PMID- 34881704
OWN - NLM
STAT- MEDLINE
DCOM- 20220117
LR  - 20220117
IS  - 1308-4488 (Electronic)
IS  - 1016-5169 (Linking)
VI  - 49
IP  - 8
DP  - 2021 Dec
TI  - Revascularization strategies in patients with infective endocarditis-related 
      ST-elevation myocardial infarction: The STEMI-ENDO Registry.
PG  - 654-665
LID - 10.5543/tkda.2021.21173 [doi]
AB  - OBJECTIVE: Infective endocarditis (IE)-related ST elevation myocardial infarction 
      (STEMI) is extremely rare. A clear clinical consensus is lacking regarding the 
      management of this emergency. In this study, we aimed to describe the clinical 
      outcomes of treatment strategies in this patient population. METHODS: The study 
      population comprised 19 retrospectively evaluated patients (nine women; mean age 
      52+/-11.8 years) with a diagnosis of IE-related STEMI. Transesophageal 
      echocardiography detected vegetation in all the patients. The study population 
      was divided into two groups on the basis of in-hospital mortality. RESULTS: Major 
      clinical manifestations included dyspnea (89.5%), fever (78.9%), and chest pain 
      (63.2%). Catheter-based coronary angiography was performed in all the patients. 
      The causative agent was isolated in all the cases, and Staphylococcus aureus was 
      identified in seven (36.8%). The most common infarction was in the left anterior 
      descending artery (n=12 [63.2%]). The treatment strategy consisted of mechanical 
      thrombectomy (n=1), valve replacement following stent implantation (n=5), direct 
      balloon angioplasty (n=4), valve replacement along with coronary artery bypass 
      grafting (CABG; n=6), and medical follow-up (n=3). Moreover, thrombolysis in 
      myocardial infarction III flow was significantly higher in the survival group 
      (100% vs. 0%, p<0.001). All these patients preferred CABG or stent implantation 
      for revascularization. CONCLUSION: The current data suggest that a 
      revascularization strategy with stent implantation or revascularization with CABG 
      has a lower mortality rate in patients with IE-related STEMI.
FAU - Guner, Ahmet
AU  - Guner A
AD  - Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery 
      Training and Research Hospital, Istanbul, Turkey.
FAU - Uygun Kizmaz, Yesim
AU  - Uygun Kizmaz Y
AD  - Department of Infectious Diseases and Clinical Microbiology, Kosuyolu Kartal 
      Heart Training and Research Hospital, Istanbul, Turkey.
FAU - Gunduz, Sabahattin
AU  - Gunduz S
AD  - Department of Cardiology, Bahcesehir University School of Medicine, Istanbul, 
      Turkey.
FAU - Arslan, Cagdas
AU  - Arslan C
AD  - Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery 
      Training and Research Hospital, Istanbul, Turkey.
FAU - Ozkan Ozturk, Serpil
AU  - Ozkan Ozturk S
AD  - Department of Infectious Diseases and Clinical Microbiology, Mehmet Akif Ersoy 
      Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, 
      Turkey.
FAU - Alizade, Elnur
AU  - Alizade E
AD  - Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, 
      Istanbul, Turkey.
FAU - Kalcik, Macit
AU  - Kalcik M
AD  - Department of Cardiology, Hitit University School of Medicine, Corum, Turkey.
FAU - Kahraman, Serkan
AU  - Kahraman S
AD  - Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery 
      Training and Research Hospital, Istanbul, Turkey.
FAU - Akman, Cemalettin
AU  - Akman C
AD  - Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery 
      Training and Research Hospital, Istanbul, Turkey.
FAU - Kalkan, Ali Kemal
AU  - Kalkan AK
AD  - Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery 
      Training and Research Hospital, Istanbul, Turkey.
FAU - Ozkan, Mehmet
AU  - Ozkan M
AD  - Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, 
      Istanbul, Turkey.
LA  - eng
PT  - Journal Article
PL  - Turkey
TA  - Turk Kardiyol Dern Ars
JT  - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
JID - 9426239
SB  - IM
MH  - Angioplasty, Balloon/statistics & numerical data
MH  - Chest Pain/etiology
MH  - Coronary Angiography
MH  - Dyspnea/etiology
MH  - Echocardiography, Transesophageal
MH  - Endocarditis/*complications/diagnostic imaging/microbiology
MH  - Female
MH  - Fever/etiology
MH  - Heart Valve Prosthesis Implantation/statistics & numerical data
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Mechanical Thrombolysis/statistics & numerical data
MH  - Middle Aged
MH  - Myocardial Revascularization/*methods/mortality
MH  - Registries
MH  - Retrospective Studies
MH  - ST Elevation Myocardial Infarction/etiology/mortality/*surgery
MH  - Stents
EDAT- 2021/12/10 06:00
MHDA- 2022/01/18 06:00
CRDT- 2021/12/09 08:38
PHST- 2021/12/09 08:38 [entrez]
PHST- 2021/12/10 06:00 [pubmed]
PHST- 2022/01/18 06:00 [medline]
AID - 10.5543/tkda.2021.21173 [doi]
PST - ppublish
SO  - Turk Kardiyol Dern Ars. 2021 Dec;49(8):654-665. doi: 10.5543/tkda.2021.21173.