Age-related prevalence of cardiac valvular abnormalities warranting infectious endocarditis prophylaxis

The goal of our study was to determine the prevalence of older patients with cardiac valvular abnormalities warranting endocarditis prophylaxis. We performed a retrospective analysis of 1,000 randomly selected echocardiograms (inpatients and outpatients) from our tertiary care institution. We found...

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Bibliographic Details
Published in:The American journal of cardiology 2004-08, Vol.94 (3), p.386-389
Main Authors: Croft, Lori B, Donnino, Robert, Shapiro, Robert, Indes, Jodi, Fayngersh, Alla, Squire, Anthony, Goldman, Martin E
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Antibiotic Prophylaxis - statistics & numerical data
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cohort Studies
Comorbidity
Drug therapy
Echocardiography, Transesophageal
Endocardial and cardiac valvular diseases
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - drug therapy
Endocarditis, Bacterial - epidemiology
Female
Heart
Heart Valve Diseases - diagnostic imaging
Heart Valve Diseases - epidemiology
Humans
Male
Medical disorders
Medical sciences
Middle Aged
Needs Assessment
Older people
Prevalence
Prognosis
Retrospective Studies
Risk Assessment
Severity of Illness Index
Sex Distribution
United States - epidemiology
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Description
Summary:The goal of our study was to determine the prevalence of older patients with cardiac valvular abnormalities warranting endocarditis prophylaxis. We performed a retrospective analysis of 1,000 randomly selected echocardiograms (inpatients and outpatients) from our tertiary care institution. We found that the prevalence of valvular abnormalities increased significantly with age, and that 50% of patients ≥60 years of age warranted endocarditis prophylaxis using current guidelines. With the aging population of the United States and the negative consequences of widespread antibiotic prophylaxis, further investigation is needed to identify patients who are truly at risk for infectious endocarditis.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2004.04.045