Document Detail

Hypertrophic obstructive cardiomyopathy and infective endocarditis: a report of seven cases and a review of the literature.
MedLine Citation:
PMID:  2282924     Owner:  NLM     Status:  MEDLINE    
Seven cases of infective endocarditis (IE) in patients with hypertrophic obstructive cardiomyopathy (HOCM) are presented in this report. The previous literature is critically reviewed, and the following points are discussed: (a) IE complicates HOCM in 5-9% of cases; (b) anatomical and haemodynamic alterations of HOCM cause microtraumas on heart valves and the endocardium; the resulting endocardial lesions represent sites for bacterial seeding as well as other congenital or acquired heart disease; (c) prognosis is worse in patients with IE associated with HOCM than in patients with IE alone or associated with congenital heart disease; (d) the most frequently isolated organisms are saprophytes; (e) most patients were exposed to bacteraemias before the onset of IE.
N Alessandri; G Pannarale; F del Monte; F Moretti; B Marino; A Reale
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European heart journal     Volume:  11     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1991-03-19     Completed Date:  1991-03-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1041-8     Citation Subset:  IM    
II Cattedra Malattie Apparato Cardiovascolare, Università La Sapienza, Roma, Italy.
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MeSH Terms
Cardiomyopathy, Hypertrophic / complications*,  ultrasonography
Endocarditis, Bacterial / etiology*,  ultrasonography
Middle Aged

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