无心脏内装置或潜在结构性心脏病的感染性心内膜炎。

Infectious endocarditis without intracardiac devices or underlying structural heart disease.

作者信息

Flores-Morales Abelardo, Jacobo-Ruvalcaba Andrés, Acevedo-Meléndez Ariana C, Fernández-Muñoz María J, Carmona-Ruiz Héctor A, Borrayo-Sánchez Gabriela, Chaparro-Sánchez Alberto, Orihuela-Rodríguez Óscar

机构信息

Departamento 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.

Servicio de Cardiología, Hospital General de Zona con Medicina Familiar No. 1 Dr. Alfonso Mejía Schroeder, Pachuca, Hidalgo.

出版信息

Cir Cir. 2023;91(4):535-541. doi: 10.24875/CIRU.21000666.

DOI:10.24875/CIRU.21000666

PMID:37677939

Abstract

OBJECTIVE

To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease.

METHOD

Retrospective study, clinical records and echocardiographic reports were reviewed during the period 1997 to 2020. Duke's modified criteria were applied. Statistical analysis: univariate expressed in frequencies, using measures of dispersion and central tendency.

RESULTS

30,000 echocardiographic reports were reviewed, only 1350 had infectious endocarditis as a reason for sending, of which 248 cases were selected. The mean age was 48.1 ± 16.7 years. 140 men (56%) and 108 women (44%). The most frequent echocardiographic sign was vegetation, in 278 (93.60%), and most common location was mitral (35.55%), with a higher number of cases in the right ventricle than expected. The most common systemic disease was kidney disease, in 135 (41.08%). A case of Streptococcus thoraltensis not previously reported in Mexico was identified.

CONCLUSIONS

The presence of infectious endocarditis has increased due to invasive in-hospital and drug procedures. Due to their complexity, multidisciplinary teams are indispensable.

摘要

目的

描述一组无心脏内装置或潜在结构性心脏病患者的心内膜炎的临床、微生物学和超声心动图特征。

方法

回顾性研究，对1997年至2020年期间的临床记录和超声心动图报告进行审查。应用杜克修正标准。统计分析：以频率表示单变量，使用离散度和集中趋势测量方法。

结果

审查了30000份超声心动图报告，其中仅1350份因感染性心内膜炎送检，从中选取248例。平均年龄为48.1±16.7岁。男性140例（56%），女性108例（44%）。最常见的超声心动图表现为赘生物，共278例（93.60%），最常见的部位是二尖瓣（35.55%），右心室病例数高于预期。最常见的全身性疾病是肾脏疾病，共135例（41.08%）。鉴定出1例墨西哥此前未报告过的胸链球菌病例。