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Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

169
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...
169
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

320
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...
320
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

253
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...
253
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

299
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...
299
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

189
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
189
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

210
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
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Surgical Outcomes for Native Valve Endocarditis.

Bong Suk Park1, Won Yong Lee1, Yong Joon Ra1

  • 1Department of Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.

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Surgical treatment for native valve endocarditis (NVE) has significant mortality risks. Hypertension, end-stage renal disease (ESRD), and urgent surgery are key factors impacting patient outcomes and survival.

Keywords:
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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infectious Diseases

Background:

  • Native valve endocarditis (NVE) is a serious infection requiring surgical intervention.
  • Evaluating surgical outcomes and mortality risk factors is crucial for patient management.

Purpose of the Study:

  • To assess short-term and long-term results of surgical treatment for NVE.
  • To identify risk factors associated with mortality in NVE patients undergoing surgery.

Main Methods:

  • Retrospective analysis of patient data from Hallym University Sacred Heart Hospital.
  • Inclusion of patient characteristics, operative findings, postoperative results, and survival data.
  • Statistical analysis using logistic regression and Cox proportional hazard models.

Main Results:

  • 29 patients underwent NVE surgery (20 mitral, 9 aortic) between 2003-2017.
  • The 5-year survival rate was 77.2% with a median follow-up of 46.9 months.
  • In-hospital mortality was linked to body mass index, end-stage renal disease (ESRD), and urgent surgery. Long-term outcomes were predicted by hypertension, ESRD, and urgent surgery.

Conclusions:

  • Surgical treatment for NVE is associated with substantial mortality (13.8% in-hospital, 77.2% 5-year survival).
  • Hypertension, ESRD, and the need for urgent surgery are independent risk factors for poor outcomes in NVE patients.