In this prospective, propensity-based analysis of 1552 patients with a first episode of native valve endocarditis (not associated with IV drug abuse), about half (46%) underwent early surgery. The early surgery group had a lower overall mortality (12%) compared to the medical therapy group (21%), even after propensity matching and survivor bias adjustment. The sub-groups for which surgery conferred a mortality benefit included those with stroke or systemic emboli, paravalvular complications, and staph aureas. At a minimum, these patient subgroups should be referred for surgical evaluation (abstract).
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]