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Highlights in Infective Endocarditis

Special Issue Editors


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Guest Editor
1. Serviço de Doenças Infecciosas e Parasitárias, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro 20551-030, Brazil
2. Departamento de Doenças Infecciosas, Universidade Federal do Estado do Rio de Janeiro (Unirio), Rio de Janeiro 20270-004, Brazil
Interests: infective endocarditis; Staphylococcus aureus infections; urinary infections; arboviral diseases (e.g., dengue, Zika, and chikungunya); diphtheria; leptospirosis

E-Mail Website
Guest Editor
Instituto do Coração (InCor), Universidade de São Paulo, São Paulo 05403-900, Brazil
Interests: endocarditis; cardiovascular infections

Special Issue Information

Dear Colleagues,

Infective endocarditis (IE) is a life-threatening disease resulting from an infection of the endocardial lining of the heart, prosthetic valve, or indwelling cardiac device [1]. The incidence of IE has been increasing globally in recent decades, and the annual increasing trend was more evident for people over 60 years of age, especially in developed countries [2]. Elderly people with IE are at a much greater risk of mortality, ranging at 24.9%, which is almost twice as high as in younger groups [3]. The population of older patients is characterized by a greater heterogeneity regarding their functional abilities, cognition, nutritional status, and comorbidities [4]. Considering the increased risks of cardiac, renal, neurological, lung, and rheumatological complications in patients due to IE, establishing multidisciplinary endocarditis teams according to the European Society of Cardiology and the American College of Cardiology/American Heart Association Guidelines since 2023 has resulted in earlier and more accurate diagnoses. We wish to read the experience of our community of IE management. We believe that our readers are eager to read the epidemiology, etiology, diagnosis, and management considerations of IE. We need to change the scenario of morbidity and mortality in this cardiovascular infection, and that is our mission in this project. Hence, we will address all participation in this Special Issue, in which the topic is the highlights in the management of people with IE. We invite submissions from infectious disease physicians, microbiolgists, epidemiologists, cardiologists, cardiac surgeons, geriatricians, pharmacists, and radiologists to contribute with comprehensive or sytematic reviews and original articles, case reports, and short communications with regard to highlights for people with infective IE. Articles are submitted for peer review and are subject to processing charges.

References

  1. Holland, T.L.; Baddour, L.M.; Bayer, A.S.; Hoen, B.; Miro, J.M.; Fowler, V.G., Jr. Infective endocarditis. Nat. Rev. Dis. Primers 2016, 2, 16059. https://doi.org/10.1038/nrdp.2016.59.
  2. Yang, X.; Chen, H.; Zhang, D.; Shen, L.; An, G.; Zhao, S. Global magnitude and temporal trend of infective endocarditis, 1990–2019: Results from the Global Burden of Disease Study. Eur. J. Prev. Cardiol. 2022, 8, 1277–1286. https://doi.org/10.1093/eurjpc/zwab184.
  3. Durante-Mangoni, E.; Bradley, S.; Selton-Suty, C.; Tripodi, M.F.; Barsic, B.; Bouza, E.; Cabell, C.H.; de Oliveira Ramos, A.I.; Fowler, V., Jr.; Hoen, B.; et al. Current features of infective endocarditis in elderly patients: Results of the International Collaboration on Endocarditis Prospective Cohort Study. Arch. Intern. Med. 2008, 19, 2095–2103. https://doi.org/10.1001/archinte.168.19.2095.
  4. Forestier, E.; Roubaud-Baudron, T.; Fraisse, T.; Patry, C.; Gavazzi, G.; Hoen, B.; Carauz-Paz, P.; Moheb-Khosravi, B.; Delahaye, F.; Sost, G.; et al. AEPEI and the GInGer Elderl-IE study group. Comprehensive geriatric assessment in older patients suffering from infective endocarditis. A prospective multicentric cohort study. Clin. Microbiol. Infect. 2019, 10, 1246–1252. https://doi.org/10.1016/j.cmi.2019.04.021.

Prof. Dr. Paulo Vieira Damasco
Dr. Rinaldo Focaccia Siciliano
Guest Editors

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Keywords

  • highlights in infective endocarditis
  • management of infective endocarditis
  • infective endocarditis in personalized medicine
  • highlights in the elderly with infective endocarditis
  • experience of managing infective endocarditis
  • microbiological diagnosis
  • cardiac surgery
  • cardiac devices

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Published Papers (2 papers)

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Research

11 pages, 272 KiB  
Article
Predictors of Mortality in Patients with Cardiac Device-Related Infective Endocarditis
by Gustavo Brandão Oliveira, Isabela Galizzi Fae, Vinícius Tostes Carvalho, Pedro Henrique Oliveira Murta Pinto, Roni Arley Silva Duque, Fernanda Alves Gelape, Fernanda Sophya Leite Cambraia, Guilherme Lelis Costa, Lucas Chaves Diamante, Renato Bráulio, Cláudio Léo Gelape, Marcos Roberto Sousa, Teresa Cristina Abreu Ferrari and Maria Carmo Pereira Nunes
Trop. Med. Infect. Dis. 2024, 9(9), 193; https://doi.org/10.3390/tropicalmed9090193 - 24 Aug 2024
Viewed by 329
Abstract
Infective endocarditis (IE) associated with implantable cardiac devices (ICD) is a serious disease with high mortality rates. The increased number of ICD implants has led to increased ICD infection rates. The aim of this study was to characterize clinical, laboratory profiles and the [...] Read more.
Infective endocarditis (IE) associated with implantable cardiac devices (ICD) is a serious disease with high mortality rates. The increased number of ICD implants has led to increased ICD infection rates. The aim of this study was to characterize clinical, laboratory profiles and the prognosis of cardiac-device-related endocarditis (CDIE), as well as to identify predictors of in-hospital death. A total of 274 patients with IE were included in a prospective cohort (2007–2019). From these, 82 patients (30%) had CDIE (46 pacemakers, 23 cardioverter defibrillators, and 13 cardiac resynchronization therapy devices). Predisposed conditions; clinical, laboratory and echocardiographic parameters; etiologic agents; and in-hospital outcomes were evaluated. The mean age was 55.8 ± 16.4 years, where 64.6% were male. Among the clinical manifestations at diagnosis, the most prevalent were heart failure (67.9%), fever (60.5%), anorexia/hyporexia (44.4%), and heart murmur (37.5%). The median serum C-reactive protein (CRP) level at diagnosis was 63 mg/L (interquartile range [IQR] 20–161). Etiological agents were identified through positive blood cultures in 55% of cases. The main etiologic agents were negative-coagulase staphylococci (19.5%) and Staphylococcus aureus (18.3%). Vegetation was identified in 74 patients (90.1%). In-hospital mortality was 28%. CRP concentrations at diagnosis were identified as markers of disease severity (odds ratio [OR] 1.006; 95%CI 1.001–1.011; p = 0.016), and the worsening of heart failure was associated with unfavorable outcomes (OR 3.105; 95%CI 1.397–6.902; p = 0.005). Unlike what is traditionally accepted, CDIE does not have a better prognosis. Full article
(This article belongs to the Special Issue Highlights in Infective Endocarditis)
12 pages, 779 KiB  
Article
Impact of Neurological Complications on Long-Term Outcomes in Patients with Infective Endocarditis
by Pedro Henrique Oliveira Murta Pinto, Isabela Galizzi Fae, Gustavo Brandão Oliveira, Roni Arley Silva Duque, Mauricio Vitor Machado Oliveira, Luan Salvador Machado Barbalho, André Oliveira Parreiras, Fernanda Alves Gelape, Fernanda Sophya Leite Cambraia, Guilherme Lelis Costa, Lucas Chaves Diamante, Renato Bráulio, Cláudio Léo Gelape, Andréa Teixeira-Carvalho, Teresa Cristina Abreu Ferrari and Maria Carmo Pereira Nunes
Trop. Med. Infect. Dis. 2024, 9(6), 132; https://doi.org/10.3390/tropicalmed9060132 - 13 Jun 2024
Viewed by 719
Abstract
Neurological complications are frequent during the active course of infective endocarditis (IE), and they are associated with high in-hospital mortality rates. However, limited data exist on the prognostic value of these complications for late outcomes. This study aimed to assess the long-term impact [...] Read more.
Neurological complications are frequent during the active course of infective endocarditis (IE), and they are associated with high in-hospital mortality rates. However, limited data exist on the prognostic value of these complications for late outcomes. This study aimed to assess the long-term impact of neurological complications in patients surviving an IE episode. A total of 263 consecutive IE patients admitted to a tertiary care center between 2007 and 2022 were prospectively included. Neurological complications at admission included transient ischemic attack (TIA), ischemic stroke, hemorrhagic stroke, intracerebral abscess, and meningitis. The primary outcome was a composite of overall mortality or heart valve surgery. Of the patients, 34.2% died in the hospital, leaving 173 survivors for long-term follow-up. Over a median of 3.5 years, 29 patients died, and 13 (9%) underwent cardiac surgery, resulting in an overall adverse event rate of 30%. Neurological complications independently predicted long-term adverse outcomes (hazard ratio (HR) 2.237; 95% CI 1.006–4.976), after adjusting for age, chronic kidney disease (CKD), and heart failure (HF) development. In an IE patient cohort, neurological complications at admission, which is a complication directly related to the IE process, were independent predictors of long-term outcomes. Full article
(This article belongs to the Special Issue Highlights in Infective Endocarditis)
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