title: [Myocardial infarction in infective endocarditis].
abstract: Two patients with chronic valvular heart disease and myocardial infarction were assisted at our hospital. Both of them were febrile and only one had petechiae associated with signs of valvular involvement led to suspicion of infective endocarditis. Although blood cultures were negative, echocardiographic, surgical and anatomopathologic findings were compatible with infective endocarditis. They required cardiac surgery during the acute phase of the infection because they presented progressive hemodynamic deterioration and no satisfactory response to antimicrobial regimen too. One patient died at late follow-up (two weeks after the hospital discharge) and the other survived, but with signs of cardiac failure (class II of NYHA) one year after the procedure.
authors.affiliation: Instituto Dante Pazzanese de Cardiologia, São Paulo.
authors.forename: S do C
authors.initials: Sdo C
authors.lastname: Jorge
authors.forename: C A
authors.initials: CA
authors.lastname: Arêas
authors.forename: M
authors.initials: M
authors.lastname: Shibata
authors.forename: J E
authors.initials: JE
authors.lastname: Assef
authors.forename: A S
authors.initials: AS
authors.lastname: Arnoni
authors.forename: M M
authors.initials: MM
authors.lastname: Zamorano
authors.forename: L M
authors.initials: LM
authors.lastname: da Silva
authors.forename: L C
authors.initials: LC
authors.lastname: Souza
authors.forename: L S
authors.initials: LS
authors.lastname: Piegas
authors.forename: H M
authors.initials: HM
authors.lastname: Magalhães
mesh_terms: D000293:Adolescent; D000368:Aged; D003328:Coronary Thrombosis / Q000150:complications; D004562:Electrocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D011877:Radionuclide Imaging
vernacular_title: Infarto do miocárdio na endocardite infecciosa.