Author + information
- Parshva Patel,
- Kanishk Agnihotri,
- Harshil Patel,
- Rimsha Hasan and
- Srikanth Vallurupalli
The incidence of infective endocarditis in the elderly is on the rise. We studied trends and predictors of utilization of coronary angiography prior to urgent surgery for infective endocarditis and its effect on mortality.
A total of 25,069 patients >18 yrs who underwent valve replacement for endocarditis as direct, urgent admissions between 2005-2014 were identified from the National Inpatient Sample using ICD 9 codes. Patients who underwent coronary angiography (CA) were compared with those who did not undergo CA.
40.7% underwent CA with a significant decrease over the study period. Patients in CA cohort were older (58.9 ± 0.27 vs 49.9 ± 0.29, p<0.0001) and had more co-morbidities (Charlson's comorbidity score ≥ 2- 52.4% vs 42.5%; p<0.0001). Significant predictors of utilization of angiography were- age, diabetes, hypertension and heart failure while teaching hospital status was associated with lower utilization(OR 0.73, 0.69-0.78, p<0.0001). 20.7% underwent concomitant coronary artery bypass (CABG). Length of stay (23.8+0.3 vs 26.1 ± 0.3 days, p<0.001) and in hospital mortality (8.3% vs 11.17%, p<0.0001) were lower in the CA cohort.
Coronary angiography is underutilized in patients undergoing surgery for endocarditis.1 in 5 angiograms resulted in concomitant CABG. Results from this analysis suggest lower mortality and shorter in hospital stay in the CA cohort.
Poster Hall, Hall F
Sunday, March 17, 2019, 3:45 p.m.-4:30 p.m.
Session Title: Interventional Cardiology: Angiography and Interventional CT/MR 2
Abstract Category: 16. Interventional Cardiology: Angiography and Interventional CT/MR
Presentation Number: 1255-051
- 2019 American College of Cardiology Foundation