{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T05:40:04Z","timestamp":1744782004835,"version":"3.40.4"},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"1","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>Objetivo. Comparar las caracter\u00edsticas epidemiol\u00f3gicas, cl\u00ednicas y diagn\u00f3sticas de pacientes con endocarditis\u00a0infecciosa de v\u00e1lvula nativa (EIVN) y prot\u00e9sica (EIVP) en un centro de referencia peruano. Materiales y\u00a0m\u00e9todos. Estudio retrospectivo de pacientes con diagn\u00f3stico de EIVN y EIVP atendidos en el Instituto\u00a0Nacional Cardiovascular (INCOR), EsSalud, entre 2017 y 2023. Se recolectaron datos cl\u00ednicos y diagn\u00f3sticos.\u00a0Resultados. Se incluyeron 65 casos de EIVN y 55 de EIVP, predominando la adquisici\u00f3n comunitaria (92,3\u00a0y 83,6%, respectivamente). La edad promedio fue mayor en EIVP (63,7 vs. 46,1 a\u00f1os, p&lt;0,001), al igual\u00a0que las comorbilidades. En EIVP, el factor predisponente m\u00e1s frecuente fue endocarditis previa (20,0%),\u00a0mientras que en EIVN destacaron cardiopat\u00edas cong\u00e9nitas (41,5%) y valvulopat\u00edas (21,5%). Fiebre y disnea\u00a0fueron s\u00edntomas comunes. La v\u00e1lvula a\u00f3rtica fue la m\u00e1s afectada (78,5% en EIVN y 87,3% en EIVP). En EIVN\u00a0predominaron vegetaciones (92,3%) y perforaciones (41,5%); en EIVP, abscesos (34,5%) y pseudoaneurismas (36,4%). La tomograf\u00eda card\u00edaca permiti\u00f3 identificar vegetaciones y pseudoaneurismas en ambos grupos.\u00a0Los hemocultivos fueron positivos en 49,2% de EIVN y 65,5% de EIVP, con predominio de estreptococos\u00a0y estafilococos, respectivamente. El tratamiento quir\u00fargico se realiz\u00f3 en 96,7% de EIVN y 82,6% de EIVP.\u00a0Conclusiones. La EIVN predomin\u00f3 en j\u00f3venes con cardiopat\u00edas cong\u00e9nitas, mientras que la EIVP afect\u00f3 a\u00a0pacientes mayores con comorbilidades. Los hallazgos microbiol\u00f3gicos y la ecocardiograf\u00eda transesof\u00e1gica\u00a0fueron fundamentales para el diagn\u00f3stico.<\/jats:p>","DOI":"10.47487\/apcyccv.v6i1.463","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T05:00:22Z","timestamp":1742533222000},"page":"20-28","source":"Crossref","is-referenced-by-count":0,"title":["Comparaci\u00f3n de las caracter\u00edsticas epidemiol\u00f3gicas, cl\u00ednicas y diagn\u00f3sticas de endocarditis infecciosa de v\u00e1lvula nativa y prot\u00e9sica en un centro de referencia peruano","Comparison of the epidemiological, clinical and diagnostic characteristics of infective endocarditis of native and prosthetic valves in a Peruvian reference center"],"prefix":"10.47487","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4700-8929","authenticated-orcid":false,"given":"Daniel","family":"Espinoza-Alva","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5426-830X","authenticated-orcid":false,"given":"Renee","family":"Montesinos-Segura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9107-246X","authenticated-orcid":false,"given":"Annette","family":"Mantilla-Huertas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5084-6547","authenticated-orcid":false,"given":"Diego","family":"Davila-Flores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26947","published-online":{"date-parts":[[2025,3,20]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/463\/619","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/463\/619","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T05:00:44Z","timestamp":1744779644000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,20]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,2,12]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v6i1.463","relation":{},"ISSN":["2708-7212"],"issn-type":[{"type":"electronic","value":"2708-7212"}],"subject":[],"published":{"date-parts":[[2025,3,20]]}}}