Sustitución valvular urgente en la endocarditis infecciosa: evolución hospitalaria y a largo plazo. Análisis de 45 pacientes
Urgent valve heart replacement in infectious endocarditis: short and long-term prognosis. Analysis of 45 patients
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Análisis de 45 pacientes" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "299" "paginaFinal" => "301" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Josep Maria Alegret, Xavier Borràs, Concepción Alonso, Francesc Carreras, Mercè Gurguí, María Luisa Cámara, Blai Coll, Guillem Pons-Lladó" "autores" => array:8 [ 0 => array:3 [ "nombre" => "Josep Maria" "apellidos" => "Alegret" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff00015" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Xavier" "apellidos" => "Borràs" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 2 => array:3 [ "nombre" => "Concepción" "apellidos" => "Alonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 3 => array:3 [ "nombre" => "Francesc" "apellidos" => "Carreras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 4 => array:3 [ "nombre" => "Mercè" "apellidos" => "Gurguí" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 5 => array:3 [ "nombre" => "María Luisa" "apellidos" => "Cámara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 6 => array:3 [ "nombre" => "Blai" "apellidos" => "Coll" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff00015" ] ] ] 7 => array:3 [ "nombre" => "Guillem" "apellidos" => "Pons-Lladó" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departament de Cardiologia i Cirurgia Cardiaca" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] 1 => array:3 [ "entidad" => "Unitat de Malalties Infeccioses. Hospital de la Santa Creu i Sant Pau. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] 2 => array:3 [ "entidad" => "Departament de Medicina Interna. Secció de Cardiologia. Hospital Universitari de Sant Joan. Reus. Tarragona" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff00015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. J.M. Alegret Colomé. Secció de Cardiologia. Departament de Medicina Interna. Hospital Universitari de Sant Joan. Sant Joan, s/n. 43201 Reus. Tarragona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Urgent valve heart replacement in infectious endocarditis: short and long-term prognosis. Analysis of 45 patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-07-12" "fechaAceptado" => "2000-01-20" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec221302" "palabras" => array:2 [ 0 => "Endocarditis infecciosa" 1 => "Sustitución valvular" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Definir en nuestro medio la evolución de los pacientes afectados de endocarditisinfecciosa que requieren una sustitución valvular urgente.</p> <span class="elsevierStyleSectionTitle">Pacientes Y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizamos 45 pacientes consecutivos que requirieron sustitución valvulardurante el ingreso hospitalario por endocarditis infecciosa, 32 correspondieron a endocarditissobre válvula nativa, 7 a protésica precoz y 6 a protésica tardía. Se ha realizado un seguimientoa largo plazo clínico y ecocardiográfico.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En 39 casos, la sustitución valvular debió realizarse antes de finalizar el tratamientoantibiótico. Las principales indicaciones fueron insuficiencia cardíaca refractaria (24 pacientes)y shock (11 pacientes). La mortalidad global fue del 24%: 19% en endocarditis sobre válvulanativa, 43% en protésica precoz y 33% en protésica tardía. La primera causa de muertefue el shock séptico (46%). Se han seguido 31 de los 4 supervivientes durante una media de 65 (DE 49) meses, registrándose 2 recidivas y 6 fallecimientos (1 muerte súbita y 2 por endocarditis). El 72% de los pacientespresenta una clase I de la NYHA. Se detectó una dehiscencia significativa en el 17%(38% en el grupo con endocarditis protésica).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La sustitución valvular urgente en la endocarditis infecciosa es una situación gravey con elevada mortalidad. El pronóstico a largo plazo es aceptable, aunque algunos pacientespresentaron dehiscencias significativas, especialmente en endocarditis protésicas.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To define the evolution of patients with infective endocarditis who require urgentvalve replacement in our environment.</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We followed 45 consecutive cases of infective endocarditis that requirevalve replacement during their hospitalization. 32 patients had native valve infective endocarditis,7 early prosthesis valve endocarditis and 6 late prosthesis valve endocarditis. Patients werefollowed for a long-term period, clinical and echocardiographycally.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In 39 cases valve replacement was performed before ending antibiotic therapy. Themain indications for surgery were refractory heart failure (24 patients) and shock (11 patients).The mortality rate was 24%: 19% in native valve infective endocarditis, 43% in early prostheticvalve endocarditis and 33% in late prosthesis valve endocarditis. The first cause of deathwas septic shock (46%). We followed 31 over 34 survivors for a mean time 65 (DS 49)months. We found two relapses and six deaths (1 sudden death, 2 endocarditis) and 72% ofpatients presented class I NYHA. We detected 17% prosthetic leaks (34% in the prostheticvalve endocarditis group).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The need of urgent valve replacement in the context of infective endocarditis isassociated with a high mortality rate, and should be considered a serious condition. Long termprognosis is, however, acceptable, although 17% of patients had prosthesis leak, specially thosewith prosthetic valve endocarditis.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib00005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 4 | 4 |
| 2024 Septiembre | 0 | 5 | 5 |
| 2024 Agosto | 0 | 2 | 2 |
| 2024 Julio | 0 | 3 | 3 |
| 2024 Mayo | 0 | 5 | 5 |
| 2024 Abril | 0 | 5 | 5 |
| 2024 Marzo | 0 | 3 | 3 |
| 2024 Febrero | 0 | 2 | 2 |
| 2024 Enero | 0 | 3 | 3 |
| 2023 Diciembre | 0 | 10 | 10 |
| 2023 Noviembre | 0 | 4 | 4 |
| 2023 Octubre | 0 | 4 | 4 |
| 2023 Septiembre | 0 | 6 | 6 |
| 2023 Julio | 0 | 6 | 6 |
| 2023 Junio | 0 | 10 | 10 |
| 2023 Mayo | 0 | 1 | 1 |
| 2023 Abril | 0 | 3 | 3 |
| 2023 Marzo | 0 | 4 | 4 |
| 2023 Febrero | 0 | 3 | 3 |
| 2022 Diciembre | 0 | 1 | 1 |
| 2022 Noviembre | 0 | 3 | 3 |
| 2022 Octubre | 0 | 2 | 2 |
| 2022 Septiembre | 0 | 3 | 3 |
| 2022 Agosto | 0 | 5 | 5 |
| 2022 Julio | 0 | 4 | 4 |
| 2022 Junio | 0 | 2 | 2 |
| 2022 Mayo | 0 | 4 | 4 |
| 2022 Abril | 0 | 1 | 1 |
| 2022 Marzo | 0 | 5 | 5 |
| 2022 Febrero | 0 | 2 | 2 |
| 2022 Enero | 0 | 1 | 1 |
| 2021 Diciembre | 0 | 3 | 3 |
| 2021 Octubre | 0 | 3 | 3 |
| 2021 Julio | 0 | 2 | 2 |
| 2021 Junio | 0 | 4 | 4 |
| 2021 Enero | 0 | 1 | 1 |
| 2020 Diciembre | 0 | 6 | 6 |
| 2020 Noviembre | 0 | 2 | 2 |
| 2020 Agosto | 0 | 2 | 2 |
| 2020 Junio | 0 | 2 | 2 |
| 2020 Mayo | 0 | 2 | 2 |
| 2020 Abril | 0 | 3 | 3 |
| 2020 Marzo | 0 | 5 | 5 |
| 2020 Febrero | 0 | 1 | 1 |
| 2020 Enero | 0 | 5 | 5 |
| 2019 Diciembre | 0 | 7 | 7 |
| 2019 Noviembre | 0 | 3 | 3 |
| 2019 Octubre | 0 | 2 | 2 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 1 | 1 |
| 2019 Julio | 0 | 4 | 4 |
| 2019 Junio | 0 | 18 | 18 |
| 2019 Mayo | 0 | 25 | 25 |
| 2017 Octubre | 5 | 0 | 5 |
| 2017 Septiembre | 2 | 3 | 5 |
| 2017 Agosto | 6 | 2 | 8 |
| 2017 Julio | 8 | 1 | 9 |
| 2017 Junio | 10 | 2 | 12 |
| 2017 Mayo | 24 | 2 | 26 |
| 2017 Abril | 17 | 0 | 17 |
| 2017 Marzo | 21 | 57 | 78 |
| 2017 Febrero | 11 | 4 | 15 |
| 2017 Enero | 4 | 4 | 8 |
| 2016 Diciembre | 22 | 3 | 25 |
| 2016 Noviembre | 31 | 2 | 33 |
| 2016 Octubre | 42 | 1 | 43 |
| 2016 Septiembre | 31 | 2 | 33 |
| 2016 Agosto | 20 | 2 | 22 |
| 2016 Julio | 15 | 0 | 15 |
| 2016 Junio | 14 | 2 | 16 |
| 2016 Mayo | 14 | 1 | 15 |
| 2016 Abril | 15 | 2 | 17 |
| 2016 Marzo | 12 | 0 | 12 |
| 2016 Febrero | 15 | 1 | 16 |
| 2016 Enero | 15 | 0 | 15 |
| 2015 Diciembre | 18 | 0 | 18 |
| 2015 Noviembre | 19 | 0 | 19 |
| 2015 Octubre | 29 | 0 | 29 |
| 2015 Septiembre | 20 | 0 | 20 |
| 2015 Agosto | 13 | 0 | 13 |
| 2015 Julio | 13 | 0 | 13 |
| 2015 Junio | 14 | 0 | 14 |
| 2015 Mayo | 11 | 0 | 11 |
| 2015 Abril | 16 | 0 | 16 |
| 2015 Marzo | 9 | 0 | 9 |
| 2015 Febrero | 9 | 0 | 9 |
| 2015 Enero | 13 | 0 | 13 |
| 2014 Diciembre | 11 | 0 | 11 |
| 2014 Noviembre | 8 | 0 | 8 |
| 2014 Octubre | 7 | 0 | 7 |
| 2014 Septiembre | 4 | 0 | 4 |
| 2014 Agosto | 5 | 0 | 5 |
| 2014 Julio | 4 | 0 | 4 |
| 2014 Junio | 6 | 0 | 6 |
| 2014 Mayo | 6 | 0 | 6 |
| 2014 Abril | 5 | 0 | 5 |
| 2014 Marzo | 3 | 0 | 3 |
| 2014 Febrero | 2 | 0 | 2 |
| 2014 Enero | 1 | 0 | 1 |
| 2013 Diciembre | 5 | 0 | 5 |
| 2013 Noviembre | 5 | 0 | 5 |
| 2013 Octubre | 9 | 0 | 9 |
| 2013 Septiembre | 6 | 0 | 6 |
| 2013 Agosto | 5 | 0 | 5 |
| 2013 Julio | 6 | 0 | 6 |
| 2013 Junio | 1 | 0 | 1 |
| 2013 Mayo | 1 | 0 | 1 |
| 2000 Marzo | 735 | 0 | 735 |
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