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Infective Endocarditis during Pregnancy—Keep It Safe and Simple!

The diagnosis of infective endocarditis (IE) during pregnancy is accompanied by a poor prognosis for both mother and fetus in the absence of prompt management by multidisciplinary teams. We searched the electronic databases of PubMed, MEDLINE and EMBASE for clinical studies addressing the management...

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Autores principales: Onofrei, Viviana Aursulesei, Adam, Cristina Andreea, Marcu, Dragos Traian Marius, Crisan Dabija, Radu, Ceasovschih, Alexandr, Constantin, Mihai, Grigorescu, Elena-Daniela, Petroaie, Antoneta Dacia, Mitu, Florin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10223066/
https://www.ncbi.nlm.nih.gov/pubmed/37241171
http://dx.doi.org/10.3390/medicina59050939
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author Onofrei, Viviana Aursulesei
Adam, Cristina Andreea
Marcu, Dragos Traian Marius
Crisan Dabija, Radu
Ceasovschih, Alexandr
Constantin, Mihai
Grigorescu, Elena-Daniela
Petroaie, Antoneta Dacia
Mitu, Florin
author_facet Onofrei, Viviana Aursulesei
Adam, Cristina Andreea
Marcu, Dragos Traian Marius
Crisan Dabija, Radu
Ceasovschih, Alexandr
Constantin, Mihai
Grigorescu, Elena-Daniela
Petroaie, Antoneta Dacia
Mitu, Florin
author_sort Onofrei, Viviana Aursulesei
collection PubMed
description The diagnosis of infective endocarditis (IE) during pregnancy is accompanied by a poor prognosis for both mother and fetus in the absence of prompt management by multidisciplinary teams. We searched the electronic databases of PubMed, MEDLINE and EMBASE for clinical studies addressing the management of infective endocarditis during pregnancy, with the aim of realizing a literature review ranging from risk factors to diagnostic investigations to optimal therapeutic management for mother and fetus alike. The presence of previous cardiovascular pathologies such as rheumatic heart disease, congenital heart disease, prosthetic valves, hemodialysis, intravenous catheters or immunosuppression are the main risk factors predisposing patients to IE during pregnancy. The identification of modern risk factors such as intracardiac devices and intravenous drug administration as well as genetic diagnostic methods such as cell-free deoxyribonucleic acid (DNA) next-generation sequencing require that these cases be addressed in multidisciplinary teams. Guiding treatment to eradicate infection and protect the fetus simultaneously creates challenges for cardiologists and gynecologists alike.
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spelling pubmed-102230662023-05-28 Infective Endocarditis during Pregnancy—Keep It Safe and Simple! Onofrei, Viviana Aursulesei Adam, Cristina Andreea Marcu, Dragos Traian Marius Crisan Dabija, Radu Ceasovschih, Alexandr Constantin, Mihai Grigorescu, Elena-Daniela Petroaie, Antoneta Dacia Mitu, Florin Medicina (Kaunas) Review The diagnosis of infective endocarditis (IE) during pregnancy is accompanied by a poor prognosis for both mother and fetus in the absence of prompt management by multidisciplinary teams. We searched the electronic databases of PubMed, MEDLINE and EMBASE for clinical studies addressing the management of infective endocarditis during pregnancy, with the aim of realizing a literature review ranging from risk factors to diagnostic investigations to optimal therapeutic management for mother and fetus alike. The presence of previous cardiovascular pathologies such as rheumatic heart disease, congenital heart disease, prosthetic valves, hemodialysis, intravenous catheters or immunosuppression are the main risk factors predisposing patients to IE during pregnancy. The identification of modern risk factors such as intracardiac devices and intravenous drug administration as well as genetic diagnostic methods such as cell-free deoxyribonucleic acid (DNA) next-generation sequencing require that these cases be addressed in multidisciplinary teams. Guiding treatment to eradicate infection and protect the fetus simultaneously creates challenges for cardiologists and gynecologists alike. MDPI 2023-05-12 /pmc/articles/PMC10223066/ /pubmed/37241171 http://dx.doi.org/10.3390/medicina59050939 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Onofrei, Viviana Aursulesei
Adam, Cristina Andreea
Marcu, Dragos Traian Marius
Crisan Dabija, Radu
Ceasovschih, Alexandr
Constantin, Mihai
Grigorescu, Elena-Daniela
Petroaie, Antoneta Dacia
Mitu, Florin
Infective Endocarditis during Pregnancy—Keep It Safe and Simple!
title Infective Endocarditis during Pregnancy—Keep It Safe and Simple!
title_full Infective Endocarditis during Pregnancy—Keep It Safe and Simple!
title_fullStr Infective Endocarditis during Pregnancy—Keep It Safe and Simple!
title_full_unstemmed Infective Endocarditis during Pregnancy—Keep It Safe and Simple!
title_short Infective Endocarditis during Pregnancy—Keep It Safe and Simple!
title_sort infective endocarditis during pregnancy—keep it safe and simple!
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10223066/
https://www.ncbi.nlm.nih.gov/pubmed/37241171
http://dx.doi.org/10.3390/medicina59050939
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