Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Complicated infective endocarditis necessitating ICU admission: clinical course and prognosis. | Available online http content 6 2 149 Research Complicated infective endocarditis necessitating ICU admission clinical course and prognosis Georg Delle Karth Maria Koreny Thomas Binder Sylvia Knappfl Christian Zauner Andreas Valentin Rosemarie Honninger Gottfried Heinz and Peter Siostrzonek Resident Department of Cardiology University of Vienna Austria Resident Department of Internal Medicine I University of Vienna Austria Resident Department of Internal Medicine IV University of Vienna Austria Resident Department of Internal Medicine II KH Rudolfstiftung Vienna Austria Director Department of Cardiology University of Vienna Austria Correspondence Georg Delle Karth Received 7 November 2001 Revisions requested 20 December 2001 Revisions received 24 January 2002 Accepted 12 February 2002 Published 6 March 2002 Critical Care 2002 6 149-154 2002 Delle Karth et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Aim To study incidence clinical course and prognostic factors in patients admitted to medical intensive care units ICUs because of a complicated course of infective endocarditis. Method This was a retrospective multicenter observational study of 4106 patients admitted to four medical ICUs in one tertiary hospital and one university hospital between 1994 and 1999. Results Infective endocarditis was identified in 33 patients. Of these 26 were male mean age was 59 12 and APACHE-III score was 75 31. Reasons for transfer to the ICU were congestive heart failure in 64 septic shock in 21 neurological deterioration in 15 and cardiopulmonary resuscitation in 9 . Inotropes or vasoconstrictors were required in 73 and multiorgan failure developed in 64 of the patients. Prosthetic valve endocarditis was present in 21 . Gram-positive cocci were found in 96 of all positive cultures cultures were negative in 27 of the patients. Transthoracic echocardiograms were diagnostic in only 33 and .
