title: [Risk factors associated with endocarditis without underlying heart disease].
abstract: Infective endocarditis (IE) pathogenesis has changed in the last decades and there is an increasing number of patients without predisposing heart condition. The aim of this study is to asses the clinical features of these non-drug addict patients affected with IE without underlying heart disease and to identify the potential risk factors. From 196 cases of IE, 49 (25% of the series) occurred in patients without underlying heart disease. A presumed portal of entry was identified in the majority (26 cases). The most frequent were digestive (6 cases), haemodialysis (6 cases) and central venous catheters (4 cases). Right heart valves were more often affected (29 vs 6%; p < 0.01). The distribution of the causative microorganism showed a higher proportion of Staphylococcus (57 vs 30%). Despite a similar in-hospital complication rate and a similar need of surgery during the active phase, their prognosis is better than in those with underlying heart disease.
authors.affiliation: Servicio de Cardiología, Hospital Reina Sofía, Córdoba, Spain. jcastillod@medynet.com
authors.forename: Juan C
authors.initials: JC
authors.lastname: Castillo
authors.forename: Manuel P
authors.initials: MP
authors.lastname: Anguita
authors.forename: Francisco
authors.initials: F
authors.lastname: Torres
authors.forename: Juan R
authors.initials: JR
authors.lastname: Siles
authors.forename: Dolores
authors.initials: D
authors.lastname: Mesa
authors.forename: Federico
authors.initials: F
authors.lastname: Vallés
mesh_terms: D000328:Adult; D004696:Endocarditis / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors