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Colegio de Medicina Interna de México.

2024, Number 08

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Med Int Mex 2024; 40 (08)

Prevalence of acute ischemic stroke in patients with infective endocarditis in a Colombian population

Rozo OEJ, Márquez RBA, Perilla RLP, Colorado LL, Lizarazo DN, Vargas RLJ

Language: Spanish
References: 22
Page: 465-471
PDF size: 190.85 Kb.


ABSTRACT

Objective: To characterize patients with infective endocarditis and ischemic stroke.
Patients and Methods: An observational, descriptive study was carried out, including patients over 18 years of age treated at the San Rafael Hospital, Tunja, Colombia, from January 2010 to January 2019 with a confirmed diagnosis of infective endocarditis. The dependent variable was the presence of ischemic stroke, while the independent variables were sociodemographic data (age, sex and comorbidities), test data (blood count, acute phase reactants, electrolytes, liver and kidney function) and imaging data.
Results: There were included 87 patients with confirmed diagnosis of infective endocarditis. The prevalence of stroke was 33.7%. The variables urban residence, diabetes mellitus, cardiac arrhythmias and epilepsy increased the probability that a patient with bacterial endocarditis would suffer an ischemic stroke.
Conclusions: The history of diabetes, epilepsy, cardiac arrhythmias, and urban residence are correlated to the presence of ischemic stroke in this population. Most of these events occurr in people under 35 years of age, unlike other populations worldwide, which makes it pertinent to suspect infective endocarditis in young patients who present with cerebrovascular accidents.


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