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High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart
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Echocardiographic study of patients with congenital heart disease and infective endocarditis

N Gómez-Núñez1, J Vargas-Barrón, N Espinola-Zavaleta

  • 1Department of Echocardiography, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Colonia Seccion XVI, Tlalpan 14080 México, DF, Mexico.

Echocardiography (Mount Kisco, N.Y.)
|September 25, 2001
PubMed

Insights

Echocardiography aids in identifying complications of infective endocarditis (IE) in congenital heart disease patients. Key findings like heart failure predict outcomes, guiding clinical management for better survival rates.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Infective endocarditis (IE) is a frequent complication in patients with congenital heart disease (CHD).
  • Echocardiography is crucial for detecting complications that increase morbidity and mortality in these patients.
  • This study aimed to identify specific echocardiographic findings impacting outcomes in CHD patients with IE.

Purpose of the Study:

  • To identify echocardiographic findings predictive of outcomes in patients with congenital heart disease and infective endocarditis.
  • To correlate echocardiographic features with patient survival and mortality.
  • To highlight the role of echocardiography in managing IE in CHD.

Main Methods:

  • A cohort of 25 patients with congenital heart disease and infective endocarditis was studied.
  • Patients were divided into two groups based on survival (Group I) or death (Group II) during or after hospitalization.
  • Echocardiographic examinations, including transesophageal studies, were performed for diagnosis and complication assessment.

Main Results:

  • Aortic valve disease was the most prevalent anomaly.
  • Heart failure emerged as the most significant clinical predictor of patient outcomes during hospitalization.
  • Acute kidney failure and multiple organ failure due to sepsis were common complications in non-survivors.
  • Echocardiography successfully diagnosed IE in all cases, with transesophageal imaging identifying all periaortic abscesses.

Conclusions:

  • Echocardiography is essential for diagnosing IE and evaluating associated complications in patients with CHD.
  • Echocardiographic findings can identify complications linked to increased morbidity and mortality.
  • The study underscores the utility of echocardiography in risk stratification and management of IE in CHD.
Abstract

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