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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Ankara Üniversitesi Tıp Fakültesi Mecmuası-Cover
  • Başlangıç: 1947
  • Yayıncı: Erkan Mor
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Türkiye Yüksek İhtisas Hastanesi Kardiyoloji Kliniğinde Ocak 1990-Aralık 1995 arasında izlenen infektif endokardit vakalarının klinik, bakteriyolojik ve ekokardiyografik değerlendirilmesi

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