Evidence map›Paper›PMID 41967087›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2026

Clinical characteristics, treatment, and outcomes in CIED-related vs. left-sided infective endocarditis: a nationwide study from the NIDUS registry.

Amna Alhakak, Peter Laursen Graversen, Katra Hadji-Turdeghal, Jacob Eifer Møller, Niels Eske Bruun, Anne-Christine Ruwald, Peter Godsk Jørgensen, Andreas Dalsgaard Jensen, Jeppe K Petersen, Mohammed Bakir Ahmad Lafta and 11 more

Abstract readComparative Study
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2026. 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. Insulin-treated type 2 diabetes is associated with increased mortality after transvenous lead extraction for device infection: the IN2DEEP study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    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

21 authors.

Amna AlhakakDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-0455-4409
Peter Laursen GraversenDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-1231-6283
Katra Hadji-TurdeghalDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-3763-6777
Jacob Eifer MøllerDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-2873-5845
Niels Eske BruunDepartment of Cardiology, Zealand University Hospital, Roskilde, Denmark.ORCID 0000-0002-5026-9193
Anne-Christine RuwaldDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-2352-1469
Peter Godsk JørgensenDepartment of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.ORCID 0000-0002-1217-8944
Andreas Dalsgaard JensenDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-1057-8095
Jeppe K PetersenDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0002-1166-7877
Mohammed Bakir Ahmad LaftaDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0009-0007-7166-0507
Kasper Høtoft BengtsenDepartment of Cardiology, Zealand University Hospital, Roskilde, Denmark.ORCID 0000-0003-0930-1224
Melanie Vuong LeDepartment of Cardiology, Zealand University Hospital, Roskilde, Denmark.ORCID 0009-0001-0851-4669
Kasper Karmark IversenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0504-8487
Jonas Agerlund PovlsenDepartment of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.ORCID 0000-0001-9655-0493
Claus Ernst MoserDepartment of Clinical Microbiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-7664-8570
Morten Holdgaard SmerupDepartment of Cardiothoracic Surgery, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-8482-030X
Jannik Helweg-LarsenDepartment of Infectious Diseases, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-7192-0144
Henning BundgaardDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0002-0563-7049
Lauge ØstergaardDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0003-3298-1467
Lars KøberDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0002-6635-1466
Emil Loldrup FosbølDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0002-2048-4167

Funding

Health Donations 2024-0509Rigshospitalet-Copenhagen University Hospital E-23781-11
6 · The paper itself

Abstract

aimsCardiac implantable electronic device (CIED)-related infective endocarditis (IE) presents distinct diagnostic and therapeutic challenges due to its unique characteristics and limited evidence supporting guidelines compared with left-sided valvular IE. We aimed to examine clinical characteristics, treatment, and mortality in patients with CIED-related IE vs. left-sided valvular IE. METHODS AND

resultsWe included patients with first-time IE using nationwide data from the NatIonal Danish endocarditis StUdieS (NIDUS) registry (2016-2021) and categorized them into isolated CIED-related IE without concomitant valvular IE and left-sided valvular IE. A total of 340 patients with isolated CIED-related IE and 2510 patients with left-sided IE were included. Patients with CIED-related IE vs. left-sided IE were older (76.1 vs. 73.2 years), and a higher proportion were males (78.5% vs. 65.9%), had diabetes (32.9% vs. 21.9%), heart failure (46.2% vs. 11.7%), Staphylococcus aureus (37.1% vs. 30.7%), coagulase-negative staphylococci (11.2% vs. 6.4%), and culture-negative IE (12.1% vs. 7.8%). However, fever at admission was lower in CIED-related IE (55.4% vs. 61.5%). Cardiac implantable electronic device removal was performed in 78.2% of patients with CIED-related IE. The 6-month cumulative incidence of mortality was 20.4% (95% CI: 16.2-24.9%) in CIED-related IE and 26.8% (95% CI: 25.1-28.6%) in left-sided IE (P = 0.009). In a multivariable Cox regression model, CIED-related IE was associated with lower 6-month mortality compared with left-sided IE (adjusted HR: 0.52 [95% CI: 0.40-0.68], P < 0.001).

conclusionIn this nationwide study, patients with CIED-related IE were distinctly different from those with left-sided IE. Staphylococci were more prevalent, and despite higher age and differences in comorbidities, mortality was lower.

Indexed as

Device Lead ExtractionElectrodesEndocarditisHeart Valve DiseasesProsthesis-Related InfectionsRegistriesAgedAged, 80 and overAnti-Bacterial AgentsDenmarkFemaleHumansMaleMiddle AgedAnti-Bacterial AgentsEpidemiologyImplantable cardioverter–defibrillatorInfective endocarditisPacemakerValvular heart disease

Identifiers

PMID41967087
PMCPMC13126043

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Registered trials

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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.