当前位置： SCI文献检索 > EUROPEAN HEART JOURNAL期刊下所有文献 > Clinical and prognostic profile of patients with infective endocarditis who need urgent surgery.

Clinical and prognostic profile of patients with infective endocarditis who need urgent surgery.

Abstract：

AIMS:Surgery in patients with infective endocarditis (IE) can be elective (upon completion of antibiotic treatment) or urgent (before antibiotic treatment has ended) when the clinical course is unfavourable. However, urgent surgery for left-sided endocarditis is associated with high mortality. The aims of this study were to describe the profile of patients with left-sided endocarditis who underwent urgent surgery and to analyse the factors that predicted mortality. METHODS AND RESULTS:Among 508 consecutive episodes of IE, 391 were left-sided and 89 required urgent surgery. The main reasons for urgent surgery were heart failure that did not respond to medication (72%) and persistent infection despite appropriate antibiotic treatment (31%). Thirty-two patients (36%) died during their hospital stay. Univariate analysis identified renal failure, septic shock, Gram-negative bacteria, persistent infection, and surgery for persistent infection as factors associated with mortality. Multivariate analysis confirmed only persistent infection and renal insufficiency as factors independently associated with a poor prognosis. CONCLUSION:Patients with IE who need urgent surgery have a poor clinical course. Heart failure, the main cause of urgent surgery, was not associated with higher mortality. However, persistent infection and renal failure were factors associated with higher post-surgical mortality.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Revilla A,López J,Vilacosta I,Villacorta E,Rollán MJ,Echevarría JR,Carrascal Y,Di Stefano S,Fulquet E,Rodríguez E,Fiz L,San Román JA

doi

10.1093/eurheartj/ehl315

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

65-71

issue

1

eissn

0195-668X

issn

1522-9645

pii

ehl315

journal_volume

28

pub_type

杂志文章

相关文献

EUROPEAN HEART JOURNAL文献大全
  • Creatine kinase-MB elevation after percutaneous coronary intervention predicts adverse outcomes in patients with acute coronary syndromes.

    abstract：AIM:To study the relationship between outcomes and peak creatine kinase (CK)-MB levels after percutaneous coronary intervention (PCI) in patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS). METHODS AND RESULTS:Peak CK-MB ratios (peak CK-MB level/upper limit of normal [ULN]) after PCI were analys...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.ehj.2003.12.009

    authors： Roe MT,Mahaffey KW,Kilaru R,Alexander JH,Akkerhuis KM,Simoons ML,Harrington RA,Tardiff BE,Granger CB,Ohman EM,Moliterno DJ,Lincoff AM,Armstrong PW,Van de Werf F,Califf RM,Topol EJ

    更新日期：2004-02-01 00:00:00

  • Physiological cost of vocational activities after myocardial infarction.

    abstract：:Oxygen consumption was measured during 30 min of work in 16 patients, after a myocardial infarction (anterior or posterior), and compared with 16 normal subjects, of the same age, involved in the same activities, in a steel factory. The VO2 at work of the patients was a little lower than in normals. The mean heart rat...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/9.suppl_l.54

    authors： Denolin H,Riviere A

    更新日期：1988-11-01 00:00:00

  • Should we SHIFT our thinking about digoxin? Observations on ivabradine and heart rate reduction in heart failure.

    abstract：AIMS:The importance of heart rate in the pathophysiology of heart failure with reduced LVEF has recently attracted attention. In particular, the findings of the Systolic Heart failure treatment with the I(f) inhibitor ivabradine Trial (SHIFT) have put special emphasis on heart rate reduction with ivabradine for improve...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehs004

    authors： Castagno D,Petrie MC,Claggett B,McMurray J

    更新日期：2012-05-01 00:00:00

  • Is there a need for routine testing of ICD defibrillation capacity? Results from more than 1000 studies.

    abstract：AIMS:Benefits and complications of postoperative implantable cardioverter-defibrillator tests are controversial matters. This study sought to assess the necessity of defibrillation function tests after implantation. METHODS AND RESULTS:We retrospectively analysed 1007 implantable cardioverter-defibrillator tests in 58...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1053/euhj.1999.1716

    authors： Brunn J,Böcker D,Weber M,Castrucci M,Gradaus R,Borggrefe M,Breithardt G,Block M

    更新日期：2000-01-01 00:00:00

  • Platelet and leukocyte activation after myocardial infarction. Influence of enalapril.

    abstract：:In this double-blind placebo-controlled study with enalapril, 74 patients with acute myocardial infarction were followed at 0, 7, 30, 60 and 180 days after the event. Platelets and leukocytes were activated during the first 7 days. During the 6-month period fibrinogen, leukocytes, elastase, and B beta 30-43 remained e...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1093/oxfordjournals.eurheartj.a060831

    authors： Sylvén C,Hagerman I,Karlberg KE,Chen J,Wallin R,Eneroth P,Bergström K,Saldeen T

    更新日期：1995-12-01 00:00:00

  • Transcoronary gradients of vascular miRNAs and coronary atherosclerotic plaque characteristics.

    abstract：AIMS:Circulating microRNAs (miRs) may reflect pathophysiologically relevant processes in the atherosclerotically diseased coronary arterial wall. Given the unmet medical need to identify patients with an unstable plaque phenotype, we determined the relation of circulating atherosclerosis-regulatory miRs with plaque phe...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehw047

    authors： Leistner DM,Boeckel JN,Reis SM,Thome CE,De Rosa R,Keller T,Palapies L,Fichtlscherer S,Dimmeler S,Zeiher AM

    更新日期：2016-06-07 00:00:00

  • Effect of site, summation and asynchronism of inputs on atrioventricular nodal conduction and refractoriness.

    abstract：:The impulses coming from the sinus node synchronically penetrate the AV node via the crista terminalis and inter-atrial septum. Studies in superfused rabbit AV preparations suggest that the crista terminalis is a more effective input than the inter-atrial septum, and that the summation of both inputs facilitates AV no...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/14.10.1421

    authors： Sanchis J,Chorro FJ,Such L,Matamoros J,Monmeneu JV,Cortina J,López Merino V

    更新日期：1993-10-01 00:00:00

  • Rates and predictors of hospital readmission after transcatheter aortic valve implantation.

    abstract：Aims:To analyse reasons, timing and predictors of hospital readmissions after transcatheter aortic valve implantation (TAVI). Methods and results:Patients included in the Bern TAVI Registry between August 2007 and June 2014 were analysed. Fine and Gray competing risk regression was used to identify factors predictive ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehx182

    authors： Franzone A,Pilgrim T,Arnold N,Heg D,Langhammer B,Piccolo R,Roost E,Praz F,Räber L,Valgimigli M,Wenaweser P,Jüni P,Carrel T,Windecker S,Stortecky S

    更新日期：2017-07-21 00:00:00

  • Major regional disparities in outcomes after sudden cardiac arrest during sports.

    abstract：AIMS:Characteristics of sudden cardiac arrest (SCA) during sports offers a novel (and unexplored) setting to assess factors associated with disparities in outcomes across regions. METHODS AND RESULTS:From a prospective 5-year community-based French registry concerning SCA during sports in 10-75 year-olds, we evaluated...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/eht282

    authors： Marijon E,Bougouin W,Celermajer DS,Perier MC,Benameur N,Lamhaut L,Karam N,Dumas F,Tafflet M,Prugger C,Mustafic H,Rifler JP,Desnos M,Le Heuzey JY,Spaulding CM,Avillach P,Cariou A,Empana JP,Jouven X

    更新日期：2013-12-01 00:00:00

  • The value of exercise-induced U-wave inversion on ECG chest wall mapping in the identification of individual coronary arterial lesions.

    abstract：:Exercise-induced U-wave inversion on chest wall mapping was compared with coronary arteriographic findings in 160 consecutive patients who presented with chest pain suggestive of ischaemic heart disease. ECG recordings were made from 16 points on the chest wall before, during and after exercise. None of the 27 patient...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a061883

    authors： Salmasi AM,Salmasi SN,Nicolaides AN,Vecht RJ,Hendry WG,Kidner PH,Besterman EM

    更新日期：1985-05-01 00:00:00

  • Evolution of coronary atherosclerosis in patients with mild coronary artery disease studied by serial quantitative coronary angiography at 2 and 4 years follow-up. The Multicenter Anti-Atheroma Study (MAAS) Investigators.

    abstract：AIMS:Angiographic studies on the natural course of both focal and diffuse coronary atherosclerosis have not been performed before, but can both be assessed by quantitative coronary angiography. The objective of this study was to describe the natural course of focal and diffuse coronary atherosclerosis over time. METHO...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1093/oxfordjournals.eurheartj.a015401

    authors： Vos J,de Feyter PJ,Kingma JH,Emanuelsson H,Legrand V,Winkelmann B,Dumont JM,Simoons LM

    更新日期：1997-07-01 00:00:00

  • Noninvasive estimation of systolic pressure in the right ventricle in patients with tricuspid regurgitation.

    abstract：:In 70 patients, tricuspid regurgitation was diagnosed with Doppler by recording reverse flow in systole originating at the tricuspid orifice, directed into the right atrium. The peak velocities were recorded, and the peak pressure drop from the right ventricle to the right atrium in systole was calculated from the sim...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a062126

    authors： Skjaerpe T,Hatle L

    更新日期：1986-08-01 00:00:00

  • Childhood appendectomy, tonsillectomy, and risk for premature acute myocardial infarction--a nationwide population-based cohort study.

    abstract：AIMS:Although inflammation contributes to cardiovascular disease, the associations of appendectomy and tonsillectomy, which remove mucosa-associated lymphoid tissue, with risk of acute myocardial infarction (AMI) are unknown. Our aim was to assess the association between these operations performed in childhood and AMI ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehr137

    authors： Janszky I,Mukamal KJ,Dalman C,Hammar N,Ahnve S

    更新日期：2011-09-01 00:00:00

  • Left ventricular dysfunction, exercise capacity and activity recommendations.

    abstract：:There is lack of consistent correlation between left ventricular function at rest, haemodynamic measurements at rest, symptomatic status and exercise tolerance. Haemodynamic data appear comparable in patients whose exercise tolerance is limited clinically by fatigue and by breathlessness. Selected patients with left v...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/9.suppl_f.63

    authors： Wenger NK

    更新日期：1988-04-01 00:00:00

  • Combined non-invasive functional and anatomical diagnostic work-up in clinical practice: the magnetic resonance and computed tomography in suspected coronary artery disease (MARCC) study.

    abstract：AIMS:The combined use of cardiac computed tomography (CT) coronary angiography (CTCA) and myocardial perfusion imaging allows the non-invasive evaluation of coronary morphology and function. Cardiovascular magnetic resonance (CMR) imaging has several advantages: it can simultaneously assess myocardial perfusion, ventri...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/eht077

    authors： Groothuis JG,Beek AM,Brinckman SL,Meijerink MR,van den Oever ML,Hofman MB,van Kuijk C,van Rossum AC

    更新日期：2013-07-01 00:00:00

  • Coronary plaque quantification and fractional flow reserve by coronary computed tomography angiography identify ischaemia-causing lesions.

    abstract：AIMS:Coronary plaque characteristics are associated with ischaemia. Differences in plaque volumes and composition may explain the discordance between coronary stenosis severity and ischaemia. We evaluated the association between coronary stenosis severity, plaque characteristics, coronary computed tomography angiograph...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1093/eurheartj/ehv690

    authors： Gaur S,Øvrehus KA,Dey D,Leipsic J,Bøtker HE,Jensen JM,Narula J,Ahmadi A,Achenbach S,Ko BS,Christiansen EH,Kaltoft AK,Berman DS,Bezerra H,Lassen JF,Nørgaard BL

    更新日期：2016-04-14 00:00:00

  • Facilitated percutaneous coronary intervention: current concepts, promises, and pitfalls.

    abstract：:The reperfusion era has dramatically and irrevocably transformed the management of ST-segment elevation myocardial infarction (STEMI). For the patient treated with fibrinolysis as the initial reperfusion strategy, subsequent options which are the subject of some controversy and the focus of this review are (i) facilit...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/ehm222

    authors： Kiernan TJ,Ting HH,Gersh BJ

    更新日期：2007-07-01 00:00:00

  • The long-term impact of the angiotensin-converting enzyme inhibitor trandolapril on mortality and hospital admissions in patients with left ventricular dysfunction after a myocardial infarction: follow-up to 12 years.

    abstract：AIMS:To investigate the long-term benefits of treatment with angiotensin-converting enzyme (ACE)-inhibitors in patients with myocardial infarction (MI) and left ventricular dysfunction (LVD). METHODS AND RESULTS:In the trandolapril cardiac evaluation (TRACE) study, 1749 patients with LVD (ejection fraction< or =35%) w...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1093/eurheartj/ehi021

    authors： Buch P,Rasmussen S,Abildstrom SZ,Køber L,Carlsen J,Torp-Pedersen C,TRACE investigators.

    更新日期：2005-01-01 00:00:00

  • The Extensive Lifestyle Management Intervention (ELMI) following cardiac rehabilitation trial.

    abstract：AIM:Previous studies have reported lifestyle and risk factor deterioration following completion of a cardiac rehabilitation program (CRP). We report the results of a one-year Extensive Lifestyle Management Intervention (ELMI) aimed at preventing these adverse changes. METHODS AND RESULTS:A total of 302 men and women w...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ehj.2003.08.015

    authors： Lear SA,Ignaszewski A,Linden W,Brozic A,Kiess M,Spinelli JJ,Haydn Pritchard P,Frohlich JJ

    更新日期：2003-11-01 00:00:00

  • The haemodynamic side-effects of ionic and non-ionic contrast media in the presence of pulmonary hypertension: experimental and clinical investigation.

    abstract：:The haemodynamic side-effects of ionic (amidotrizoate) and non-ionic (iopamidol) contrast media after injection into the right atrium were compared in experimental and clinical studies. Pulmonary hypertension was induced in 10 dogs by embolization of the pulmonary vascular bed with agar-agar solution (mean pulmonary a...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1093/oxfordjournals.eurheartj.a062219

    authors： Schräder R,Hellige G,Kaltenbach M,Kober G

    更新日期：1987-12-01 00:00:00

  • Surgery of prosthetic valve thrombosis.

    abstract：:From January 1978 to August 1983, 41 prosthetic valve thromboses in 34 patients were operated upon in our service. They comprised 15 aortic, 25 mitral and one tricuspid valve thromboses. Seven patients had massive thrombus with dysfunction of the prosthesis; others had small and disseminated thrombi on their prosthesi...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/5.suppl_d.39

    authors： Pavie A,Bors V,Baud F,Gandjbakhch I,Cabrol C

    更新日期：1984-10-01 00:00:00

  • Intravascular ultrasound assessment of remodelling and reference segment plaque burden in type-2 diabetic patients.

    abstract：AIMS:Intravascular ultrasound (IVUS) assesses arterial remodelling by comparing the lesion external elastic membrane (EEM) with the reference segments; however, reference segments are rarely disease-free. The aim was to assess lesion and reference segment remodelling and plaque burden in patients with type-2 diabetes m...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehm175

    authors： Jensen LO,Thayssen P,Mintz GS,Maeng M,Junker A,Galloe A,Christiansen EH,Hoffmann SK,Pedersen KE,Hansen HS,Hansen KN

    更新日期：2007-07-01 00:00:00

  • Effect of sympathetic overactivity on cardiovascular prognosis in hypertension.

    abstract：:Increased sympathetic tone is found in about 30% of patients with hypertension. This abnormality is closely associated with the metabolic syndrome of dyslipidaemia and hyperinsulinaemia. In this short review we discuss the mechanisms by which sympathetic over-activity could cause the metabolic syndrome. Sympathetic st...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：

    authors： Julius S

    更新日期：1998-06-01 00:00:00

  • Combined aortic, mitral and tricuspid surgery: results in 78 patients.

    abstract：:Between 1968 and 1984, 78 patients (mean age 43, range 14 to 65 years) underwent combined aortic, mitral and tricuspid surgery (22 triple valve replacements, 56 aortic valve replacements with tricuspid conservative surgery and mitral valve replacement (N = 48), or commissuroplasty (N = 8). Pre-operative consequences o...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a062305

    authors： Michel PL,Houdart E,Ghanem G,Badaoui G,Hage A,Acar J

    更新日期：1987-05-01 00:00:00

  • A clinical risk score of myocardial fibrosis predicts adverse outcomes in aortic stenosis.

    abstract：AIMS:Midwall myocardial fibrosis on cardiovascular magnetic resonance (CMR) is a marker of early ventricular decompensation and adverse outcomes in aortic stenosis (AS). We aimed to develop and validate a novel clinical score using variables associated with midwall fibrosis. METHODS AND RESULTS:One hundred forty-seven...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehv525

    authors： Chin CW,Messika-Zeitoun D,Shah AS,Lefevre G,Bailleul S,Yeung EN,Koo M,Mirsadraee S,Mathieu T,Semple SI,Mills NL,Vahanian A,Newby DE,Dweck MR

    更新日期：2016-02-21 00:00:00

  • Circulating angiopoietins in idiopathic pulmonary arterial hypertension.

    abstract：AIMS:To determine the diagnostic utility of circulating angiopoietin-1 (Ang-1) and its antagonist angiopoietin-2 (Ang-2) as potential biomarkers of disease severity or response to treatment in idiopathic pulmonary arterial hypertension (IPAH). Imbalances in angiogenic factors including vascular endothelial cell growth ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehq226

    authors： Kümpers P,Nickel N,Lukasz A,Golpon H,Westerkamp V,Olsson KM,Jonigk D,Maegel L,Bockmeyer CL,David S,Hoeper MM

    更新日期：2010-09-01 00:00:00

  • Subclinical thyroid dysfunction and cardiovascular diseases: 2016 update.

    abstract：:Subclinical thyroid dysfunction comprises subclinical hypothyroidism (SHypo), defined as elevated thyroid-stimulating hormone (TSH) by normal free thyroxine (FT4), and subclinical hyperthyroidism (SHyper) with decreased or undetectable TSH and normal FT4. Up to 10% of the elderly have SHypo, which is usually asymptoma...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehx050

    authors： Floriani C,Gencer B,Collet TH,Rodondi N

    更新日期：2018-02-14 00:00:00

  • Anomalous origin of the left anterior descending coronary artery from the right sinus of Valsalva associated with effort angina pectoris.

    abstract：:A 54-year-old man suffering from effort angina pectoris had an anomalous origin of the left anterior descending coronary artery (LAD) from the right sinus of Valsalva (RSV). The anomalous LAD with a small ostium and without other significant narrowing initially ran into the interventricular septum and subsequently the...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/14.1.129

    authors： Takenaka T,Horimoto M,Fujiwara M

    更新日期：1993-01-01 00:00:00

  • Environmental tobacco smoke and cardiometabolic risk in young children: results from a survey in south-west Germany.

    abstract：AIMS:We explored the association between exposure to environmental tobacco smoke (ETS) and various cardiometabolic biomarkers in 10-year-old children. METHODS AND RESULTS:A population-based cross-sectional study was carried out. Data on ETS exposure and potential confounders were collected by parental questionnaire. A...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehp180

    authors： Nagel G,Arnold FJ,Wilhelm M,Link B,Zoellner I,Koenig W

    更新日期：2009-08-01 00:00:00

  • Arrhythmogenic right ventricular cardiomyopathy caused by deletions in plakophilin-2 and plakoglobin (Naxos disease) in families from Greece and Cyprus: genotype-phenotype relations, diagnostic features and prognosis.

    abstract：AIMS:To evaluate clinical disease expression, non-invasive diagnosis, and prognosis in families with dominant vs. recessive arrhythmogenic right ventricular cardiomyopathy (ARVC) due to mutations in related desmosomal proteins plakophilin-2 (PKP2) and plakoglobin (JUP), respectively. METHODS AND RESULTS:One hundred an...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehl184

    authors： Antoniades L,Tsatsopoulou A,Anastasakis A,Syrris P,Asimaki A,Panagiotakos D,Zambartas C,Stefanadis C,McKenna WJ,Protonotarios N

    更新日期：2006-09-01 00:00:00