Cardio-oncology & otherCohort study

Infective endocarditis with or without congenital heart disease: clinical features and outcomes

Eur Heart JPublished

  • Retrospective cohort study
  • nationwide registry

Authors' conclusion

Patients with CHD who develop IE exhibit distinct characteristics and improved long-term outcomes compared with patients without CHD.

Study context

Population
All patients with infective endocarditis in Danish nationwide registries, 1977–2021895 (6.4%) with congenital heart disease (CHD)
Participants
14,040 patients
Exposure
Infective endocarditis (IE) with CHD vs IE without CHD
  • CHDn = 895
Outcome
In-hospital, 1-year and 10-year mortality, and IE recurrence

Main finding

As reported in the abstract

In-hospital and 1-year mortality (cumulative incidence)

In-hospital mortality

P < 0.001

1-year mortality

P < 0.001

Observational data: associations, not effects.

Further findings

1-year mortality (cumulative incidence)

P < 0.001

Cardiac surgery during admission

P < 0.001

IE recurrence (cumulative incidence) · 10 years

Similar between groups (13.0% and 13.9%)
P = 0.61

CHD among patients with IE <18 years of age

Patients with IE <18 years who had CHD
76%

Original publication

Infective endocarditis with or without congenital heart disease: clinical features and outcomes. Eur Heart J. Published 1 September 2024. doi:10.1093/eurheartj/ehae548

Summarised from the published abstract; every number is checked against it