万份超声心动图报告，以感染性心内膜炎为寄送原因的仅有1350例，入选248例。平均年龄48.1±16.7岁。140名男性(56%)和108名女性(44%)。最常见的超声心动图征象是植被，278例(93.60%)，最常见的位置是二尖瓣(35.55%)，其中右心室的病例数高于预期。最常见的全身性疾病是肾脏疾病，135例(41.08%)。发现了一例墨西哥以前未报告的胸廓链球菌感染病例。结论:感染性心内膜炎的存在由于侵入性住院和药物治疗而增加。由于其复杂性，多学科团队是不可或缺的。

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Infectious endocarditis without intracardiac devices or underlying structural heart disease.

Objective: To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease.

Method: Retrospective study, clinical records and echocardiographic reports were reviewed during the period 1997 to 2020. Duke's modified criteria were applied. Statistical analysis: univariate expressed in frequencies, using measures of dispersion and central tendency.

Results: 30,000 echocardiographic reports were reviewed, only 1350 had infectious endocarditis as a reason for sending, of which 248 cases were selected. The mean age was 48.1 ± 16.7 years. 140 men (56%) and 108 women (44%). The most frequent echocardiographic sign was vegetation, in 278 (93.60%), and most common location was mitral (35.55%), with a higher number of cases in the right ventricle than expected. The most common systemic disease was kidney disease, in 135 (41.08%). A case of Streptococcus thoraltensis not previously reported in Mexico was identified.

Conclusions: The presence of infectious endocarditis has increased due to invasive in-hospital and drug procedures. Due to their complexity, multidisciplinary teams are indispensable.

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.