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Revista Colombiana de Cardiología
versão impressa ISSN 0120-5633
Resumo
DUENAS-GARCIA, Friedrich et al. Characterization of infective endocarditis. Rev. Colomb. Cardiol. [online]. 2023, vol.30, n.2, pp.78-85. Epub 01-Maio-2023. ISSN 0120-5633. https://doi.org/10.24875/rccar.m22000203.
Objective:
To make a description of the cases of infective endocarditis that occurred between 2017 and 2019.
Materials and method:
Cross-sectional, retrospective study; based on a systematic and selective search in the archives of a University Hospital. Having as central inclusion criterion the codes ICD; a search was carried out including the cardiology unit. 168 medical records were obtained and the modified DUKE criteria for the diagnosis of endocarditis were evaluated; 21 patients were obtained.
Results:
High mortality (52.4%), the majority at the expense of the acute forms (OR = 3.12); the most frequently associated comorbidities were arterial hypertension (OR = 1.95), respiratory failure (OR = 2.5) and septic shock (OR = 2.43); In diagnosis, the most significant aids seem to be procalcitonin, C-reactive protein and echocardiography.
Conclusion:
It was found a high rate of lethality. Infective endocarditis was found to most frequently affect men between the ages of 50 and 60; the main recognized risk factors were hemodialysis, soft tissue infection and immunosuppression; the most frequent related comorbidities were hypertension, heart failure, and respiratory failure. The markers of inflammation that can guide the diagnosis are high levels of C-reactive protein (CRP) and procalcitonin, the most relevant diagnostic aid is echocardiography.
Palavras-chave : Endocarditis; Infective endocarditis; Mortality; Echocardiogram.