We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Characteristics of infective endocarditis in France in 1991: A 1-year survey.
- Authors
DELAHAYE, F.; GOULET, V.; LACASSFN, F.; ECOCHARD, R.; SELTON-SUTY, C.; HOEN, B.; ETIENNE, J.; BRIANCON, S.; LEPORT, C.
- Abstract
To update data on incidence and cliar act eristics of infective endocarditis in France. Numerous studies have shown that the incidence and course of infective endocarditis remain stable in spite of advances in treatment and of prophylactic recommendations. A survey of all consecutive cases of infective endocarditis was conducted over 12 months in all the institutions of three French regions. Data were collected from 415 cases of definite (32%), probable (53%), and possible (15%) infective endocarditis. The adjusted annual incidence was 24–3 cases per million inliabitants. Thirty-four percent of tlxe patients had no previously known heart disease, 33% Iiad native valve disease, 22% had a prosthetic valve, and 11% had miscellaneous underlying conditions. Infective endocarditis was located solely on the mitral valve in 39%, solely on the aortic valve in 36%, and on the tricuspid valve in 6%. Echocardiography showed a vegetation on the mitral valve in 39%, on the aortic valve in 29%, and on the tricuspid valve in 8%. The causal microorganism was identified in 92%; it was a Streptococcus in 58%, and a Staphylococcus in 23%. Twenty patients were intravenous drug users, and 45 Iiad had a medical or a surgical procedure, which might be associated with the occurrence of infective endocarditis. During the first 2 montlis after admission, 24% of the patients underwent surgery, and 17% of all patients died. Despite medical and surgical advances, infective endocarditis remains frequent and severe in France.
- Publication
European Heart Journal, 1995, Vol 16, Issue 3, p394
- ISSN
0195-668X
- Publication type
Article
- DOI
10.1093/oxfordjournals.eurheartj.a060923