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Related Concept Videos

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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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...
252
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
460
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
667
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

478
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
478
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

124
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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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
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[Infections in interventional electrophysiology].

S Younsi1, P Chemaly1, L Fiorina1

  • 1ICPS Jacques Cartier, Ramsay Générale de Santé, 6, avenue du Noyer-Lambert, 91300 Massy, France.

Annales De Cardiologie Et D'Angeiologie
|October 19, 2020
PubMed
Summary
This summary is machine-generated.

Infections from cardiac implantable electronic devices are a significant risk, affecting approximately 2% of procedures. Prevention strategies, including antibiotic prophylaxis, are crucial for reducing these serious complications.

Keywords:
AntibioprophylaxieAntibioticsDéfibrillateur cardiaque implantableDéfibrillateur sous cutanéElectrophysiologyEndocarditeEndocarditisExtractionImplantable Cardioverter DefibrillatorInfectionLeadless Pace MakerPace MakerPace makerPace maker sans sondeRythmologieSubcutaneous implantable cardioverter- defibrillator

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Device Technology

Background:

  • Implantable cardiac devices (pacemakers, defibrillators) are increasingly used, with nearly 2 million implanted annually worldwide.
  • Device-related infections represent a major complication in interventional electrophysiology, carrying high morbidity, mortality, and healthcare costs.
  • Patient profiles can also contribute to an increased risk of infection.

Purpose of the Study:

  • To summarize current knowledge on the prevention, diagnosis, and treatment of infections associated with endocardial implantable cardiac devices.
  • To highlight the importance of infection control measures in interventional electrophysiology.
  • To discuss emerging device technologies as potential alternatives.

Main Methods:

  • Review of existing literature and expert consensus on device-related infections.
  • Analysis of infection rates, causative pathogens, and risk factors.
  • Evaluation of preventive strategies, including antibiotic prophylaxis and surgical asepsis.

Main Results:

  • Despite precautions, peri-procedural infection rates remain around 2%.
  • Staphylococcus aureus and Staphylococcus epidermidis are the most common pathogens.
  • Effective antibiotic prophylaxis, when administered correctly, is beneficial.
  • Device removal is often necessary for treatment due to antibiotic resistance and infection severity.

Conclusions:

  • Infection prevention is paramount due to treatment challenges and the need for device explantation.
  • Adherence to antibiotic prophylaxis guidelines is essential for efficacy.
  • Novel device technologies like leadless pacemakers and subcutaneous defibrillators offer alternatives but have limitations.
  • A recent expert consensus paper provides guidance on managing these infections.