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DC Field | Value | Language |
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dc.contributor.author | Álvarez Zaballos, Sara | - |
dc.contributor.author | González-Ramallo, Víctor | - |
dc.contributor.author | Quintana, Eduard | - |
dc.contributor.author | Muñoz, Patricia | - |
dc.contributor.author | De la Villa, Sofía | - |
dc.contributor.author | Fariñas, Maria Carmen | - |
dc.contributor.author | Arnáiz de las Revillas, Francisco | - |
dc.contributor.author | Alarcón, Aristides de | - |
dc.contributor.author | Rodríguez-Esteban, M. Ángeles | - |
dc.contributor.author | Miró Meda, José M. | - |
dc.contributor.author | Goenaga Sánchez, Miguel Ángel | - |
dc.contributor.author | Goikoetxea Agirre, Ane Josune | - |
dc.contributor.author | García Vázquez, Elisa | - |
dc.contributor.author | Boix Palop, Lucía | - |
dc.contributor.author | Martínez-Sellés, Manue | - |
dc.contributor.author | Grupo de Apoyo al Manejo de la Endocarditis infecc | - |
dc.date.accessioned | 2023-09-21T15:14:16Z | - |
dc.date.available | 2023-09-21T15:14:16Z | - |
dc.date.issued | 2022-08-13 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/2445/202163 | - |
dc.description.abstract | Background. Infective endocarditis (IE) is a severe condition. Our aim was to describe the profile and prognosis of patients with multivalvular infective endocarditis (MIE) and compare them to single-valve IE (SIE). Methods. We used a retrospective analysis of the Spanish IE Registry (2008−2020). Results. From 4064 definite cases of valvular IE, 577 (14.2%) had MIE. In patients with MIE, the most common locations were mitral (552, 95.7%) and aortic (550, 95.3%), with mitral-aortic involvement present in 507 patients (87.9%). The most common etiologies were S. viridans (192, 33.3%) and S. aureus (113, 19.6%). MIE involved only native valves in 450 patients (78.0%). Compared with patients with SIE, patients with MIE had a similar age (69 vs. 67 years, respectively, p = 0.27) and similar baseline characteristics, but were more frequently men (67.1% vs. 72.9%, p = 0.005) and had a higher incidence of intracardiac complications (36.2% vs. 50.4%, p < 0.001), heart failure (42.7% vs. 52.9%, p < 0.001), surgical indication (67.7 vs. 85.1%, p < 0.001), surgery (46.3% vs. 56.3%), and in-hospital mortality (26.9% vs. 34.3%, p < 0.001). MIE was an independent predictor of in-hospital mortality (odds ratio (OR) 1.3, 95% confidence interval (CI) 1.1−1.7, p = 0.004) but did not have an independent association with 1-year mortality (OR 1.1, 95% CI 0.9−1.4, p = 0.43). Conclusions. About one-seventh of the valvular IE patients had MIE, mainly due to mitral-aortic involvement. MIE is associated with a poor in-hospital prognosis. An early diagnosis and treatment of IE might avoid its spread to a second valve. | - |
dc.format.extent | 10 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm11164736 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2022, vol. 11, num. 16, p. 4736 | - |
dc.relation.uri | https://doi.org/10.3390/jcm11164736 | - |
dc.rights | cc-by (c) Álvarez Zaballos, Sara et al., 2022 | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Endocarditis | - |
dc.subject.classification | Pronòstic mèdic | - |
dc.subject.classification | Vàlvules cardíaques | - |
dc.subject.classification | Mortalitat | - |
dc.subject.other | Endocarditis | - |
dc.subject.other | Prognosis | - |
dc.subject.other | Heart valves | - |
dc.subject.other | Mortality | - |
dc.title | Multivalvular Endocarditis: A Rare Condition with Poor Prognosis. | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 729634 | - |
dc.date.updated | 2023-09-21T15:14:16Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.idimarina | 9329163 | - |
dc.identifier.pmid | 36012974 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) |
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