<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "JATS-journalpublishing1.dtd">
<article article-type="abstract" dtd-version="1.0" xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">CC</journal-id>
<journal-id journal-id-type="nlm-ta">Cardiol Croat</journal-id>
<journal-title-group>
<journal-title>Cardiologia Croatica</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Cardiol. Croat.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1848-543X</issn>
<issn pub-type="epub">1848-5448</issn>
<publisher><publisher-name>Croatian Cardiac Society</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">CC 2022 17_9-10_212</article-id>
<article-id pub-id-type="doi">10.15836/ccar2022.212</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Extended Abstract</subject></subj-group>
<subj-group subj-group-type="subheading"><subject>Valvular heart disease</subject></subj-group>
</article-categories>
<title-group>
<article-title>Overview of endocarditis epidemiology and management during a 7-year period &#x2013; single centre experience</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0384-8088</contrib-id><name><surname>Rogini&#x0107;</surname><given-names>Sini&#x0161;a</given-names></name><xref ref-type="corresp" rid="cor1">*</xref></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5463-5392</contrib-id><name><surname>Rogini&#x0107;</surname><given-names>Martina</given-names></name></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4915-3935</contrib-id><name><surname>Knaflec</surname><given-names>Tereza</given-names></name></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0933-6577</contrib-id><name><surname>Mija&#x010D; Mika&#x010D;i&#x0107;</surname><given-names>Nikolina</given-names></name></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7084-707X</contrib-id><name><surname>&#x010C;ajko</surname><given-names>Marija</given-names></name></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4363-1008</contrib-id><name><surname>Futivi&#x0107;</surname><given-names>Domagoj</given-names></name></contrib>
<aff id="aff1"><institution>Zabok General Hospital and the Croatian Veterans Hospital, Zabok</institution>, <country country="hr">Croatia</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>*</label>ADDRESS FOR CORRESPONDENCE: Sini&#x0161;a Rogini&#x0107;, Op&#x0107;a bolnica Zabok i bolnica hrvatskih veterana, Bra&#x010D;ak 8, HR-49210 Zabok, Croatia. / Phone: +385-98-341-234 / E-mail: <email xlink:href="sinisa.roginic@gmail.com">sinisa.roginic@gmail.com</email></corresp></author-notes>
<pub-date pub-type="epub-ppub"><month>11</month><year>2022</year></pub-date>
<volume>17</volume>
<issue>9-10</issue>
<fpage>212</fpage>
<lpage>212</lpage>
<history>
<date date-type="received"><day>04</day><month>11</month><year>2022</year></date>
<date date-type="accepted"><day>10</day><month>11</month><year>2022</year></date>
</history>
<permissions>
<copyright-year>2022</copyright-year>
<copyright-holder>Croatian Cardiac Society</copyright-holder>
</permissions>
<kwd-group kwd-group-type="author"><title>KEYWORDS: </title><kwd>infective endocarditis</kwd><kwd>epidemiology</kwd><kwd>COVID-19</kwd></kwd-group>
</article-meta>
</front>
<body>
<p>Infective endocarditis is a rare but clinically underappreciated condition associated with high morbidity and mortality. We present data from 30 cases of endocarditis diagnosed and treated in our hospital during 7 years period, including COVID-19 pandemic lockdown. Demographic and clinical data were collected, including microbiological isolates, number of affected valves, perivalvular, embolic, and immunological complications, surgical outcome and mortality. Most patients were male, average age was 62 years and Enterococcus was the most frequently isolated pathogen. 17/30 patients were operated, most of them urgently due to valvular dysfunction, uncontrolled infection and/or systemic embolization. In-hospital mortality of 30% was directly associated with severity of infection and necessity for emergency and urgent surgery. Unexpected rise of incidence occurred in 2021 with 11 identified cases. We assume possible rebound effect of postponed diagnosis after COVID-19 pandemic lockdown due to restricted access to all levels of health care. Our data generally reflect literary data on incidence and prognosis of endocarditis with additional peak in incidence during 2021 and more severe clinical presentation (<xref ref-type="bibr" rid="r1"><italic>1</italic></xref>-<xref ref-type="bibr" rid="r3"><italic>3</italic></xref>).</p>
</body>
<back>
<ref-list>
<title>LITERATURE</title>
<ref id="r1"><label>1</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Habib</surname><given-names>G</given-names></name><name><surname>Lancellotti</surname><given-names>P</given-names></name><name><surname>Antunes</surname><given-names>MJ</given-names></name><name><surname>Bongiorni</surname><given-names>MG</given-names></name><name><surname>Casalta</surname><given-names>JP</given-names></name><name><surname>Del Zotti</surname><given-names>F</given-names></name><etal/><collab>ESC Scientific Document Group</collab></person-group>. <article-title>2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).</article-title> <source>Eur Heart J</source>. <year>2015</year> November 21;<volume>36</volume>(<issue>44</issue>):<fpage>3075</fpage>&#x2013;<lpage>128</lpage>. <pub-id pub-id-type="doi">10.1093/eurheartj/ehv319</pub-id><pub-id pub-id-type="pmid">26320109</pub-id></mixed-citation></ref>
<ref id="r2"><label>2</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rajani</surname><given-names>R</given-names></name><name><surname>Klein</surname><given-names>JL</given-names></name></person-group>. <article-title>Infective endocarditis: A contemporary update.</article-title> <source>Clin Med (Lond)</source>. <year>2020</year> January;<volume>20</volume>(<issue>1</issue>):<fpage>31</fpage>&#x2013;<lpage>5</lpage>. <pub-id pub-id-type="doi">10.7861/clinmed.cme.20.1.1</pub-id><pub-id pub-id-type="pmid">31941729</pub-id></mixed-citation></ref>
<ref id="r3"><label>3</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>George</surname><given-names>A</given-names></name><name><surname>Alampoondi Venkataramanan</surname><given-names>SV</given-names></name><name><surname>John</surname><given-names>KJ</given-names></name><name><surname>Mishra</surname><given-names>AK</given-names></name></person-group>. <article-title>Infective endocarditis and COVID -19 coinfection: An updated review.</article-title> <source>Acta Biomed</source>. <year>2022</year> March 14;<volume>93</volume>(<issue>1</issue>):<elocation-id>e2022030</elocation-id>. <pub-id pub-id-type="doi">10.23750/abm.v93i1.10982</pub-id><pub-id pub-id-type="pmid">35315423</pub-id></mixed-citation></ref>
</ref-list>
</back>
</article>
