Vnitr Lek 2014, 60(10):827-831

Infective endocarditis in Tabor district in years 2009-2013

Rudolf Koubek

Interní oddělení II - kardiologie, Nemocnice Tábor, a. s., Tábor, primář MUDr. Rostislav Král

Aim:
To find out an average incidence of infective endocarditis (IE) in Tabor district in a monitored period of time and compare the obtained data with previously published national study.

Methods:
Retrospective monocentric observational study monitoring occurence and characteristics of infective endocarditis in a defined region in years 2009-2013. Only patients with proved and treated infective endocarditis and patients whose diagnosis was revealed by autopsy were involved.

Results:
In the monitored time 39 cases of infective endocarditis occured, which means that the average incidence was 7.8 cases on 100 000 people per year. Median age in the time of diagnosis was 67. The group of patients was strongly dominated by men, who were affected three times more often than women. Almost the same rates of infective endocarditis were localized on mitral (36 %) and aortic (33 %) valve and electrode of a pacemaker (31 %). In comparison with the reference study there were more pacemaker-related infections detected. Two thirds of infections were caused by staphylococci. That means a prominent growth when compared to the pilot study. On the contrary, there was no significant change in mortality.

Conclusion:
Characteristic features of infective endocarditis are evolving, patients' in-hospital mortality rate is high, about 30 %. The disease by itself is a poor prognostic factor in a one-year mortality rate.

Keywords: incidence infective; infective endocarditis

Received: April 11, 2014; Accepted: July 1, 2014; Published: October 1, 2014  Show citation