Bacterial Endocarditis: Valve Replacement in Aortic Insufficiency
- JAMES S. BORGES, M.D.;
- RICHARD B. ROBERTS, M.D., F.A.C.P.; and
- WARREN D. JOHNSON, M.D., F.A.C.P.
-
Division of Infectious Diseases
Department of Medicine
Cornell University Medical College
New York, New York
Excerpt
Griffin, Jones, and Cobbs (Ann Intern Med 76:23-28, 1972) report a 74% mortality rate in patients with bacterial endocarditis, aortic valve insufficiency, and heart failure who received only medical therapy (1). The patients were divided into three groups: Group 1, no heart failure; group 2, mild heart failure (controlled by digitalis alone); and group 3, moderate to severe heart failure (requiring digitalis and diuretic therapy). Seven of eight patients with moderate or severe heart failure treated medically died, whereas only one of five with severe heart failure who had aortic valve replacement died. Their conclusion that patients with severe heart
This 100-word excerpt has been provided in the absence of an abstract.
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