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Condition: Endocarditis
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Total 418 results found since Jan 2013.

Efficacy of nafamostat mesilate as anticoagulation during cardiopulmonary bypass for early surgery in patients with active infective endocarditis complicated by stroke.
CONCLUSION: Nafamostat mesilate, administered in conjunction with low-dose heparinization, served as an effective anticoagulant for early surgery in patients with AIE complicated by stroke, and caused no further deterioration of the cerebral lesions. PMID: 25790622 [PubMed - in process]
Source: Journal of Heart Valve Disease - March 21, 2015 Category: Cardiology Tags: J Heart Valve Dis Source Type: research

Diagnostic yield of echocardiography in cancer patients with ischemic stroke
Abstract The yield of echocardiography in cancer patients with acute ischemic stroke is unknown. We identified adult patients with active systemic cancer diagnosed with acute ischemic stroke at a tertiary-care cancer center from 2005 through 2009 who underwent transthoracic (TTE) or transesophageal echocardiography (TEE). Two neurologists independently reviewed all clinical data, including TTE and TEE reports, and adjudicated whether echocardiographic studies revealed a definite or possible source of stroke according to pre-defined criteria. Patients were classified as having suspected cardioembolic strokes if ima...
Source: Journal of Neuro-Oncology - April 8, 2015 Category: Cancer & Oncology Source Type: research

Outcomes after early or late timing of surgery for infective endocarditis with ischaemic stroke: a retrospective cohort study
CONCLUSIONS Early timing of surgery for infective endocarditis patients with ischaemic stroke was not associated with higher in-hospital mortality or complications after admission. Early timing of surgery may not be contraindicated for infective endocarditis patients with ischaemic stroke.
Source: Interactive CardioVascular and Thoracic Surgery - October 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Morita, K., Sasabuchi, Y., Matsui, H., Fushimi, K., Yasunaga, H. Tags: Cardiac - physiology, Basic research vascular Adult Cardiac Source Type: research

Reconstructive valve surgery within 10 days of stroke in endocarditis
Conclusion Early cardiac surgery in patients with infective endocarditis and stroke maybe lifesaving with a low neurological risk. Comprehensive neurovascular imaging may help in identifying patient-related risk factors.
Source: Asian Cardiovascular and Thoracic Annals - June 20, 2016 Category: Cardiology Authors: Raman, J., Ballal, A., Hota, B., Mirza, S., Lai, D., Bleck, T., Lateef, O. Tags: Cardiac Source Type: research

Carotid artery disease and perioperative stroke risk after surgical aortic valve replacement: A nationwide inpatient sample analysis
In conclusion, perioperative stroke risk has remained more or less constant despite advancements in surgical techniques with risk having gone up in patients <65years of age. CS and cerebral arterial occlusion significantly increase stroke risk following SAVR. Improved patient selection with pre-operative risk stratification and institution of preventive strategies are necessary to improve operative outcomes following SAVR.
Source: Journal of Clinical Neuroscience - June 29, 2017 Category: Neuroscience Source Type: research

Body mass index and fatal stroke in young adults: a national study
This study aimed to determine the body mass index (BMI) of fatal stroke cases amongst young adults, their clinical characteristics and the association with BMI with risk factors. All cases aged 15-44 years where death was attributed to stroke for whom BMI was available were retrieved from the National Coronial Information System (1/1/2009-31/12/2016). 179 cases were identified: haemorrhagic (165), ischaemic (5), thrombotic (6), mycotic (3), embolic (0). Proportions in each BMI category were: underweight (5.6%), normal weight (37.4%), overweight (27.4%), obese (29.6%). There was a significant linear trend in the proportion ...
Source: Journal of Forensic and Legal Medicine - February 15, 2019 Category: Forensic Medicine Source Type: research

Enterobacter Cloacae Endocarditis Presenting as an Ischemic Stroke (P2.279)
CONCLUSIONS: This is the first case which demonstrates that ischemic stroke can be the presenting clinical event of E. cloacae endocarditis. Clinicians who provide acute care to patients with stroke should be aware of this rare cause of embolic brain infarction. Our case shows that early diagnosis of E. cloacae endocarditis and appropriate medical management can promote full neurological recovery in these patients. Disclosure: Dr. mannel has nothing to disclose. Dr. Silliman has received personal compensation for activities with Biogen Idec, and Teva Neuroscience as a consultant and/or speaker. Dr. Silliman has received re...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mannel, R., Silliman, S. Tags: Cerebrovascular Disease and Interventional Neurology: PFO and Other Cardiac Disease Source Type: research

Clinical Presentation and Multi-Parametric Screening Surrogates of Ischemic Stroke Patients Suffering from Infective Endocarditis
Conclusions: IE in stroke patients is associated with worse clinical outcome, complicated by intravenously applied thrombolysis, and therefore needs to be screened during the early phase of hospitalization. Increased serum levels of CRP and leukocyte count in combination with an increased body temperature or abnormal cardiac murmurs should entail rapid initiation of further diagnostics, that is, transoesophageal echocardiography.Cerebrovasc Dis 2016;41:60-67
Source: Cerebrovascular Diseases - December 15, 2015 Category: Neurology Source Type: research

Catastrophic Intracranial Hemorrhages after IV tPA in a Patient with Insidious Onset of Fever and Back Pain
We present a patient who had a history of recent and persistent fever, an acute ischemic stroke treated with intravenous tissue plasminogen activator (IV tPA), and severe, multifocal intracerebral hemorrhage as a complication of tPA treatment. Suspected infective endocarditis in a stroke patient should most likely be considered a contraindication to IV tPA.
Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2016 Category: Neurology Authors: Steven Tversky, Richard B. Libman, Evan R. Schloss, Rohan Arora, Anand V. Patel, Elliot J. Salamon, Paul Wright, Jeffrey M. Katz Tags: Case Studies Source Type: research

Stroke is not a treatment dilemma for early valve surgery in active infective endocarditis.
CONCLUSION: Surgery for AIE with cerebral septic embolisms can be performed safely, with good early and mid-term follow-up results. When urgent or emergent surgery for AIE is needed, neurologic complications should not be a reason for delay. PMID: 25799711 [PubMed - in process]
Source: Journal of Heart Valve Disease - March 25, 2015 Category: Cardiology Tags: J Heart Valve Dis Source Type: research

Outcome of surgery for acute infective endocarditis: does preoperative stroke have an impact on mortality?
ConclusionSurgical treatment for IE still remains a challenge with high morbidity and mortality. Patients with preoperative neurologic dysfunction due to septic embolism have good early postoperative results without increased mortality.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 22, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Histopathological and Bacteriological Analysis of Thrombus Material Extracted During Mechanical Thrombectomy in Acute Stroke Patients
ConclusionsIn our series, systematic histopathological and bacteriological study of the MT samples allowed a higher proportion of SE diagnosis in comparison with previous reports.
Source: CardioVascular and Interventional Radiology - October 26, 2017 Category: Radiology Source Type: research

Erratum to: Stroke in patients with prosthetic valve endocarditis : Single-center cohort study in China.
Authors: Cao GF, Liu W, Cao L, Wang Y Abstract Erratum to: Herz 2019 https://doi.org/10.1007/s00059-019-4809-4 The original article has been corrected. The data given in Table 4 for patient No. 13 were wrong. Please find here the corrected Table.The authors and publisher apologize for this …. PMID: 31139843 [PubMed - as supplied by publisher]
Source: Herz - May 31, 2019 Category: Cardiology Tags: Herz Source Type: research

Neurological events in children's infective endocarditis: A prospective cohort
ConclusionOur study indicates that stroke is common among children with infective endocarditis, especially in those with left-sided endocarditis, and major stroke may increase their risk of death.
Source: Archives of Cardiovascular Diseases Supplements - June 7, 2019 Category: Cardiology Source Type: research

Early Operation for Endocarditis Complicated by Preoperative Cerebral Emboli Is Not Associated With Worsened Outcomes
Conclusions Early surgical intervention in patients with IE complicated by preoperative septic cerebral emboli does not lead to significantly worse postoperative outcomes. Early surgical intervention for IE after embolic stroke warrants consideration, particularly in patients with high-risk features such as S aureus or annular abscess, or both.
Source: The Annals of Thoracic Surgery - June 24, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research