[Cardiac device related infective endocarditis; analysis of 15 cases]

Turk Kardiyol Dern Ars. 2013 Mar;41(2):131-5. doi: 10.5543/tkda.2013.32708.
[Article in Turkish]

Abstract

Objectives: We aimed to investigate the demographic and clinical characteristics, echocardiographic and microbiologic features, and outcomes of patients with permanent pacemaker (PM) and implantable cardioverter-defibrillator (ICD) endocarditis in this study.

Study design: The study population consisted of 15 patients with permanent PM and ICD endocarditis. Data on demographics, medications, clinical procedures, microbiology, echocardiography, surgery, and outcome were collected.

Results: The mean age of the patients was 57 ± 16. Seven patients (47%) were female. Of the 15 permanent PM and ICD endocarditis patients, 5 died during hospital follow-up (33%). Four patients (27%) experienced a pulmonary embolism. Culture-negative endocarditis was seen in 5 cases (33%). Staphylococci were the most common causative organisms (60%). Three patients had undergone surgical treatment (20%).

Conclusion: Cardiac device-related endocarditis remain a rare but potentially fatal complication of device implantation.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Defibrillators, Implantable / adverse effects*
  • Endocarditis / complications
  • Endocarditis / etiology*
  • Endocarditis / mortality
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pacemaker, Artificial / adverse effects*
  • Pseudomonas Infections / etiology*
  • Pseudomonas aeruginosa
  • Pulmonary Embolism / etiology
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / etiology*
  • Staphylococcal Infections / mortality
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Young Adult