Infective Endocarditis in the Elderly: Challenges and Strategies

Autores de INCLIVA
Participantes ajenos a INCLIVA
- Perez-Rivera, JA
- Díez-Villanueva, P
- Belmonte, A
Grupos y Plataformas de I+D+i
Abstract
The specific management of infective endocarditis (IE) in elderly patients is not specifically addressed in recent guidelines despite its increasing incidence and high mortality in this population. The term "elderly" corresponds to different ages in the literature, but it is defined by considerable comorbidity and heterogeneity. Cancer incidence, specifically colorectal cancer, is increased in older patients with IE and impacts its outcome. Diagnosis of IE in elderly patients is challenging due to the atypical presentation of the disease and the lower performance of imaging studies. Enterococcal etiology is more frequent than in younger patients. Antibiotic treatment should prioritize diminishing adverse effects and drug interactions while maintaining the best efficacy, as surgical treatment is less commonly performed in this population due to the high surgical risk. The global assessment of elderly patients with IE, with particular attention to frailty and geriatric profiles, should be performed by multidisciplinary teams to improve disease management in this population.
Datos de la publicación
- ISSN/ISSNe:
- 2308-3425, 2308-3425
- Tipo:
- Review
- Páginas:
- -
- DOI:
- 10.3390/jcdd9060192
- PubMed:
- 35735821
Journal Of Cardiovascular Development And Disease MDPI
Citas Recibidas en Web of Science: 19
Documentos
- No hay documentos
Filiaciones
Keywords
- infective endocarditis; elderly; diagnosis; treatment
Financiación
Proyectos y Estudios Clínicos
Resolution of microvascular obstruction after myocardial infarction. A multidisciplinary approach to assess the structural and clinical consequences and to evaluate new therapeutic options.
Investigador Principal: VICENT BODÍ PERIS
PI20/00637 . INSTITUTO SALUD CARLOS III . 2021
Cita
Bea C,Vela S,García S,Perez JA,Díez P,de Gracia AI,Fuertes E,Oltra MR,Ferrer A,Belmonte A,Santas E,Pellicer M,Colomina J,Doménech A,Bodi V,Forner MJ,Chorro FJ,Bonanad C. Infective Endocarditis in the Elderly: Challenges and Strategies. J. Cardiovasc. Dev. Dis. 2022. 9(6):192. (3).
Infective Endocarditis in the Elderly: Challenges and Strategies. Bea,C, Vela,S, García Blas,S, Perez Rivera,JA, Díez Villanueva,P, de Gracia,AI, Fuertes,E et al. Journal Of Cardiovascular Development And Disease. 2022 junio 01. 9 (6):DOI:10.3390/jcdd9060192. PMID:35735821.