没有心内器件或潜在的结构性心脏病的传染性内心炎
Abelardo Flores-Morales1, Andrés Jacobo-Ruvalcaba1, Ariana C Acevedo-Meléndez1
1Departamento Clínico de Cardiología, Unidad Médica de Alta Especialidad, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México.
Cirugia y cirujanos
|September 7, 2023
概括
传染性内心炎的病例正在增加,通常与侵入性手术有关,即使在没有心脏病的患者中也是如此. 早期检测和多学科护理对于管理这种复杂的感染至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 感染性内心炎 (IE) 的诊断和管理可能是复杂的,特别是在缺乏典型风险因素的患者中,如心内器件或结构性心脏病.
- 侵袭性医疗程序的增加可能会影响IE的发生率.
研究的目的:
- 描述感染性内心炎的临床,微生物学和心声学特征在一个不同的患者队列中.
- 在没有先前心脏异常或器械的个体中识别IE的趋势和具体表现.
主要方法:
- 从1997年到2020年对心声回声学报告进行了回顾性分析.
- 修改的杜克标准用于IE诊断的应用.
- 临床和心声学数据的单变统计分析.
主要成果:
- 从30,000份心声回声学报告中,发现了248例IE病例.
- 植被是最常见的心声回声检测结果 (93.60%),主要是在心心上 (35.55%).
- 病是最常见的并发症 (41.08%),并确定了一种罕见的Streptococcus thoraltensis菌株.
结论:
- 该研究强调了传染性内心炎的日益增长趋势,可能与侵入性手术有关.
- 多学科团队的参与对于管理复杂的IE案件至关重要.
- 这些发现强调了心声回声学在诊断IE中的重要性,即使在非典型的患者群体中也是如此.
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