FOLLOW-UP PROGNOSIS OF SUBACUTE INFECTIOUS ENDOCA RDITIS

Научно-практическая ревматология

关键词: infectious endocarditis;    mortality;    prognosis;   

DOI  :  10.14412/1995-4484-2002-68

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown