ArticleJournal of cardiovascular echography
One-year Impact of Clinical and Echocardiographic Parameters in Cardiac Implantable Electronic Device Infection after Transvenous Extraction.
Article in Journal of cardiovascular echography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Cardiac implantable electronic device infection (CIEDi) represents a serious complication with a poor prognosis. Many studies have underlined the importance of comorbidities on prognosis, but less is known about the impact of echocardiographic parameters. The aim of our study was to evaluate the clinical and echocardiographic characteristics of patients hospitalized for CIEDi submitted to transvenous extraction and their impact on 1-year follow-up. Materials and Methods: This is a retrospective cohort study that evaluated patients hospitalized for CIEDi in 2019 in two high-volume centers (Cotugno Hospital of Napoli and University Hospital of Pisa). Results: Sixty-eight patients (72 ± 12 years, 24% females) were included. Isolated pocket infection was present in 30 patients (44%), whereas systemic infection in 38 (56%). In 24 patients (35%), it was possible to identify responsible germ, with a higher prevalence of Conclusions: Echocardiography (TTE and TEE) is a fundamental tool for the diagnosis and follow-up of CIEDi. In our population, diabetes mellitus and echocardiographic-derived parameters as reduced EF ≤40% and the presence of ghosts were strongly associated with 1-year mortality.
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