Association of Vegetation Size With Valve Destruction, Embolism and Mortality.
Echocardiography
Infective endocarditis
Valvular heart disease
Vegetation
Journal
Heart, lung & circulation
ISSN: 1444-2892
Titre abrégé: Heart Lung Circ
Pays: Australia
ID NLM: 100963739
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
23
06
2020
revised:
09
09
2020
accepted:
03
10
2020
pubmed:
7
12
2020
medline:
22
9
2021
entrez:
6
12
2020
Statut:
ppublish
Résumé
The mortality of patients with infective endocarditis (IE) is high. The management of patients with large vegetations is controversial. This study sought to investigate the association of vegetation size on outcomes including valve destruction, embolism and mortality. One hundred and forty-two (142) patients with definite IE and transoesophageal echocardiography (TEE) imaging available for analysis were identified and data retrospectively reviewed. Vegetation length, width and area were measured. Severe valve destruction was defined as the composite of one or more of severe valve regurgitation, abscess, pseudoaneurysm, perforation or fistula. Associations with 6-month mortality were identified by Cox regression analysis. Eighty (80) (56.3%) patients had evidence of valve destruction on TEE. Vegetation length ≥10 mm and vegetation area ≥50 mm Vegetation length ≥10 mm or area ≥50 mm
Identifiants
pubmed: 33279409
pii: S1443-9506(20)31520-1
doi: 10.1016/j.hlc.2020.10.028
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
854-860Subventions
Organisme : Medical Research Council
ID : MR/R017468/1
Pays : United Kingdom
Informations de copyright
Copyright © 2020 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.