Research Article

Usefulness of Anticoagulant Therapy in the Prevention of Embolic Complications in Patients with Acute Infective Endocarditis

Table 2

Characteristics of patients with and without ACT at admission: (%).

ACT (−)
ACT (+)
value

Age ≥ 6515 (15.2)14 (27.5)0.071
Male68 (68.7)33 (64.7)0.622
Hypertension20 (20.2)6 (11.8)0.196
Diabetes mellitus18 (18.2)10 (19.6)0.832
Atrial fibrillation12 (12.1)31 (60.8)<0.001
Smoking 14 (14.1)7 (13.7)0.945
History of IE1 (1.0)1 (2.0)1.000
Dialysis0 (0.0)2 (3.9)0.114
History of CHF15 (15.2)28 (54.9)<0.001
Comorbidity index > 217 (17.2)15 (29.4)0.083
Prosthetic valve15 (15.2)49 (96.1)<0.001
Mitral valve IE77 (77.8)36 (70.6)0.333
Aortic valve IE46 (46.5)26 (51.0)0.600
Dual valve IE24 (24.2)10 (19.6)0.521
Staphylococcus aureus 12 (12.1)8 (15.7)0.543
CRP mg/dL 0.393
Diagnostic delay, days <0.001
Echocardiographic findings
 Vegetation > 1 cm58 (58.6)14 (27.5)<0.001
 Mobile vegetation56 (56.6)20 (39.2)0.044
 Paravalvular infection28 (28.3)12 (23.5)0.533
 IE-related valve regurgitation91 (91.9)30 (58.8)<0.001
At admission
 Any embolism33 (33.3)10 (19.6)0.078
 Any cerebrovascular event21 (21.2)9 (17.6)0.605
 Brain infarct20 (20.2)8 (15.7)0.501
 Intracranial hemorrhage4 (4.0)5 (9.8)0.274
During the entire disease period
 Any embolism 43 (43.4)14 (27.5)0.056
 Any cerebrovascular event 30 (30.3)15 (29.4)0.910
In-hospital mortality16 (16.2)13 (25.5)0.171

ACT: anticoagulant therapy; IE: infective endocarditis; CHF: congestive heart failure; CRP: C-reactive protein.