Share this page on LinkedIn
Share This Page on Google+
Share This Page on Twitter
tell someone about this page print this page
You are here: Contents > 2006 > Volume 15 Number 1 January 2006 > INFECTIVE ENDOCARDITIS > Pacemaker-Related Endocarditis: Clinical Features and Treatment

Pacemaker-Related Endocarditis: Clinical Features and Treatment

Martín Ruiz, Manuel Anguita, Juan C. Castillo, Mónica Delgado, Elías Romo, Francisco Torres1, Dolores Mesa, Manuel Franco, Federico Vallés

Cardiology Service, Hospital Reina Sofía, Córdoba, 1Cardiology Service, Hospital Costa del Sol, Marbella, Spain

Background and aim of the study: Removal of the entire infected system is the traditionally indicated management of pacemaker lead endocarditis (PLE), based on expert recommendations. Herein is described the present authors’ experience with this condition.
Methods: Between 1987 and 2004, all consecutive patients with PLE treated at a tertiary referral university hospital and a community hospital were prospectively selected. Clinical features, management and outcome were analyzed.
Results: Thirteen cases of PLE were diagnosed. Surgery was performed in 10 cases, and medical treatment alone in three (due to advanced age in two cases and because of terminal colon cancer in one case). Four subjects died before discharge: three

deaths occurred after surgery (one patient died due to refractory ventricular arrhythmia and two from persistent sepsis), and one unoperated patient died from sepsis and severe renal failure. No deaths or late surgeries were observed after a mean follow up period of 37 ± 14 months. Both patients who survived hospitalization and underwent only medical treatment were free from late complications after 30 and 60 months follow up, respectively.
Conclusion: Some patients with PLE present a good evolution without surgery, suggesting that surgical treatment is not mandatory in this situation. However, an indication for surgery may be similar to that for other cases of infective endocarditis.

The Journal of Heart Valve Disease 2006;15:122-124

Pacemaker-Related Endocarditis: Clinical Features and Treatment

Click the above hyperlink to view the article, right click (Ctrl click on a Mac) to open in a new browser window or tab.

Purchase this Article

Please click the button below to purchase this article. Single article purchases are provided at $50.00 per article. Upon clicking the button below, single article user account subscription details are requested and, upon successful payment, a single article user account is created. Single articles are availble in your account for seven days after purchase.