Abstract
A literature review is presented, reflecting the incidence, etiology, hemodynamics, localization, clinical manifestations, outcomes and treatment of infective endocarditis (IE) in patients with hypertrophic cardiomyopathy (HCM). Despite the relative rarity of IE in patients with HCM, the combination of these pathologies is characterized by mutual aggravation and poor prognosis. The addition of IE increases the risk of death in patients with obstructive HCM, deteriorating circulatory disorders, increasing the likelihood of uncontrolled sepsis and embolism. Conservative treatment of IE in patients with HCM does not differ from that without HCM. Interdisciplinary interaction is needed in the management of patients with IE against the background of HCM in determining the indications for cardiac surgery and choosing the optimal method. Antibacterial prophylaxis of IE before invasive medical manipulations in patients with HCM is not recommended by the current consensus documents, however, the decision for each patient should be made individually, with a mandatory assessment of the risk of IE, the severity of hemodynamic disorders and prognosis.
Highlights
1 — ФГБОУ ВО Саратовский государственный медицинский университет им
The addition of infective endocarditis (IE) increases the risk of death in patients with obstructive hypertrophic cardiomyopathy (HCM), deteriorating circulatory disorders, increasing the likelihood of uncontrolled sepsis and embolism
Interdisciplinary interaction is needed in the management of patients with IE against the background of HCM in determining the indications for cardiac surgery and choosing the optimal method
Summary
1 — ФГБОУ ВО Саратовский государственный медицинский университет им. Разумовского Минздрава России, кафедра госпитальной терапии лечебного факультета, Саратов, Россия 2 — ГОО ВПО «Донецкий национальный медицинский университет им. М. Горького», Донецк, Украина 3 — ГУ «Институт неотложной и восстановительной хирургии им. Гусака», отдел неотложной и восстановительной кардиохирургии, Донецк, Украина
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have