Chest
Heart Failure in Infective Endocarditis: Predisposing Factors, Course, and Treatment
Section snippets
METHODS
The series comprises 139 patients seen at the University of California-affiliated hospitals from Jan. 1, 1963 to June 30, 1971. †
General Characteristics of the Series
There were 144 episodes of BE which occurred in 139 patients; the general features of these patients and their illnesses are outlined in Table 1. This group of patients appeared to be comparable to other large series of patients with BE.1, 2, 3, 4, 5, 6 About one-half of the patients had preexisting congenital or rheumatic heart disease (CHD), and one-third of the patients had coexisting chronic disease such as diabetes mellitus, hepatic cirrhosis, or chronic alcoholism.
In 17 cases BE was
DISCUSSION
Heart failure as a complication of BE occurred in 55 percent of our patients, an incidence comparable to the 15–65 percent incidence found by others.2, 3, 4, 5, 6, 7,23 Our data indicate that the likelihood of developing HF can be predicted from the site of infection, and, to a lesser extent, the type of infecting organism. Over 80 percent of patients with AI and half of the patients with MI developed HF within six months of admission, while patients with tricuspid insufficiency and nonvalvular
ACKNOWLEDGMENTS
Doctors Robert M. Elashoff, Mervin Goldman, John Hutchinson, Milton Hollenberg, and Melvin Scheinman offered helpful criticisms. Ms. Beverly Hill is thanked for editorial assistance.
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Manuscript received November 13; revision accepted February 7.