Evidence map›Paper›PMID 41146769›Full record

ReviewCureus2025

Infective Endocarditis in Special Populations: Epidemiology, Diagnostic Challenges, and Management Strategies.

Abubakar I Sidik, Maxim A Chinikov, Lyudmila S Korjueva, Eima Abdi, Rostamian Seyedamirali, Alibafghi Mobin, Atahanov Vepa, Kabboudi Hela, Singogo Tumaini, Mdolo Gaudensia and 10 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Abubakar I SidikCardiovascular Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Maxim A ChinikovDepartment of Hospital Surgery with a Course of Pediatric Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Lyudmila S KorjuevaCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Eima AbdiCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Rostamian SeyedamiraliCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Alibafghi MobinCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Atahanov VepaCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Kabboudi HelaCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Singogo TumainiCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Mdolo GaudensiaCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Haya R Abu SharbeenCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Hope SibalwaCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Vivian U EjimCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Masela JamesCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Ali HassanCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Kelala YasserCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Salehk Amro Zuhair SalahDepartment of Cardiovascular Medicine, Moscow Multidisciplinary Clinical Center Kommunarka, Moscow, RUS.
Emmanuel Joachim Njoya MbomboCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Emmanuel S NdhlovuCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Rashed R Ahmad AmeralharthiCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infective endocarditis (IE) remains a severe cardiovascular infection with persistently high morbidity and mortality despite advances in antimicrobial therapy, imaging, and surgical techniques. Its burden is disproportionately borne by special populations, including patients with prosthetic or transcatheter valves, people who inject drugs, pregnant women, individuals with congenital heart disease, immunocompromised hosts, and critically ill patients. These groups face distinct epidemiological patterns, atypical clinical presentations, and complex management challenges that diverge from native valve disease. We conducted a comprehensive literature review across PubMed/MEDLINE, Web of Science, and Scopus, ultimately including 57 studies addressing epidemiology, diagnostic approaches, surgical management, and outcomes in special populations. Findings highlight increased susceptibility due to prosthetic material, injection practices, immunosuppression, and pregnancy-related physiological changes, as well as diagnostic delays stemming from atypical features or imaging limitations. Management requires balancing infection control with patient-specific risks, including maternal-fetal safety, recurrent infections, or frailty in transplant and ICU patients. Outcomes across groups remain poor, underscoring the need for tailored multidisciplinary strategies. Future directions include refined risk stratification tools, wider adoption of advanced imaging modalities, integration of harm reduction and preventive approaches, and establishment of registries to generate high-quality data in underrepresented populations. By synthesizing current evidence, this review emphasizes the necessity of individualized strategies to improve care and prognosis for vulnerable patients with IE.

Indexed as

cardiac device-related infective endocarditiscongenital heart diseasediagnostic imagingimmunocompromised patientsinfective endocarditisintravenous drug usesurgical managementvalve endocarditis

Identifiers

PMID41146769
PMCPMC12554326

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.