慢性血液透析患者的感染性心内膜炎：从左心到右心的转变。

Infective endocarditis in chronic hemodialysis: A transition from left heart to right heart.

作者信息

Bentata Y, Haddiya I, Ismailli N, El Ouafi N, Benzirar A, El Mahi O, Azzouzi A

机构信息

Department of Nephrology, Medical School, University Mohammed the First, Oujda, Morocco.

Department of Cardiology, Medical School, University Mohammed the First, Oujda, Morocco.

出版信息

Saudi J Kidney Dis Transpl. 2016 Nov-Dec;27(6):1200-1206. doi: 10.4103/1319-2442.194612.

DOI:10.4103/1319-2442.194612

PMID:27900966

Abstract

Infective endocarditis (IE) of the left heart is the most frequent type of IE in chronic hemodialysis (CHD) (in 90% of cases) whereas involvement of the right heart is rare. The aim of this study was to determine the clinical, biological, and echocardiographic characteristics, as well as the prognosis of IE in CHD. This is a retrospective study conducted at the Center of Nephrology and Hemodialysis in Oujda, Morocco. Over a period of 56 months, we compiled data on a series of 11 CHD patients with IE. Their mean age was 40.5 ± 14 years, 72% were male and 27.3% had diabetes. All patients had native valve. All patients had bacteremia preceding the episode of IE. The tricuspid valve was the site of IE in 45% of the cases. Cardiac complications were observed in 72% of the patients and mortality was observed in 72% of cases. The period from IE diagnosis to death was 9 ± 6 days. In our study, the tricuspid valve was the most affected valve of IE in CHD.

摘要

左心感染性心内膜炎（IE）是慢性血液透析（CHD）患者中最常见的IE类型（90%的病例），而右心受累则较为罕见。本研究旨在确定CHD患者IE的临床、生物学和超声心动图特征以及预后情况。这是一项在摩洛哥乌季达的肾脏病与血液透析中心开展的回顾性研究。在56个月的时间里，我们收集了11例CHD合并IE患者的系列数据。他们的平均年龄为40.5±14岁，72%为男性，27.3%患有糖尿病。所有患者均为自身瓣膜。所有患者在IE发作前均有菌血症。45%的病例中，三尖瓣是IE的发病部位。72%的患者出现心脏并发症，72%的病例出现死亡。从IE诊断到死亡的时间为9±6天。在我们的研究中，三尖瓣是CHD患者IE中受累最严重的瓣膜。