Cardiac device-related infective endocarditis in the Czech Republic: Prospective data from the ESC EORP EURO-ENDO registry
Authors:
Open Access
- 13 May 2022
- journal article
- research article
- Published by Palacky University Olomouc in Biomedical Papers
- Vol. 166 (2) , 168-172
Abstract
Understanding cardiac electronic device infective endocarditis epidemiology is essential for the management of this serious complication. Only monocentric and limited data have been published regarding patients in the Czech republic so far. The aim of this study was to describe the current profile, microbiology and clinical characteristics of this population. National data from the prospective ESC-EORP EURO-ENDO registry were collected. 57 consecutive patients with a diagnosis of cardiac device-related infective endocarditis (CDRIE) from 11 Czech centres were included. Staphylococcus spp. was responsible for 43.9% of isolates, whereas Culture negative endocarditis was documented in 26.3% episodes. The most frequent complications under therapy were acute renal failure (17.5%), septic shock and heart failure (both 10.5%). Extraction of device was performed in 75.4% of all patients, and the 1-year mortality was 22.5%. The high proportion of culture-negative endocarditis is alarming and warrants further investigation. Cardiac device related infective endocarditis is a serious complication with a high 1-year mortality in a highly polymorbid spectrum of patients.Keywords
This publication has 23 references indexed in Scilit:
- Risk factors for cardiac implantable electronic device infection: a systematic review and meta-analysisEP Europace, 2015
- Increased Long‐Term Mortality in Patients with Cardiovascular Implantable Electronic Device InfectionsPacing and Clinical Electrophysiology, 2014
- Cardiac Implanted Electronic Device‐Related Infective Endocarditis: Clinical Features, Management, and Outcomes of 80 Consecutive PatientsPacing and Clinical Electrophysiology, 2014
- Cardiac device-related endocarditis: 31-Years’ experienceJournal of Cardiology, 2013
- Cardiac implantable electronic device infections: Presentation, management, and patient outcomesHeart Rhythm, 2010
- Continued Rise in Rates of Cardiovascular Implantable Electronic Device Infections in the United States: Temporal Trends and Causative InsightsPacing and Clinical Electrophysiology, 2010
- Surgical Treatment of Pacemaker and Defibrillator Lead EndocarditisChest, 2003
- Injection drug use and right sided endocarditisHeart, 2003
- Role of the Preaxillary Flora in Pacemaker InfectionsCirculation, 1998
- Antibiotic Prophylaxis in Pacemaker Surgery: A Prospective Double Blind Trial with Systemic Administration of Antibiotic Versus Placebo at Implantation of Cardiac PacemakersPacing and Clinical Electrophysiology, 1986