The treatment of septicemia in pacemaker patients

Ádám Böhm, Ferenc Bányai, István Préda, Károly Zámolyi

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Abstract

The authors analyzed the data of seven patients who had undergone open heart surgery because of pacemaker endocarditis in the past 4 years. Repeated surgical interventions on the pacemaker system were found to be the most common predisposing factors. Staphylococcus aureus and Staphylococcus epidermidis were the most common causative organisms. Two-dimensional echocardiography was important in the diagnosis of cases with atypical clinical picture and negative blood cultures. We concluded that: (1) any pacemaker patient with fever should be considered to have a pacemaker endocarditis; (2) all of these patients should be examined by two-dimensional echocardiography; and (3) the total removal of the infected hardware seems to be the only way to achieve complete recovery.

Original languageEnglish
Pages (from-to)1105-1111
Number of pages7
JournalPACE - Pacing and Clinical Electrophysiology
Volume19
Issue number7
DOIs
Publication statusPublished - Jan 1 1996

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Keywords

  • pacemaker endocarditis
  • two-dimensional echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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