与心脏植入式电子设备相关的确定的和可能的传染性内心炎患者的结果
Anna Polewczyk1, Wojciech Jacheć2, Maciej Polewczyk3,4
1Institute of Medical Sciences, Jan Kochanowski University, Kielce, Poland; Department of Cardiac Surgery, Świętokrzyskie Cardiology Center, Kielce, Poland. annapolewczyk@wp.pl
Polish archives of internal medicine
|June 19, 2024
概括
患有可能与相关的传染性内心炎 (LRIE) 的患者在经静脉取 (TLE) 后的生存率比确定的LRIE患者更好. 早期诊断和治疗对于改善LRIE患者的治疗结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗设备感染 医疗设备感染
背景情况:
- 诊断与相关的传染性内心炎 (LRIE) 是具有挑战性的,目前的标准包括明确和可能的分类.
- 通过静脉取 (TLE) 是管理LRIE的一个关键程序.
研究的目的:
- 为了比较确定的与可能的LRIE接受TLE的患者的结果.
- 确定TLE后LRIE患者死亡率的预测因素.
主要方法:
- 在2006年至2023年期间,对3782名接受TLE治疗的患者进行了回顾性分析.
- 包括838名确定的或可能的LRIE患者,评估短期和长期生存数据.
主要成果:
- 与可能的LRIE相比,确定的LRIE病例显示出更频繁的植被 (81.58%vs37.21%),阳性血液培养 (66.12%vs51.64%) 和败血性肺栓塞 (40.14%vs13.78%).
- 确定的LRIE (61.14%) 与可能的LRIE (49.29%) 的长期死亡率更高.
- 在确定的LRIE中,死亡率的预测因素包括晚年,低LVEF,并发症,败血性肺栓塞,阳性血液培养和遗弃的线索;在可能的LRIE中,只有年龄,LVEF和并发症是显著的.
结论:
- 患有可能LRIE的患者在TLE后的生存率比患有确定的LRIE的患者更好.
- 这些发现支持扩大LRIE的诊断标准.
- 早期诊断和及时治疗对于改善LRIE患者的预后至关重要.
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