Endocarditis in Patients with a Permanent Pacemaker: A 1-Year Epidemiological Survey on Infective Endocarditis due to Valvular and/or Pacemaker Infection

To describe characteristics of infective endocarditis (IE) in pacemaker (PM) recipients, including the annual incidence and exact localization of IE on PM leads, cardiac valves, or both, we prospectively analyzed 45 PM recipients from a group of 559 patients with definite IE who responded to a popul...

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Veröffentlicht in:Clinical infectious diseases 2004-07, Vol.39 (1), p.68-74
Hauptverfasser: Duval, Xavier, Suty, Christine Selton, Alla, François, Salvador-Mazenq, Michèle, Bernard, Yvette, Weber, Michèle, Lacassin, Flore, Nazeyrolas, Pierre, Chidiac, Christian, Hoen, Bruno, Leport, Catherine
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container_end_page 74
container_issue 1
container_start_page 68
container_title Clinical infectious diseases
container_volume 39
creator Duval, Xavier
Suty, Christine Selton
Alla, François
Salvador-Mazenq, Michèle
Bernard, Yvette
Weber, Michèle
Lacassin, Flore
Nazeyrolas, Pierre
Chidiac, Christian
Hoen, Bruno
Leport, Catherine
description To describe characteristics of infective endocarditis (IE) in pacemaker (PM) recipients, including the annual incidence and exact localization of IE on PM leads, cardiac valves, or both, we prospectively analyzed 45 PM recipients from a group of 559 patients with definite IE who responded to a population-based survey conducted in France in 1999. Thirty-three patients had definite PM-lead IE (group I), and 12 had valvular IE without evidence of PM involvement (group II). The valvular structure was involved in almost two-thirds of IE cases among PM recipients. Of the 28 patients (62%) with valvular IE, 10 group I patients had tricuspid involvement, and 6 group I patients had left heart-valve involvement. The most frequent causative organisms in groups I and II were staphylococci (82%) and streptococci (50%), respectively. The incidence of age- and sex-standardized IE was 550 cases/million PM recipients per year. The incidence of IE with PM involvement is between that of valvular IE in the general population and prosthetic valve IE.
doi_str_mv 10.1086/421493
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current)
subjects Aged
Artificial pacemakers
Biological and medical sciences
Blood
Cardiology. Vascular system
Cultural groups
Echocardiography
Endocardial and cardiac valvular diseases
Endocarditis
Endocarditis, Bacterial - epidemiology
Endocarditis, Bacterial - microbiology
Female
Heart
Heart Valve Diseases - epidemiology
Heart valves
Humans
Infections
Major Articles
Male
Medical sciences
Microorganisms
Pacemaker, Artificial - adverse effects
Pacemaker, Artificial - microbiology
Prosthesis-Related Infections - epidemiology
Prosthesis-Related Infections - microbiology
Prosthetic heart valves
Staphylococcus
Streptococcus
title Endocarditis in Patients with a Permanent Pacemaker: A 1-Year Epidemiological Survey on Infective Endocarditis due to Valvular and/or Pacemaker Infection
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