Recurrent Infective Endocarditis Analysis of Predisposing Factors and Clinical Features

DAVID E. WELTON, M.D.* JAMES B. YOUNG, M.D. WAYNE 0. GENTRY, M.D. ALBERT E. RAIZNER. M.D. JAMES K. ALEXANDER, M.D ROBERT A. CHAHINE, M.D.

RICHARD R.MILLER,M.D. Ilouston, Texas

From the Sections of Cardiology and Infectious Disease, Department of Medicine, Baylor College of Medicine, Houston, Texas. This study was presented in part at the 51st Scientific Sessions of the American Heart Association, Dallas, Texas, November 15,1978. It was supported in part by the National Heart, Lung and Blood Vessel Research and Demonstration Center, Baylor College of Medicine, NHLBI, HL -17269. Requests for reprints should be addressed to Dr. James B. Young, Section of Cardiology, Baylor College of Medicine, 6516 Bertner Boulevard, Houston, Texas 77030. Manuscript accepted January 8.1979. * Present address: Santa Barbara Medical Foundation Clinic, P. 0. Box 1200, Santa Barbara, California 93102.

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To characterize the patient population and clinical features of recurrent infective endocarditis, 117 patients with 142episodes of infective endocarditis were investigated. Sixty-one (52per cent) of the total population were drug abusers. Of the 96 who survived the initial episode of infective endocarditis, 58,including 34drug abusers, were followed for a mean duration of 128weeks. Recurrent infective endocarditis occurred in 18of 58(31per cent); 14of 34(41per cent) of drug abusers versus ftiur of 24(17per cent) of nondrug users (P

Recurrent infective endocarditis: analysis of predisposing factors and clinical features.

Recurrent Infective Endocarditis Analysis of Predisposing Factors and Clinical Features DAVID E. WELTON, M.D.* JAMES B. YOUNG, M.D. WAYNE 0. GENTRY,...
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