Details

Autor(en) / Beteiligte

• Cabezon, Gonzalo
• Pulido, Paloma
• López Díaz, Javier
• de Miguel-Álava, María
• Vilacosta, Isidre
• García-Azorin, David
• Lozano, Adrian
• Oña, Andrea
• Arenillas, Juan Francisco
• San Román, José-Alberto

Titel

Embolic Events in Infective Endocarditis: A Comprehensive Review

Ist Teil von

• Reviews in cardiovascular medicine, 2024-03, Vol.25 (3), p.97

Ort / Verlag

IMR Press

Erscheinungsjahr

2024

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Infective endocarditis (IE) is a life-threating entity with three main complications: heart failure (HF), uncontrolled infection (UI) and embolic events (EEs). HF and UI are the main indications of cardiac surgery and have been studied thoroughly. On the other hand, much more uncertainty surrounds EEs, which have an abrupt and somewhat unpredictable behaviour. EEs in the setting of IE have unique characteristics that must be explored, such as the potential of hemorrhagic transformation of stroke. Accurately predicting which patients will suffer EEs seems to be pivotal to achieve an optimal management of the disease, but this complex process is still not completely understood. The indication of cardiac surgery in order to prevent EEs in the absence of HF or UI is in question as scientific evidence is controversial and mainly of a retrospective nature. This revision addresses these topics and try to summarize the evidence and recommendations about them.