Interv Akut Kardiol. 2017;16(4):146-150 | DOI: 10.36290/kar.2017.021

Cardiac implanted electronic device-related infective endocarditis

Jana Bínová, Miloš Kubánek, Kamil Sedláček, Lukáš Krýže, Josef Kautzner

Klinika kardiologie, Institut klinické a experimentální medicíny, Praha

The use of cardiac implantable electronic devices has expanded dramatically over the past decade and infective endocarditis ofthese devices (CDRIE) is associated with high morbidity and mortality. 1 year mortality has not improve and remains at 25 %. Riskgroups are mainly older patients with multiple commorbidities. CDRIE occurs most often 6 month after implantation. Staphylococcalpredominate as the causative organism. Diagnosis of disease is not easy, clinical presentation is highly variable. Echocardiographyand blood cultures are the cornerstones of the diagnosis. CDRIE must be treated by prolonged antibiotic therapy and frequentlyrequires complete hardware removal.

Keywords: infective endocarditis, cardiac device-related infective endocarditis, pacemaker, cardioverter-defibrilátor

Received: June 20, 2017; Accepted: December 14, 2017; Published: December 1, 2017  Show citation