Valve regurgitation in patients surviving endocarditis and the subsequent risk of heart failure
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Valve regurgitation in patients surviving endocarditis and the subsequent risk of heart failure. / Østergaard, Lauge; Dahl, Anders; Bruun, Niels Eske; Oestergaard, Louise Bruun; Lauridsen, Trine Kiilerich; Torp-Pedersen, Christian; Mortensen, Rikke; Smerup, Morten; Valeur, Nana; Koeber, Lars; Hassager, Christian; Ihlemann, Nikolaj; Fosbøl, Emil Loldrup.
I: Heart, Bind 106, Nr. 13, 2020, s. 1015-1022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Valve regurgitation in patients surviving endocarditis and the subsequent risk of heart failure
AU - Østergaard, Lauge
AU - Dahl, Anders
AU - Bruun, Niels Eske
AU - Oestergaard, Louise Bruun
AU - Lauridsen, Trine Kiilerich
AU - Torp-Pedersen, Christian
AU - Mortensen, Rikke
AU - Smerup, Morten
AU - Valeur, Nana
AU - Koeber, Lars
AU - Hassager, Christian
AU - Ihlemann, Nikolaj
AU - Fosbøl, Emil Loldrup
PY - 2020
Y1 - 2020
N2 - Background Significant valve regurgitation is common in patients surviving native valve infective endocarditis (IE), however the associated risk of heart failure (HF) subsequent to hospital discharge after IE is sparsely described. Methods We linked data from the East Danish Endocarditis Registry with administrative registries from 2002 to 2016 and included patients treated medically for IE who were discharged alive. Left-sided valve regurgitation was assessed by echocardiography at IE discharge and examined for longitudinal risk of HF. Multivariable adjusted Cox analysis was used to assess the associated risk of HF in patients with regurgitation (moderate or severe) compared with patients without regurgitation. Results We included 192 patients, 87 patients with regurgitation at discharge (30 with aortic regurgitation and 57 with mitral regurgitation) and 105 patients without. The cumulative risk of HF at 5 years of follow-up was 28.7% in patients with regurgitation at IE discharge and 12.4% in patients without regurgitation; the corresponding multivariable adjusted HR was 3.53 (95% CI 1.72 to 7.25). We identified an increased associated risk of HF for patients with aortic regurgitation (HR=2.91, 95% CI 1.14 to 7.43) and mitral regurgitation (HR=3.95, 95% CI 1.80 to 8.67) compared with patients without regurgitation. During follow-up, 21.9% and 5.7% underwent left-sided valve surgery among patients with and without regurgitation. Conclusion In patients surviving IE, treated medically, we observed that severe or moderate left-sided native valve regurgitation was associated with a significantly higher risk of HF compared with patients without regurgitation at IE discharge. Close monitoring of these patients is needed to initiate surgery timely.
AB - Background Significant valve regurgitation is common in patients surviving native valve infective endocarditis (IE), however the associated risk of heart failure (HF) subsequent to hospital discharge after IE is sparsely described. Methods We linked data from the East Danish Endocarditis Registry with administrative registries from 2002 to 2016 and included patients treated medically for IE who were discharged alive. Left-sided valve regurgitation was assessed by echocardiography at IE discharge and examined for longitudinal risk of HF. Multivariable adjusted Cox analysis was used to assess the associated risk of HF in patients with regurgitation (moderate or severe) compared with patients without regurgitation. Results We included 192 patients, 87 patients with regurgitation at discharge (30 with aortic regurgitation and 57 with mitral regurgitation) and 105 patients without. The cumulative risk of HF at 5 years of follow-up was 28.7% in patients with regurgitation at IE discharge and 12.4% in patients without regurgitation; the corresponding multivariable adjusted HR was 3.53 (95% CI 1.72 to 7.25). We identified an increased associated risk of HF for patients with aortic regurgitation (HR=2.91, 95% CI 1.14 to 7.43) and mitral regurgitation (HR=3.95, 95% CI 1.80 to 8.67) compared with patients without regurgitation. During follow-up, 21.9% and 5.7% underwent left-sided valve surgery among patients with and without regurgitation. Conclusion In patients surviving IE, treated medically, we observed that severe or moderate left-sided native valve regurgitation was associated with a significantly higher risk of HF compared with patients without regurgitation at IE discharge. Close monitoring of these patients is needed to initiate surgery timely.
KW - Aortic regurgitation
KW - Cardiac surgery
KW - Endocarditis
KW - Heart failure
KW - Mitral regurgitation
U2 - 10.1136/heartjnl-2019-315715
DO - 10.1136/heartjnl-2019-315715
M3 - Journal article
C2 - 31822570
AN - SCOPUS:85076673043
VL - 106
SP - 1015
EP - 1022
JO - Heart
JF - Heart
SN - 1355-6037
IS - 13
ER -
ID: 254465413