Key result
Detection of vegetations by M-mode echocardiography identified patients at higher risk for major complications (95.5% vs 57.1% without detectable vegetations) and death.
Why the study?
Does the detection of vegetations by M-mode echocardiography predict major complications and death in patients with bacterial endocarditis?
Population
36 patients with bacterial endocarditis (18 with pre-existing valvar lesions)
Comparison
Detection of vegetations by M-mode… vs No detectable vegetations on M-mode…
Design
Cohort
Authors
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Vegetation detection by M-mode echocardiography was associated with higher complication and mortality risk in endocarditis; leaves open its role in guiding management.
Observational (n=36)
Does the detection of vegetations by M-mode echocardiography predict major complications and death in patients with bacterial endocarditis?
Absolute Event Rate: 95.5% vs 57.1%
M-mode echocardiography can reliably detect vegetations in bacterial endocarditis, identifying a high-risk subset of patients who may require early surgery.
Hickey et al. (1981) conducted an observational in Bacterial endocarditis (n=36). M-mode echocardiography detection of vegetations vs. No detectable vegetations was evaluated on Major complications of bacterial endocarditis. Detection of vegetations by M-mode echocardiography identified patients at higher risk for major complications (95.5% vs 57.1% without detectable vegetations) and death.
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