Gülümser HEPER, Siber GÖKSEL, Kadir POLAT, Uğur Kemal TEZCAN

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Türkiye Yüksek İhtisas Hastanesi Kardiyoloji Kliniğinde Ocak 1990-Aralık 1995 arasında izlenen infektif endokardit vakalarının klinik, bakteriyolojik ve ekokardiyografik değerlendirilmesi

Bu çalışma Türkiye Yüksek İhtisas Hastanesi Kardiyoloji Kliniği'nde son 5 yıl içinde izlenen infektif endokardit(İE) vakalarının klinik, bakteriy¬olojik ye ekokardiyografik özelliklerini farklı toplumlardaki vaka serileriyle karşılaştırmak amacıyla retrospektif olarak yapılmıştır. Toplam 74 İE vakası incelendiğinde yaş ortala¬masının oldukça düşük (24.6 ± 12.3 yıl) olduğu sap¬tandı. Hastaların büyük çoğunluğunu erkekler oluşturmaktaydı (erkek/kadın = 1.96). Altta yatan kalp hastalığı, vakaların %66'sında romatizmal kapak hastalığı şeklinde idi. Ekokardiyografi ile veje¬tasyon saptanan hastalarda konjestif kalp yetmezliği, total embolik epizod ve ölüm daha sık gözlenmek¬teydi. İzole edilen mikroorganizma profili diğer se¬rilerden belirgin farklılıklar göstermekteydi. Yine diğer serilerden farklı olarak vaka grubumuzda kon¬jestif kalp yetmezliği oranı yüksek bulunmuştur.

Clinical, bacteriological and echocardiographic evaluation of patients with infective endocarditis followed at the cardiology clinic of Türkiye Yüksek İhtisas Hospital between January 1990 and December 1995

This study constitutes the retrospective evalua¬tion of the microbiological and echocardiographic characteristics of cases with infective endocarditis seen at Türkiye Yüksek İhtisas Hospital within the last 5 years in an'attempt to provide a basis for com¬parison with other series. The mean age of the population which consis¬ted of 74 cases was considerably low (24.6 ± 12.3 years). The majority of the patients were male (male/female = 1.96). Rheumatic valvular disease was the underlying cardiac pathology in 66% of the cases. Congestive heart failure, total embolic episodes and mortality were more frequent among those with echocardiographically demonstrable car¬diac vegetations. The microbiological profile was considerably different from other series. Additionally, our population disclosed a higher rate of congestive heart failure compared to other series.
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  • 1. Osler W . Chronic infective endocarditis. Q J Med 1989; 2: 219-30.
  • 2. Horder T. İnfective endocarditis with an analysis of 150 cases vvith special reference to the chronic form of the disease. Q J Med 1989; 2:285-324.
  • 3. Mc Kinsey DS, Rotts TE and Bisno AL . Underlying cardiac lesions in adults vvith infective endocarditis: The changing spectrum. Am J Med 1987; 82:681.
  • 4. Hollanders C, De Scheerder I, De Buyzere M, Ingles G, Bogaert S, Clement DL. A six year revievv of 53 cases of infective endocarditis : Clinical, microbiological and therapeutical features. Açta Cardiol 1988; XLIII (2): 121- 32.
  • 5. Skehan JD, Murray M, Mills PG. İnfective endocarditis^ incidence and mortality in the North-East Thames region.Br Heart J. 1988; 59:62-8.
  • 6. Gossius G, Gunnes P, Rasmussen K. Ten years of infective endocarditis. A clinicopathological study. Açta Med Scand 1985; 217:171-9.
  • 7. Von Reyn CF, Levy BS , Arbeit RD, Freidland G, Crumpacker CS . İnfective endocarditis: An Analysis based on strict case definitions. Ann Intern Med 1981; 94: 505-18.
  • 8. VVhitby M, Fenech A. İnfective endocarditis in adults in Glasgovv, 1976-81. Intern J Cardiol 1985; 7: 391-403.
  • 9. Bayliss R, Clarke C, Oakley CM, Somerville W, VVhitfield AGW: The microbiology and pathogenesis of infective endocarditis. Br Heart J 1983; 50: 513-9.
  • 10. Nıssen H, Nıelsen PF, Frederiksen M, Helleberg C and Nielsen JS . Native valve infective endocarditis in the general population: a 10- year survey of the clinical picture during the 1980's. Eur Heart Journal 1992; 13: 872- 7.
  • 11. Schnurr LP, BalI AP , Geddes AM , Gray J , Mc Ghie D. Bacterial endocarditis in England in the 1970s: a revievv of 70 patients. Q J Med 1977; 46: 499-512.
  • 12. Moulsdale M T, Eykyn S J , Phillips I. İnfective endocarditis, 1970-79: a study of culture positive cases at St Thomas's Hospital. Q J Med 1980; 49: 315-78.
  • 13. Petersdorf RG, Goldman PL. Changes in the natural history of bacterial endocarditis. J Chronic Dis 1979; 32: 287- 91.
  • 14. Pelletier LL , Petersdorf RG . İnfective endocarditis: a revievv of 125 cases from the Universty of Washington Hospitals 1963-72. Medicine (Baltimore) 1977; 56:287- 313.
  • 15. Gray İR . The choice of antibiotic for treating infective endocarditis. Q J Med. 1975; 44: 449-58.
  • 16. Oakley C M. İnfective endocarditis. Br J Hosp Med 1980; 24: 232-43.
  • 17. Nagger CZ and Forgacs P. İnfective endocarditis: A challenging disease. Med Clin North Am. 1986; 70: 1279.
  • 18. Mc Kinsey DS, Ratts TE, Bisno AL. Underlying cardiac lesions in adults vvith infective endocarditis. The changing spectrum. Am J Med 1987;82:681-8.
  • 19. Bayliss R, Clarke C, Oakley C M, Somerville W, VVhitfield AGVV, Young SEJ. The microbiology and pathogrnesis of infective endocarditis. Br Heart J 1983;50:513-9.
  • 20. Al-Kasab S, Fagih MR, Al- Yousef S. Brucella infective endocarditis: Succesful combined medical and surgical therapy . J Thorac Cardiovasc Surg 1988; 95:862.
  • 21. Valliattu J, Shuhaiber H, Kivvan Y. Brucella endocarditis. Report of one case and revievv of the literatüre. J Cardiovasc Surg. 1989; 30: 782.
  • 22. Lubani M, Sharda D and Helin i. Cardiac manifestations in Brucellosis. Arch Dis. Child 1986; 61: 569.
  • 23. Bradenburg R D, Giuliani E R, VVİlson W R, Gerraci J E: İnfective endocarditis - a 25 year overvievv of diagnosis and therapy. J Am Col Cardiol 1983; 1:280.
  • 24. Davis R S, Strom J A, Frishmon W, Becker R, Mutsumoto M, Le Jemtel T H, Sonnenblick E H, Frater R W M: The demonstration of vegetations by echocardiography in bacterial endocarditis. An indication for early surgical intervention. Am J Med 1980; 69:57.
  • 25. Bandy G H, Talano J V, Reisberg B, Lesch M: Sensitivity and specificity of echocardiography in a high-risk population of patients for infective endocarditis: Significance of vegetation size. J Cardiovasc Ultrasonogr. 1983; 2: 23.
  • 26. Strom J, Frishman WH, Klein N, Jentzer j, Matos M, Becker R, Frater R. Effect of vegetation size on the outcome of patients vvith infective endocarditis. Significance of vegetation size. J Cardiovasc Ultrasonogr 1963;2:23.
  • 27. Mintz GS, Kotler MN, Segal BL, Parry WI . Survival of patients vvith aortic valve endocarditis. The prognostic implications of the echocardiogram. Arch Intern Med 1979; 139: 862.
  • 28. Martin RP, Meltzer RS, Chia BL. Clinical utility of two - dimensional echocardiography in infective endocarditis. Am J Cardiol 1980; 46: 379.
  • 29. VVann LS, Hallan CC, Dillon JC, Weyman AE, Feigenbaum H. Comparison of M-mode and cross-sectional echocardiography in infective endocarditis. Circulation 1979; 60: 728.
  • 30. Stevvart JA, Silimpari D, Harris P, Wise NK, Freker TD, Kisslo JA. Echocardiographic documentation of vegetative lesions in infective endocarditis: İmplications. Circulation 1980; 61: 374.
  • 31. Mintz GS, Kotler MN, Segal BL, Parry WR. Comparison of two-dimensional and M-mode echocardiography in the evaluation of patients vvith infective endocarditis. Am J Cardiol 1979;43:738.
  • 32. Lutas EM, Roberts RB, Devereux RB, Prieto LM. Relation brtvveen the presence of echocardiographic vegetations and the coplication rate in infective endocarditis. Am Heart J 1986; 112: 107.
  • 33. Lovves JA, Hamer J, VVİlliams C. 10 years of infective endocarditis at St. Barthoıomevv's hospital: Analysis of clinical treatment and features in relation to prognosis and mortality. Lancet 1980; i: 133-6.
  • 34. Bliddal H, Cutschik E, Halkier E, Fritz-Hansen P. Bacterial endocarditis vvith native and prosthetic valves: Bacteriological and clinical findings. Scand J Infect Dis 198.5; 17:271-6.
  • 35. Hollanders C, De Scheerder I, De Buyzere M, Ingles G, Bogaert S, Clement DL. A six years review of 53 cases of infective endocarditis: Clinical, microbiological and therapeutical features. Açta Cardiol 1988; XLIII(2): 121- 32.
  • 36. Peat EB, Lang SDR. İnfective endocarditis in a racially mixed community: A 10 year revievv of 78 cases . N Z Med ) 1989;102:33-67- Bain RJI, Glover D, Littler WA, Geddes AM. The impact of a policy of collaborative management on the mortality and morbidity from infective endocarditis. IntJ Cardiol 1988;19:47-54.
  • 37. Bain RJI, Glover D, Littler VVA, Geddes AM. The impact of a policy of collaborative management on the mortality and morbidity from infective endocarditis. Int J Cardiol 1988;19:47-54
  • 38^ Smith RH, Radford DJ, Clark RA, Julian DG. İnfective endocarditis: A survey of cases in the South-East region of Scotland,1969-72. Thorax 1976;31:373-9.
  • 39. Kaye D: Changing pattern of infective endocarditis. Am J Med 1985;78(Suppl.6B):157.
  • 40. Terpenning MS, Buggy BP, Kauffman CA. İnfective endocarditis: Clinical features in young and elderpatients.Am J Med 1987; 83:626.
Ankara Üniversitesi Tıp Fakültesi Mecmuası-Cover
  • Başlangıç: 1947
  • Yayıncı: Erkan Mor
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