FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS
Objective. To study follow-up prognosis of subacule infectious endocarditis (IE); to reveal factors reliably influencing prognosis; to formulate approaches to its assessment. Material and methods. Retrospective study was carried out which included 98 pts relieved from the hospital with diagnosis «Su...
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| Format: | Article |
| Language: | Russian |
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IMA PRESS LLC
2002-04-01
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| Series: | Научно-практическая ревматология |
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| Online Access: | https://rsp.mediar-press.net/rsp/article/view/411 |
| _version_ | 1797863086215921664 |
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| author | V P Kulichenko T L Vinogradova N S Chipigina N A Shosiak |
| author_facet | V P Kulichenko T L Vinogradova N S Chipigina N A Shosiak |
| author_sort | V P Kulichenko |
| collection | DOAJ |
| description | Objective. To study follow-up prognosis of subacule infectious endocarditis (IE); to reveal factors reliably influencing prognosis; to formulate approaches to its assessment. Material and methods. Retrospective study was carried out which included 98 pts relieved from the hospital with diagnosis «Subaculc 1Е». Condition of including-absence of wurgical treatment or endocarditis of prosthelis. In all pts the diagnosis was confirmed by echo-CG. In all pts the diagnosis was confirmed by Echo-CG. The prognosis of pts was followed; in dynamiacs (median term of follow up 4,8±3,7 yrs) assessment of clinical and ECG data was done. Analysis of data and forming of prognostic rule was done by database means. Results. 5-year mortality was 31%. Reasons for mortality: cardiac insufficiency (Cl) in 21 (84%), acute insufficiency of mitral valve in 4(16%) of pts. In the survived late exacerbations were: expressed Cl in 18(32%), moderate Cl in 18(32%), relapses of infectious endocarditis in 12(20%) of pts. Factors reliably influencing log-term prognosis were: IE (primary or secondare), damage of aortal valve, severe regurgitation, dimensions of left ventricle, the stage of Cl progression during acute phase and a number of other factors demonstrating informativity and proposed method of combined assessment of prognosis. Conchtsion. Cl was a basic long-term complication and reason of death; speed of its progress are determined by the combination of pointed factors. Pts from the group of high risk should have consults of cardiosurgeon prior to development of Cl. |
| first_indexed | 2024-04-09T22:29:53Z |
| format | Article |
| id | doaj.art-be2dc72819f947af8eb894e1dc9cc201 |
| institution | Directory Open Access Journal |
| issn | 1995-4484 1995-4492 |
| language | Russian |
| last_indexed | 2024-04-09T22:29:53Z |
| publishDate | 2002-04-01 |
| publisher | IMA PRESS LLC |
| record_format | Article |
| series | Научно-практическая ревматология |
| spelling | doaj.art-be2dc72819f947af8eb894e1dc9cc2012023-03-22T13:45:37ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922002-04-0140210.14412/1995-4484-2002-68351FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITISV P KulichenkoT L VinogradovaN S ChipiginaN A ShosiakObjective. To study follow-up prognosis of subacule infectious endocarditis (IE); to reveal factors reliably influencing prognosis; to formulate approaches to its assessment. Material and methods. Retrospective study was carried out which included 98 pts relieved from the hospital with diagnosis «Subaculc 1Е». Condition of including-absence of wurgical treatment or endocarditis of prosthelis. In all pts the diagnosis was confirmed by echo-CG. In all pts the diagnosis was confirmed by Echo-CG. The prognosis of pts was followed; in dynamiacs (median term of follow up 4,8±3,7 yrs) assessment of clinical and ECG data was done. Analysis of data and forming of prognostic rule was done by database means. Results. 5-year mortality was 31%. Reasons for mortality: cardiac insufficiency (Cl) in 21 (84%), acute insufficiency of mitral valve in 4(16%) of pts. In the survived late exacerbations were: expressed Cl in 18(32%), moderate Cl in 18(32%), relapses of infectious endocarditis in 12(20%) of pts. Factors reliably influencing log-term prognosis were: IE (primary or secondare), damage of aortal valve, severe regurgitation, dimensions of left ventricle, the stage of Cl progression during acute phase and a number of other factors demonstrating informativity and proposed method of combined assessment of prognosis. Conchtsion. Cl was a basic long-term complication and reason of death; speed of its progress are determined by the combination of pointed factors. Pts from the group of high risk should have consults of cardiosurgeon prior to development of Cl.https://rsp.mediar-press.net/rsp/article/view/411infectious endocarditismortalityprognosis |
| spellingShingle | V P Kulichenko T L Vinogradova N S Chipigina N A Shosiak FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS Научно-практическая ревматология infectious endocarditis mortality prognosis |
| title | FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS |
| title_full | FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS |
| title_fullStr | FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS |
| title_full_unstemmed | FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS |
| title_short | FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS |
| title_sort | follow up prognosis of subacute infectious endoca rditis |
| topic | infectious endocarditis mortality prognosis |
| url | https://rsp.mediar-press.net/rsp/article/view/411 |
| work_keys_str_mv | AT vpkulichenko followupprognosisofsubacuteinfectiousendocarditis AT tlvinogradova followupprognosisofsubacuteinfectiousendocarditis AT nschipigina followupprognosisofsubacuteinfectiousendocarditis AT nashosiak followupprognosisofsubacuteinfectiousendocarditis |