Key result
Mortality occurred in 25% (3/12) of native valve endocarditis episodes and 33.3% (5/15) of prosthetic valve endocarditis episodes under a primarily conservative management regimen.
Why the study?
What are the mortality outcomes and clinical findings in patients with native or prosthetic valve endocarditis managed with a primarily conservative regimen?
Observational (n=27)
What are the mortality outcomes and clinical findings in patients with native or prosthetic valve endocarditis managed with a primarily conservative regimen?
Answers are grounded in this paper and cite their sources.
A primarily conservative management strategy for bacterial endocarditis resulted in mortality rates comparable to literature reports of more surgically active approaches.
The clinical course of 12 episodes of native valve endocarditis (NVE) and 15 episodes of prosthetic valve endocarditis (PVE) was studied. The mortality in NVE was 3/12 episodes and in PVE 5/15. No significant differences in prognosis were observed in relation to the bacterial taxonomy, which was stated in all cases. Though surgical valve replacement was performed on the relative indications heart failure, resistance to treatment, or major embolism, the regimen was primarily conservative, and the results comparable to the reports in the literature of a more surgically active attitude.
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Bliddal et al. (1985) conducted an observational in Bacterial Endocarditis (n=27). Native valve endocarditis vs. Prosthetic valve endocarditis was evaluated on Mortality. Mortality occurred in 25% (3/12) of native valve endocarditis episodes and 33.3% (5/15) of prosthetic valve endocarditis episodes under a primarily conservative management regimen.
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