Cardiac device related infective endocarditis; analysis of 15 cases

Abstract

Objectives: We aimed to investigate the demographic and clinical characteristics, echocardiographic and microbiologic features, and outcomes of patients with permanent pacemaker (PM) and implantable cardioverter-defibrillator (ICD) endocarditis in this study. Study design: The study population consisted of 15 patients with permanent PM and ICD endocarditis. Data on demographics, medications, clinical procedures, microbiology, echocardiography, surgery, and outcome were collected. Results: The mean age of the patients was 57+-16. Seven patients (47%) were female. Of the 15 permanent PM and ICD endocarditis patients, 5 died during hospital follow-up (33%). Four patients (27%) experienced a pulmonary embolism. Culture- negative endocarditis was seen in 5 cases (33%). Staphylococci were the most common causative organisms (60%). Three patients had undergone surgical treatment (20%). Conclusion: Cardiac device-related endocarditis remain a rare but potentially fatal complication of device implantation.

Keywords

• defibrillators
• implantable/adverse effects
• endocarditis/ diagnosis/prevention & control /therapy; pacemaker
• artificial; cardiology.