Clinical case of a 50 years old patient with secondary subacute infectious endocarditis associated with an implanted cardioverter-defibrillator


DOI: https://dx.doi.org/10.18565/therapy.2023.6.98-105

Alieva A.M., Teplova N.V., Reznik E.V., Muravyev Ya.E., Tikhomirova A.S., Nikitin I.G.

1) FGAOU HE Russian National Research Medical University named after N.N. N.I. Pirogov” of the Ministry of Health of Russia, Moscow; 2) FGAU “National Medical Research Center “Treatment and Rehabilitation Center”” of the Ministry of Health of Russia, Moscow
Abstract. Currently, there is a sufficient arsenal of non-drug treatments for patients with cardiovascular pathology. One such treatment is the implantation of intracardiac devices, in particular permanent artificial pacemakers and cardioverter defibrillators. Over the past few years, there has been a steady increase in the number of implantations of intracardiac devices, which is explained by the expansion of indications for their installation. Along with the proven effectiveness of implantation of intracardiac devices, this method is associated with the development of a number of complications, among which there is infection of cardiac implants. Our clinical observation testifies to the difficulties in diagnosing infective endocarditis in patients with the presence of a cardioverter-defibrillator.
Keywords: cardioimplantation of electronic devices, cardioverter-defibrillator, infective endocarditis
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About the Autors

Amina M. Alieva, PhD in Medical Sciences, associate professor of the Department of hospital therapy named after G.N. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. ORCID: https://orcid.org/0000-0001-5416-8579.
Natalia V. Teplova, MD, professor, head of the Department of clinical pharmacology named after Yu.B. Belousov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. ORCID: https://orcid.org/0000-0002-7181-4680
Elena V. Reznik, MD, professor, head of the Department of propaedeutics of internal diseases of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. ORCID: https://orcid.org/0000-0001-7479-418X.
Yaroslav E. Muraviev, head of the Department of medical rehabilitation of adults, National Medical Research Center «Treatment and Rehabilitation Center» of the Ministry of Healthcare of Russia.
ORCID: https://orcid.org/0009-0004-3969-3630.
Anna S. Tikhomirova, assistant at the Department of hospital therapy of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia.
ORCID: https://orcid.org/0000-0003-0240-7587
Igor G. Nikitin, MD, professor, head of the Department of hospital therapy named after G.N. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. ORCID: https://orcid.org/0000-0003-1699-0881


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