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Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences

AIMS: Infective endocarditis (IE) remained a potentially fatal disease with high rate of mortality and morbidity. The epidemiology and global burden of IE are largely different between the countries. We aimed to address the epidemiological aspects of IE in a tertiary hospital in Tehran, Iran. METHOD...

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Autores principales: Sadeghpour, Anita, Maleki, Majid, Movassaghi, Massoud, Rezvani, Leila, Noohi, Feridoun, Boudagh, Shabnam, Ghadrdoost, Behshid, Bakhshandeh, Hooman, Alizadehasl, Azin, Naderi, Nasim, Kamali, Monireh, Ghavidel, Alireza A., Peighambari, Mohammad Mahdi, Kyavar, Majid, Pasha, Hamidreza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849153/
https://www.ncbi.nlm.nih.gov/pubmed/31737777
http://dx.doi.org/10.1016/j.ijcha.2019.100433
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author Sadeghpour, Anita
Maleki, Majid
Movassaghi, Massoud
Rezvani, Leila
Noohi, Feridoun
Boudagh, Shabnam
Ghadrdoost, Behshid
Bakhshandeh, Hooman
Alizadehasl, Azin
Naderi, Nasim
Kamali, Monireh
Ghavidel, Alireza A.
Peighambari, Mohammad Mahdi
Kyavar, Majid
Pasha, Hamidreza
author_facet Sadeghpour, Anita
Maleki, Majid
Movassaghi, Massoud
Rezvani, Leila
Noohi, Feridoun
Boudagh, Shabnam
Ghadrdoost, Behshid
Bakhshandeh, Hooman
Alizadehasl, Azin
Naderi, Nasim
Kamali, Monireh
Ghavidel, Alireza A.
Peighambari, Mohammad Mahdi
Kyavar, Majid
Pasha, Hamidreza
author_sort Sadeghpour, Anita
collection PubMed
description AIMS: Infective endocarditis (IE) remained a potentially fatal disease with high rate of mortality and morbidity. The epidemiology and global burden of IE are largely different between the countries. We aimed to address the epidemiological aspects of IE in a tertiary hospital in Tehran, Iran. METHODS AND RESULTS: Between 2006–2018, all adults patients with diagnosis of IE were enrolled in the Iranian Registry of Infective Endocarditis (IRIE). The data were analyzed using the χ(2), Kolmogorov–Smirnov, and Mann–Whitney U tests. Overall, 602 patients, 407 (67.6%) men, mean age 46 ± 16 years were recruited. Positive blood culture found in 49%.The most common underlying heart diseases were: Congenital heart diseases (CHD) particularly bicuspid aortic valves (BAV) and ventricular septal defects (VSD) in 37%, followed by degenerative heart diseases :flail and mitral valve prolapse (16.3%), intravenous drug user in 12.6%, prosthetic valves in 11.1%, previous IE (8.9%), rheumatic heart diseases (RHD) in 8.4%. The most causative microorganisms were Staphylococcus aureus, Enterococci, coagulase-negative staphylococci and Streptococcus viridans. Cardiac or extra cardiac complications occurred in 56.6% of the patients. CONCLUSIONS: Based on IRIE, IE occurs in the younger population in Iran with high rates of blood culture-negative IE. RHD are not the main cause of IE in Iran, CHD including BAV and VSDs, followed by prolaptic or flail mitral valve were the most common. These 2 groups can be considered a high-risk group for IE. More than half of the patients with IE had cardiac or extra cardiac complications.
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spelling pubmed-68491532019-11-15 Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences Sadeghpour, Anita Maleki, Majid Movassaghi, Massoud Rezvani, Leila Noohi, Feridoun Boudagh, Shabnam Ghadrdoost, Behshid Bakhshandeh, Hooman Alizadehasl, Azin Naderi, Nasim Kamali, Monireh Ghavidel, Alireza A. Peighambari, Mohammad Mahdi Kyavar, Majid Pasha, Hamidreza Int J Cardiol Heart Vasc Original Paper AIMS: Infective endocarditis (IE) remained a potentially fatal disease with high rate of mortality and morbidity. The epidemiology and global burden of IE are largely different between the countries. We aimed to address the epidemiological aspects of IE in a tertiary hospital in Tehran, Iran. METHODS AND RESULTS: Between 2006–2018, all adults patients with diagnosis of IE were enrolled in the Iranian Registry of Infective Endocarditis (IRIE). The data were analyzed using the χ(2), Kolmogorov–Smirnov, and Mann–Whitney U tests. Overall, 602 patients, 407 (67.6%) men, mean age 46 ± 16 years were recruited. Positive blood culture found in 49%.The most common underlying heart diseases were: Congenital heart diseases (CHD) particularly bicuspid aortic valves (BAV) and ventricular septal defects (VSD) in 37%, followed by degenerative heart diseases :flail and mitral valve prolapse (16.3%), intravenous drug user in 12.6%, prosthetic valves in 11.1%, previous IE (8.9%), rheumatic heart diseases (RHD) in 8.4%. The most causative microorganisms were Staphylococcus aureus, Enterococci, coagulase-negative staphylococci and Streptococcus viridans. Cardiac or extra cardiac complications occurred in 56.6% of the patients. CONCLUSIONS: Based on IRIE, IE occurs in the younger population in Iran with high rates of blood culture-negative IE. RHD are not the main cause of IE in Iran, CHD including BAV and VSDs, followed by prolaptic or flail mitral valve were the most common. These 2 groups can be considered a high-risk group for IE. More than half of the patients with IE had cardiac or extra cardiac complications. Elsevier 2019-11-07 /pmc/articles/PMC6849153/ /pubmed/31737777 http://dx.doi.org/10.1016/j.ijcha.2019.100433 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Paper
Sadeghpour, Anita
Maleki, Majid
Movassaghi, Massoud
Rezvani, Leila
Noohi, Feridoun
Boudagh, Shabnam
Ghadrdoost, Behshid
Bakhshandeh, Hooman
Alizadehasl, Azin
Naderi, Nasim
Kamali, Monireh
Ghavidel, Alireza A.
Peighambari, Mohammad Mahdi
Kyavar, Majid
Pasha, Hamidreza
Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences
title Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences
title_full Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences
title_fullStr Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences
title_full_unstemmed Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences
title_short Iranian Registry of Infective Endocarditis (IRIE): Time to relook at the guideline, regarding to regional differences
title_sort iranian registry of infective endocarditis (irie): time to relook at the guideline, regarding to regional differences
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849153/
https://www.ncbi.nlm.nih.gov/pubmed/31737777
http://dx.doi.org/10.1016/j.ijcha.2019.100433
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