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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Endocarditis I: Introduction01:25

Endocarditis I: Introduction

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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Infection01:20

Infection

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When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
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Stages of Infection01:26

Stages of Infection

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Stages of infection describe what happens to a susceptible host once a pathogen invades the human body. The stages of infection are incubation, prodromal, illness, stage of decline, and convalescence. The incubation stage is the period from exposure to a pathogen until symptoms start. The infected person is unaware of impending illness as the pathogens grow and multiply within the body. The duration may vary depending on the type of infection. The incubation period of measles averages ten to...
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Evaluating the Function of the Foot Core System in the Elderly
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Infective endocarditis in elderly and very elderly patients.

Marouane Menchi-Elanzi1, José M Ramos-Rincón2, Esperanza Merino-Lucas3

  • 1Internal Medicine Service, General University Hospital of Alicante, Calle Pintor Baeza 12, 03010, Alicante, Spain.

Aging Clinical and Experimental Research
|August 21, 2019
PubMed
Summary

Infective endocarditis characteristics vary significantly across adult age groups. Older patients (65+) present distinct epidemiological and clinical features compared to younger individuals, influencing treatment approaches.

Keywords:
Bacterial endocarditisCardiovascular infectionElderlyMortalityVery elderly

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Epidemiology

Background:

  • Infective endocarditis (IE) is a serious infection affecting heart valves.
  • Age is a critical factor influencing disease presentation and outcomes.
  • Understanding age-specific IE characteristics is vital for tailored clinical management.

Purpose of the Study:

  • To compare clinical and epidemiological features of infective endocarditis (IE) across three adult age groups: under 65, 65-79, and 80+ years.
  • To analyze the evolution and treatment patterns of IE based on age stratification.

Main Methods:

  • Observational retrospective cohort study.
  • Inclusion of 72 patients diagnosed with infective endocarditis.
  • Data collected from a Spanish public hospital between January 2013 and December 2017.

Main Results:

  • Prosthetic valve endocarditis was less frequent in the 65-79 age group (3.6%) compared to younger (23.1%) and older (38.9%) patients.
  • Degenerative heart disease was more prevalent in the 65-79 group (64.3%) than in the youngest (15.4%) or oldest (33.3%) groups.
  • Surgical interventions were less common in patients aged 80+ (16.7%) compared to those aged 65-79 (50%) and under 65 (42.3%).

Conclusions:

  • Infective endocarditis exhibits distinct clinical and epidemiological characteristics in patients aged 65-79 and those over 80 years.
  • Age-specific differences in IE etiology and comorbidities necessitate tailored diagnostic and therapeutic strategies.