Document Detail


Age-related prevalence of cardiac valvular abnormalities warranting infectious endocarditis prophylaxis.
MedLine Citation:
PMID:  15276115     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The goal of our study was to determine the prevalence of older patients with cardiac valvular abnormalities warranting endocarditis prophylaxis. We performed a retrospective analysis of 1,000 randomly selected echocardiograms (inpatients and outpatients) from our tertiary care institution. We found that the prevalence of valvular abnormalities increased significantly with age, and that 50% of patients > or =60 years of age warranted endocarditis prophylaxis using current guidelines. With the aging population of the United States and the negative consequences of widespread antibiotic prophylaxis, further investigation is needed to identify patients who are truly at risk for infectious endocarditis.
Authors:
Lori B Croft; Robert Donnino; Robert Shapiro; Jodi Indes; Alla Fayngersh; Anthony Squire; Martin E Goldman
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  94     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2004-08-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  386-9     Citation Subset:  AIM; IM    
Affiliation:
Mount Sinai Medical Center, New York, New York 10029-6574, USA. lori.croft@mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Anti-Bacterial Agents / therapeutic use
Antibiotic Prophylaxis / statistics & numerical data*
Cohort Studies
Comorbidity
Echocardiography, Transesophageal
Endocarditis, Bacterial / diagnosis,  drug therapy*,  epidemiology*
Female
Heart Valve Diseases / epidemiology*,  ultrasonography*
Humans
Male
Middle Aged
Needs Assessment*
Prevalence
Prognosis
Retrospective Studies
Risk Assessment
Severity of Illness Index
Sex Distribution
United States / epidemiology
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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