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[Cardiac device related infective endocarditis; analysis of 15 cases]

Mehmet Ali Elbey1, Nihan Kahya Eren, Mehmet Emin Kalkan

  • 1Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. elbeymali@hotmail.com

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|May 14, 2013
PubMed
Abstract

Insights

Permanent pacemaker (PM) and implantable cardioverter-defibrillator (ICD) endocarditis is a rare but fatal complication. This study highlights patient characteristics, microbiology, and outcomes, noting a 33% mortality rate.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Device Technology

Background:

  • Endocarditis is a serious infection affecting heart valves and surfaces.
  • Cardiac electronic device implantation is common for various cardiovascular conditions.
  • Device-related endocarditis is a recognized but infrequent complication.

Purpose of the Study:

  • To investigate the demographic, clinical, echocardiographic, and microbiologic features of patients with permanent pacemaker (PM) and implantable cardioverter-defibrillator (ICD) endocarditis.
  • To determine the outcomes and mortality associated with PM and ICD endocarditis.

Main Methods:

  • Retrospective analysis of 15 patients diagnosed with permanent PM and ICD endocarditis.
  • Data collection included demographics, clinical presentation, microbiology, echocardiography, surgical interventions, and patient outcomes.

Main Results:

  • The average patient age was 57 ± 16 years, with 47% females.
  • Mortality during hospital follow-up was 33% (5 out of 15 patients).
  • Staphylococci were the predominant causative organisms (60%), and 33% of cases were culture-negative.

Conclusions:

  • Cardiac device-related endocarditis is a rare but potentially fatal complication.
  • Prompt diagnosis and management are crucial for improving outcomes in these high-risk patients.

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