Clinical aspects of infective endocarditis duration with right sided heart disorder

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Abstract

A group of sixty eight patients, 45 male and 23 female, from 18 to 30 years of age have been examined. The most of the patients had one or several factors of risk for infective endocarditis intravenous drug abuse including.

The clinical course within examined group of patients featured the right-sided heart disorder (97,5 %) accompanied by septicemia that was caused by Staphylococcus aureus (in 89,7 % of cases). The main syndromes of acute infective endocarditis were pulmonary emboli (64,7 % of occurrences), septicemia with acute Disseminated Intravascular Coagulation (DIC) - 75 % of episodes, congenital heart failure (35,3 %) and nephropathy (100 % of cases).

In 74 % of episodes the disorder of the tricuspid valve was accompanied by the myxomatous degeneration of the other heart valves. The relation between the vegetation sizes, the complications types and the mortality rate was revealed.

The conservative treatment was successful in 72,1 % of cases. The hospital mortality was 27,9 % (19 patients).

About the authors

V. I. Mazurov

Medical Academy of Postgraduate Studies

Author for correspondence.
Email: shabanov@mail.rcom.ru

Член-корреспондент РАМН

Russian Federation, St. Petersburg, 193015

V. I. Ulanova

Medical Academy of Postgraduate Studies

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg, 193015

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