Ali Murtaza, Rundhawa Gohar, Kashyap Rahul, Vranian Michael N
Department of Internal Medicine, Wellspan York Hospital, York, USA.
Department of Research, Wellspan York Hospital, York , USA.
Cureus. 2023 Sep 16;15(9):e45341. doi: 10.7759/cureus.45341. eCollection 2023 Sep.
Regular electrocardiogram (ECG) monitoring in patients with endocarditis of the aortic region is a simple yet effective approach to help evaluate for the development of aortic abscess. It is important to recognize this condition as it carries a high morbidity and mortality. We report a case of a 62-year-old Caucasian female diagnosed with methicillin-sensitive (MSSA) bacteremia with mitral and aortic endocarditis. Progressive PR prolongation prompted re-evaluation, ultimately finding the progression of a new aortic abscess, changing the patient's care pathway. With a standardized approach of obtaining regular ECGs in patients with aortic endocarditis, it is possible to identify the progression of aortic valve endocarditis, thereby lowering the risk of morbidity and mortality.
对主动脉瓣区域心内膜炎患者进行常规心电图（ECG）监测是一种简单而有效的方法，有助于评估主动脉脓肿的发生情况。认识到这种情况很重要，因为它具有很高的发病率和死亡率。我们报告一例62岁的白种女性患者，诊断为对甲氧西林敏感（MSSA）菌血症合并二尖瓣和主动脉瓣心内膜炎。PR间期进行性延长促使重新评估，最终发现新的主动脉脓肿进展，改变了患者的治疗路径。通过对主动脉瓣心内膜炎患者采用获取常规心电图的标准化方法，有可能识别主动脉瓣心内膜炎的进展，从而降低发病率和死亡率风险。
