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Prognosis of Patients With Infective Endocarditis and Risk Stratification Value of Biomarkers (ENDEAVOR)

Recruiting
Conditions
Infective Endocarditis
Interventions
Other: Observational; No Interventions were given.
Registration Number
NCT05965362
Lead Sponsor
First Affiliated Hospital Xi'an Jiaotong University
Brief Summary

In this study, by establishing a clinical cohort of infective endocarditis, we observed the natural prognosis and influencing factors in the process of disease development and regression; we used multi-omics technology to understand the prognostic value of its biomarkers, and provided new ideas and evidence for the pathogenesis, clinical diagnosis and treatment of IE.

Detailed Description

Infective endocarditis is an inflammation of the inner lining of the heart valves or ventricular walls caused by direct infection of the heart by bacteria, fungi and other microorganisms via the bloodstream route. At present, the clinical diagnosis of IE is mainly based on a combination of typical symptoms, imaging and blood culture, etc. Finding more sensitive means and more accurate indicators for early detection of IE flora distribution characteristics is of great significance for the prevention and targeted treatment of IE. Therefore, in this study, by establishing a clinical cohort of infective endocarditis, we observed the natural prognosis and influencing factors in the process of disease development and regression; we used multi-omics technology to understand the prognostic value of its biomarkers, and provided new ideas and evidence for the pathogenesis, clinical diagnosis and treatment of IE.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2000
Inclusion Criteria
  • Patients with clinically confirmed infective endocarditis
Exclusion Criteria
  • Patients refuse to sign informed consent form
  • Patients who combined with serious systemic diseases, cannot tolerate the acquisition of biological samples

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Infective endocarditis groupObservational; No Interventions were given.Patients diagnosed with infective endocarditis.
Primary Outcome Measures
NameTimeMethod
Change in the incidence of MACCE1, 3, 6 months and 1, 2, 3, 5 years after enrollment.

MACCE is major adverse cardio-cerebrovascular events, including myocardial infarction, stroke, vessel revascularization and all-cause death. The MACCE will be assessed from the medical records.

Secondary Outcome Measures
NameTimeMethod
Change in the incidence of all-cause death1, 3, 6 months and 1, 2, 3, 5 years after enrollment.

All-cause death, diagnosed by clinical doctors, will be assessed from medical records.

Change in the incidence of myocardial infarction1, 3, 6 months and 1, 2, 3, 5 years after enrollment.

Myocardial infarction, diagnosed by clinical doctors, will be assessed from medical records.

Change in the incidence of stroke1, 3, 6 months and 1, 2, 3, 5 years after enrollment.

Stroke, diagnosed by clinical doctors, will be assessed from medical records.

Incidence of adverse thrombus complications5 years after the enrollment.

Adverse thrombus complications including systemic embolism, infected aneurysm, splenic abscess, etc.

Change in the incidence of infection recurrence1, 3, 6 months and 1, 2, 3, 5 years after enrollment.

Diagnosis of infective endocarditis by clinical guidelines, which will be assessed from medical records.

Change in the incidence of vessel revascularization1, 3, 6 months and 1, 2, 3, 5 years after enrollment.

Vessel revascularization, diagnosed by clinical doctors, will be assessed from medical records.

Trial Locations

Locations (1)

First Affiliated Hospital of Xian Jiantong University

🇨🇳

Xi'an, Shaanxi, China

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