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Infective Endocarditis pp 89–103Cite as

Prognosis in Infective Endocarditis

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Abstract

Despite diagnostic and therapeutic improvements, infective endocarditis remains associated with high mortality and severe complications. When assessing the prognosis of patients with endocarditis, three different clinical periods should be distinguished: prognostic assessment at admission, early risk reassessment during the first week of antibiotics, and short and long-term prognosis after discharge. The three cornerstones for diagnosis and prognosis of patients with endocarditis are based on physical examination (signs of heart failure), echocardiography (periannular complications), and blood cultures (S. aureus infection). These predictors can be available in the first 72 h after admission. Besides the above mentioned three clinical periods, for those patients who require surgical treatment in the active phase of the disease, an accurate surgical risk score would help to recognize which patients have a high risk and should not be sent to surgery.

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Authors and Affiliations

  1. Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain

    Isidre Vilacosta MD, PhD, Carmen Olmos Blanco MD, PhD, Carlos Ferrera Durán MD, David Vivas Balcones MD, PhD & Luis Maroto Castellanos MD, PhD

  2. Department of Internal Medicine and Infectious Diseases, Hospital Universitario de la Princesa, Madrid, Spain

    Cristina Sarriá Cepeda MD, PhD

  3. Instituto de Ciencias Del Corazón (ICICOR), Hospital Clínico Universitario de Valladolid, Valladolid, Spain

    Javier López Díaz MD, PhD & José Alberto San Román Calvar MD, PhD

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  1. Isidre Vilacosta MD, PhD
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  2. Carmen Olmos Blanco MD, PhD
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Correspondence to Isidre Vilacosta MD, PhD .

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  1. Cardiology Department, Hôpital La Timone, Marseille, France

    Gilbert Habib

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Vilacosta, I. et al. (2016). Prognosis in Infective Endocarditis. In: Habib, G. (eds) Infective Endocarditis. Springer, Cham. https://doi.org/10.1007/978-3-319-32432-6_8

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