Li, Jing and Ruegamer, Tamara and Brochhausen, Christoph and Menhart, Karin and Hiergeist, Andreas and Kraemer, Lukas and Hellwig, Dirk and Maier, Lars S. and Schmid, Christof and Jantsch, Jonathan and Schach, Christian (2022) Infective Endocarditis: Predictive Factors for Diagnosis and Mortality in Surgically Treated Patients. JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE, 9 (12): 467. ISSN , 2308-3425
Full text not available from this repository. (Request a copy)Abstract
Background: Diagnosis of infective endocarditis (IE) often is challenging, and mortality is high in such patients. Our goal was to characterize common diagnostic tools to enable a rapid and accurate diagnosis and to correlate these tools with mortality outcomes. Methods: Because of the possibility of including perioperative diagnostics, only surgically treated patients with suspected left-sided IE were included in this retrospective, monocentric study. A clinical committee confirmed the diagnosis of IE. Results: 201 consecutive patients (age 64 +/- 13 years, 74% male) were finally diagnosed with IE, and 14 patients turned out IE-negative. Preoperative tests with the highest sensitivity for IE were positive blood cultures (89.0%) and transesophageal echocardiography (87.5%). In receiver operating characteristics, vegetation size revealed high predictive power for IE (AUC 0.800, p < 0.001) with an optimal cut-off value of 11.5 mm. Systemic embolism was associated with mortality, and N-terminal prohormone of B-type natriuretic peptide (NT-proBNP) had predictive power for mortality. Conclusion: If diagnostic standard tools remain inconclusive, we suggest employing novel cut-off values to increase diagnostic accuracy and accelerate diagnosis. Patients with embolism or elevated NT-proBNP deserve a closer follow-up.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CARDIAC-SURGERY; RISK; CRITERIA; COMPLICATIONS; ASSOCIATION; MANAGEMENT; ADULTS; VALVES; IMPACT; infective endocarditis; mortality; valve histopathology; NT-proBNP; ROC analysis; sensitivity; specificity |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medicine > Lehrstuhl für Innere Medizin II Medicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene Medicine > Lehrstuhl für Pathologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Jan 2024 10:38 |
| Last Modified: | 09 Jan 2024 10:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/57122 |
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