Abstract Background Infectious endocarditis (IE) refers to infection of the endocardial surface of the heart and usually occurs in native or prosthetic valves. Objective This study aimed to raise IE data reflecting the surgical therapy in a University Hospital in the interior of the State of Sao Paulo–Brazil. Method Retrospective and observational approach of 328 patients with IE who underwent surgery between 1982 and 2020 Results The main data (n=121/37%), congestive heart failure (n=114/35%), valve disease (n=92/28%), diabetes mellitus (n=85/26%), chronic kidney disease (n=59/18%), and rheumatic fever (49/15%). Renal failure is one of the main and most relevant pre-surgical risk factors for a poor prognosis. Conclusion For a better clinical and surgical outcome, an early syndromic and etiological diagnosis of IE is necessary, especially in patients with multiple comorbidities. (IE valves PauloBrazil Paulo Brazil Paulo–Brazil 32 198 202 n=121/37%, n12137 n n=121/37% , 121 37 (n=121/37%) n=114/35%, n11435 n=114/35% 114 35 (n=114/35%) n=92/28%, n9228 n=92/28% 92 28 (n=92/28%) n=85/26%, n8526 n=85/26% 85 26 (n=85/26%) n=59/18%, n5918 n=59/18% 59 18 (n=59/18%) 49/15%. 4915 49/15% . 49 15 (49/15%) presurgical pre prognosis outcome necessary comorbidities 3 19 20 n1213 n=121/37 12 (n=121/37% n1143 n=114/35 11 (n=114/35% n922 n=92/28 9 2 (n=92/28% n852 n=85/26 8 (n=85/26% n591 n=59/18 5 1 (n=59/18% 491 49/15 4 (49/15% n121 n=121/3 (n=121/37 n114 n=114/3 (n=114/35 n92 n=92/2 (n=92/28 n85 n=85/2 (n=85/26 n59 n=59/1 (n=59/18 49/1 (49/15 n12 n=121/ (n=121/3 n11 n=114/ (n=114/3 n9 n=92/ (n=92/2 n8 n=85/ (n=85/2 n5 n=59/ (n=59/1 49/ (49/1 n1 n=121 (n=121/ n=114 (n=114/ n=92 (n=92/ n=85 (n=85/ n=59 (n=59/ (49/ n=12 (n=121 n=11 (n=114 n=9 (n=92 n=8 (n=85 n=5 (n=59 (49 n=1 (n=12 (n=11 n= (n=9 (n=8 (n=5 (4 (n=1 (n= ( (n
Resumo Fundamento A endocardite infecciosa (EI) refere-se à infecção da superfície endocárdica do coração e geralmente ocorre em valvas nativas ou protéticas. Objetivo Este estudo teve como objetivo levantar dados de EI refletindo a terapêutica cirúrgica, em um Hospital Universitário do interior do estado de São Paulo – Brasil. Método Abordagem retrospectiva e observacional de 328 pacientes com EI operados entre 1982 e 2020 Resultados Os principais dados (n=121/37%), insuficiência cardíaca congestiva (n=114/35%), valvopatia (n=92/28%), diabetes mellitus (n=85/26%), doença renal crônica (n=59/18%) e febre reumática (49/15%). A insuficiência renal é um dos principais e mais relevantes fatores de risco pré-cirúrgicos para um mau prognóstico. Conclusão Para um melhor resultado clínico e cirúrgico é necessário o diagnóstico sindrômico e etiológico precoce da EI, principalmente em pacientes com múltiplas comorbidades. (EI referese refere se protéticas cirúrgica Brasil 32 198 202 n=121/37%, n12137 n n=121/37% , 121 37 (n=121/37%) n=114/35%, n11435 n=114/35% 114 35 (n=114/35%) n=92/28%, n9228 n=92/28% 92 28 (n=92/28%) n=85/26%, n8526 n=85/26% 85 26 (n=85/26%) n=59/18% n5918 59 18 (n=59/18% 49/15%. 4915 49/15% . 49 15 (49/15%) précirúrgicos pré cirúrgicos prognóstico comorbidades 3 19 20 n1213 n=121/37 12 (n=121/37% n1143 n=114/35 11 (n=114/35% n922 n=92/28 9 2 (n=92/28% n852 n=85/26 8 (n=85/26% n=59/18 n591 5 1 (n=59/18 491 49/15 4 (49/15% n121 n=121/3 (n=121/37 n114 n=114/3 (n=114/35 n92 n=92/2 (n=92/28 n85 n=85/2 (n=85/26 n=59/1 n59 (n=59/1 49/1 (49/15 n12 n=121/ (n=121/3 n11 n=114/ (n=114/3 n9 n=92/ (n=92/2 n8 n=85/ (n=85/2 n=59/ n5 (n=59/ 49/ (49/1 n1 n=121 (n=121/ n=114 (n=114/ n=92 (n=92/ n=85 (n=85/ n=59 (n=59 (49/ n=12 (n=121 n=11 (n=114 n=9 (n=92 n=8 (n=85 n=5 (n=5 (49 n=1 (n=12 (n=11 n= (n=9 (n=8 (n= (4 (n=1 (n (