在一个大型学术医疗中心的静脉注射药物使用患者中,右侧和左侧内心炎的患病率
Kanjit Leungsuwan1, Mahender Vyasabattu1, Heena Arshad2
1Department of Medicine, University of Kentucky, Lexington, KY, USA.
Cardiology research
|June 12, 2023
概括
左侧传染性内心炎 (IE) 在静脉注射药物使用者 (IVDU) 中正在增加. 与右侧IE患者相比,左侧IE患者的死亡率更高,形孔 (PFO) 更明显.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 左侧传染性内心炎 (IE) 在静脉注射药物使用者 (IVDU) 中越来越多地被发现.
- 了解IVDU中左侧IE的趋势和风险因素至关重要.
研究的目的:
- 评估IVDU患者左侧IE的趋势和危险因素.
- 分析临床结果,包括死亡率和干预措施.
主要方法:
- 对197名患有IE和IVDU病史的患者进行了回顾性图表审查.
- 从2015年1月1日至2019年12月31日期间收集的数据.
- 分析基线特征,IE趋势和结果.
主要成果:
- 左侧IE发生在29.4%的患者中.
- 金黄色葡萄球菌是最常见的病原体.
- 左侧IE与更高的死亡率,更多的住院手术和更高的形孔 (PFO) 患病率有关.
结论:
- 在IVDU患者中,右侧IE仍然占主导地位.
- 在IVDU中左侧IE与增加PFO,需要手术和更高的死亡率有关.
- 需要进一步的研究来探索PFO和心房隔膜缺陷 (ASD) 在IVDU中左侧IE风险中的作用.
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