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Condition: Infective Endocarditis

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Total 426 results found since Jan 2013.

The Effect of Preexisting Anticoagulation on Cerebrovascular Events in Left-Sided Infective Endocarditis
The objective of this study was to evaluate the effect of anticoagulation on stroke occurrence and bleeding complications in patients with left-sided infective endocarditis.
Source: The American Journal of Medicine - September 4, 2019 Category: General Medicine Authors: Kyle A. Davis, Glen Huang, S. Allan Petty, Walter A. Tan, Diego Malaver, James E. Peacock Tags: Clinical Research Study Source Type: research

Rare causes of stroke-a frequent stroke etiology.
Abstract As a whole, rare stroke causes represent a frequent stroke etiology. Since rare stroke causes affect primarily young patients, early diagnosis and treatment are of high socioeconomic relevance. In our everyday clinical practice, cervical artery dissection, which is the most common stroke etiology among patients < 45 years, and vasculitis are particularly important. In the case of vasculitis, devastating disease courses and potentially harmful treatment options complicate clinical decision-making. Non-vasculitic vasculopathies, infections, hematological disorders, coagulation disorders, metabolic disord...
Source: Der Nervenarzt - August 29, 2019 Category: Neurology Authors: Schmidt-Pogoda A, Minnerup J Tags: Nervenarzt Source Type: research

Infective endocarditis without biological inflammatory syndrome: Description of a particular entity.
CONCLUSIONS: Left-sided valvular IE with limited or no biological syndrome is rare, but is often associated with severe valvular and paravalvular lesions. TOE should be performed in presence of unexplained heart failure, new valvular regurgitation or cardioembolic stroke when TTE is insufficient to rule out endocarditis, even in patients with a low CRP concentration. PMID: 31303461 [PubMed - as supplied by publisher]
Source: Archives of Cardiovascular Diseases - July 10, 2019 Category: Cardiology Authors: Ribeyrolles S, Ternacle J, San S, Lepeule R, Moussafeur A, Faivre L, Nahory L, Huguet R, Gallien S, Decousser JW, Fihman V, Fiore A, Mongardon N, Lim P, Oliver L Tags: Arch Cardiovasc Dis Source Type: research

Residual vegetation after treatment for left-sided infective endocarditis and subsequent risk of stroke and recurrence of endocarditis
Little is known about the subsequent risk of stroke and recurrence of IE for patients surviving infective endocarditis (IE) with a residual vegetation at discharge.
Source: International Journal of Cardiology - June 20, 2019 Category: Cardiology Authors: Lauge Østergaard, Anders Dahl, Emil Fosbøl, Niels Eske Bruun, Louise Bruun Oestergaard, Trine Kiilerich Lauridsen, Nana Valeur, Lars Køber, Christian Hassager, Nikolaj Ihlemann Source Type: research

Catastrophic Multiple Microbleeds Caused by Infective Endocarditis Following Intravenous Thrombolysis and Endovascular Thrombectomy
Ischemic stroke is one of the most common complications of infective endocarditis (IE). IE must be considered as one of the causes of acute ischemic stroke (AIS) with emergent large vessel occlusion (ELVO), but early diagnosis of IE is difficult. AIS with ELVO must be treated using endovascular thrombectomy (EVT), with or without intravenous thrombolysis (IVT). IVT for AIS due to IE is not well established and remains controversial because of the risk of intracranial hemorrhage. A 42-year-old man suffered from right hemiparesis and disorientation, and AIS with ELVO was diagnosed.
Source: Journal of Stroke and Cerebrovascular Diseases - June 19, 2019 Category: Neurology Authors: Ryosuke Maeoka, Ichiro Nakagawa, Hiroyuki Ohnishi, Kenkichi Takahashi, Hiroyuki Nakase, Hideyuki Ohnishi Tags: Case Report Source Type: research

Contemporary trends and outcomes of mitral valve surgery for infective endocarditis
ConclusionMitral valve repair in IE patients is associated with lower in ‐hospital mortality, resource utilization, and cost compared with MV replacement.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mohamad Alkhouli, Fahad Alqahtani, Chalak Berzingi, Chris C. Cook Tags: SURGICAL TECHNIQUE 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

Acute Ischemic Stroke Therapy in Infective Endocarditis: Case Series and Systematic Review
Objectives: To evaluate the safety of acute ischemic stroke (AIS) therapy in patients with infective endocarditis (IE) with intravenous thrombolysis (IVT) or endovascular therapy (EVT) such as mechanical thrombectomy. Methods: We conducted a retrospective study of patients who underwent AIS therapy with IVT or EVT at a tertiary referral center from 2013 to 2017, that were later diagnosed with acute IE as the causative mechanism. We then performed a systematic review of reports of acute ischemic reperfusion therapy in IE since 1995 for their success rates in terms of neurological outcome, and mortality, and their risk of he...
Source: Journal of Stroke and Cerebrovascular Diseases - May 21, 2019 Category: Neurology Authors: Robert J. Marquardt, Sung-Min Cho, Prateek Thatikunta, Abhishek Deshpande, Dolora Wisco, Ken Uchino Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients >70 years
ConclusionsMechanical aortic valve prosthesis is associated with worse long-term survival and increased bleeding after SAVR in patients aged>70 years. Our results suggest caution when considering mechanical aortic valve prostheses in elderly patients.
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients > 70 years.
CONCLUSIONS: Mechanical aortic valve prosthesis is associated with worse long-term survival and increased bleeding after SAVR in patients aged >70 years. Our results suggest caution when considering mechanical aortic valve prostheses in elderly patients. PMID: 31082357 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kytö V, Myllykangas ME, Sipilä J, Niiranen TJ, Rautava P, Gunn J Tags: Ann Thorac Surg Source Type: research

A Comparison of Three Different Bioinformatics Analyses of the 16S –23S rRNA Encoding Region for Bacterial Identification
Conclusion The higher resolution at the species level identification provided by 16S–23S rRNA encoding region NGS makes its use in routine diagnostic microbiology potentially attractive. Particularly, data analysis is one of the most important steps of a diagnostic workflow, which requires an optimal pipeline for the interpretation of the sequencing data in a short time. This study demonstrates that de novo assembly and subsequent BLASTN analysis using an in-house developed database compared to OTU clustering and mapping approaches is the most accurate and fastest approach for identification of bacterial pathogens....
Source: Frontiers in Microbiology - April 15, 2019 Category: Microbiology Source Type: research

Acute ischemic stroke treated with mechanical thrombectomy and fungal endocarditis: a case report and systematic review of the literature
We report a case of an acute ischemic stroke treated by mechanical thrombectomy, with the histopathological analysis of the retrieved clot followed by the confirmation of fungal endocarditis. An extensive review of the literature has been proposed and three key points concerning the fungal endocarditis predisposing factors, the relation between thrombolysis and hemorrhagic risk and, finally, the importance of clot analysis have been discussed.
Source: Journal of Neuroradiology - April 3, 2019 Category: Radiology Source Type: research

Neurological Complications of Infective Endocarditis
AbstractPurpose of ReviewThe purpose of this narrative review and update is to summarize the current knowledge and provide recent advances on the neurologic complications of infective endocarditis.Recent FindingsNeurological complications occur in about one-fourth of patients with infective endocarditis. Brain MRI represents a major tool for the identification of asymptomatic lesions, which occur in most of the patients with infective endocarditis. The usefulness of systematic brain imaging and the preferred treatment of patients with infective endocarditis and silent brain lesions remains uncertain. The basis of treatment...
Source: Current Neurology and Neuroscience Reports - March 29, 2019 Category: Neuroscience Source Type: research

Risk of stroke subsequent to infective endocarditis: A nationwide study
ConclusionPatients with non-surgically treated IE with a stroke during IE admission were at significant higher associated risk of subsequent stroke within the first year of follow-up as compared with patients without a stroke during IE admission. This risk difference was not evident beyond one year of discharge. These findings underline the need for identification of causes and mechanisms of recurrent strokes after IE to develop preventive means.
Source: American Heart Journal - March 28, 2019 Category: Cardiology Source Type: research

Nursing Home Admission and Initiation of Domiciliary Care Following Infective Endocarditis
ConclusionsPatients who survived IE had an 8× higher incidence of nursing home admission and a 4× higher incidence of initiation of domiciliary care than their counterparts from the matched population.
Source: Global Heart - March 22, 2019 Category: Cardiology Source Type: research