患有感染性内心炎的患者的外周血管栓塞是常见的
Eric Sung1, Eric H Awtry2, Daniel J Koh1
1Division of Vascular and Endovascular Surgery, Department of Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.
Journal of vascular surgery
|January 12, 2025
概括
周围血管栓塞在感染性内心炎 (IE) 患者中很常见,通常与大脑事件一起发生. 这种情况显著增加了发病率和死亡率,特别是在接受干预的年轻人中.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 传染性疾病 传染性疾病
背景情况:
- 传染性内心炎 (IE) 具有相当大的发病率和死亡率风险.
- 患有IE的患者容易发生外周血管栓塞,这会影响结果.
研究的目的:
- 为了确定IE患者外周栓塞的发生率.
- 分析IE中外周栓塞的相关并发症和结果.
主要方法:
- 在2013-2021年期间对525名IE患者进行了回顾性单一中心审查.
- 识别和分析患有外周血管栓塞的患者,包括临床特征和结果.
主要成果:
- 14.3%的IE患者经历了外周栓塞,主要是在脏和脏动脉.
- 常见的原因包括静脉注射药物使用 (62.7%) 和格拉姆阳性细菌 (如金黄色葡萄球菌).
- 患有外周栓塞的IE患者 (5年后为43%) 和接受干预的患者 (5年后为36.6%) 的生存率较低.
结论:
- 外周血管栓塞是IE的常见并发症,通常与大脑栓塞同时发生.
- 患有外周栓塞的IE患者面临高发病率和死亡率,特别是那些需要干预的患者.
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