Data di Pubblicazione:
2014
Citazione:
Cardiac diseases complicating community-acquired pneumonia / S. Aliberti, J.A. Ramirez. - In: CURRENT OPINION IN INFECTIOUS DISEASES. - ISSN 0951-7375. - 27:3(2014 Jun), pp. 295-301. [10.1097/QCO.0000000000000055]
Abstract:
PURPOSE OF REVIEW: The aim is to evaluate basic mechanisms, prevalence, risk factors, outcomes, and potential treatments of cardiovascular events (CVEs) in patients with community-acquired pneumonia (CAP). RECENT FINDINGS: In this review, we present a new model to evaluate the pathophysiology of cardiac disease in patients with pneumonia based on plaque-related events, such as acute myocardial infarction, versus plaque-unrelated events, such as arrhythmias and heart failure. CAP increases the risk for both plaque-related and plaque-unrelated events with an absolute rate of CVE across different cohorts that varies broadly from 10 to 30%. These complications may happen among both ambulatory patients and inpatients, either on admission or during hospitalization, and/or after discharge. CVEs represent a major cause for increased mortality in CAP patients, contributing to more than 30% of deaths at long-term follow-up. SUMMARY: From a clinical perspective, especially during the first 24 h after hospitalization, CAP patients should be tested for the probability to have or develop during hospitalization a cardiac event. From a research point of view, there is an urgent need to prospectively evaluate cardioprotective interventions.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Acute myocardial infarction; Arrhythmia; community-acquired pneumonia; Heart failure; Stroke; Arrhythmias, Cardiac; Cardiovascular Diseases; Community-Acquired Infections; Heart Failure; Hospitalization; Humans; Myocardial Infarction; Pneumonia; Prevalence; Risk Factors; Microbiology (medical); Infectious Diseases; Medicine (all)
Elenco autori:
S. Aliberti, J.A. Ramirez
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