Clinical Features of Right-sided Infective Endocarditis
杨莉
伍卫
王景峰
张燕
张小玲
1.Department of Cardiology, the Second Affiliated Hospital, Sun Yat - Sen University, Guangzhou 510120, P R China 2.Department of Cardiology, the Second Affiliated Hospital, Sun Yat - Sen University, Guangzhou 510120, P R China 3.Department of Cardiology, the Second Affiliated Hospital, Sun Yat - Sen University, Guangzhou 510120, P R China 4.Department of Cardiology, the Second Affiliated Hospital, Sun Yat - Sen University, Guangzhou 510120, P R China 5.Department of Cardiology, the Second Affiliated Hospital, Sun Yat - Sen University, Guangzhou 510120, P R China
摘要：Objective To discuss thepathogenesis, etiology, clinical manifestations, diagnosis, treatment and prognosis of right-sided infective endocarditis (RIE) . Methods To investigate retrospectively the clinical data of patients with RIE admitted in our hospital from Jan 1985 to Dec 2000.Results There were 17 cases of RIE (12 male, 5female, mean age 22 years), among which 7 with congenital heart disease, 1 with pacemaker implantation and 9 with a history of intravenous drug abuse but without underlying heart disease. Fever and multiple pulmonary emboli were the major clinical manifestations. Blood cultures were positive in 8 cases with Staphylococcus aureus as the predominant microorganism. Echocardiography detected right heart vegetations in all cases, with tricuspid valve as the structure most frequently affected. Most patients were successfully treated with antimicrobials. The outcome was favourable, with a mortality of 11.8 % . Conclusions The clinical features of RIE are different from that of left-sided infective endocarditis (LIE) . Echocardiography plays an important role in the diagnosis of RIE.
机标关键词：
分类号：R54(心脏、血管（循环系）疾病)
论文发表日期：2002-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 22-25 )
英文信息