-transparent.png){kind=logo}
OBJECTIVE To study of the Doppler-echocardiographic aspects in patients with IE and its correlation with the prognosis and evolution. METHODS One hundred and eight patients with clinical of IE were prospectively studied by Doppler-echocardiography (D-E) in order to determine whether the simple presence of vegetation, its size, mobility and place of attachment could identify high risk groups. Vegetations were classified according to its size (longest axis) into small (veg less than 5 mm), medium (5 mm less than veg less than 10 mm) and large (veg less than 10 mm); according to its kind into "sessible" or "mobile" and according to its appearence into "cotton like" or "calcified". RESULTS Patients with (84.2%) and without (15.8%) vegetations didn't show any significant difference in the complications incidence (emboli, heart failure or death) and the same happened with its size. However, patients with aortic positioned vegetations showed ligher incidence of HF (Aortic 53.8 x Mitral 31.0% x Tricuspid 3.7%) need for surgery (Aortic 69.2% x Mitral 34.5% x Tricuspid 3.7%) and death (Aortic 30.7% x Mitral 13.7% x Tricuspid 7.4%). Emboli were observed in 81.4% of the patients with tricuspid valve vegetations. Eight patients showed IE on aortic prothesis. Five of them needed surgical treatment and 2 of them died. Among 12 patients with IE on mitral prothesis, 7 needed surgery and 3 died. Pericardial effusion were verified in 51 patients (47.2%), chordal rupture in 14 (12.8%) and valve abcess in 6 (5.5%). All patients with valve abcess were submitted to surgery. CONCLUSIONS Doppler-echocardiography is an excellent method in the diagnosis of IE and its aspects may have, sometimes, a positive correlation with the prognosis and patient's evolution.
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
April 2022,
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
February 1979,
The American journal of medicine,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
October 1989,
International journal of cardiology,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
June 1986,
Revista medica de Chile,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
January 1982,
Giornale italiano di cardiologia,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
January 1983,
Cardiovascular clinics,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
January 2022,
Frontiers in cardiovascular medicine,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
December 1981,
The Journal of the Florida Medical Association,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
June 1985,
Clinical pediatrics,
J E Assef, and
S C Pontes Júnior, and
V M Gimenez, and
S do Carmo Jorge, and
E A Jacooud, and
L S Piegas, and
J E Sousa
January 1993,
Cardiology,
