ABC | Volume 114, Nº3, March 2020

Original Article Pivatto Júnior et al. Risk scores for surgery in endocarditis Arq Bras Cardiol. 2020; 114(3):518-524 Table 1 – Infective endocarditis-specific scores analyzed in the present study NON-SPECIFIC SCORES EuroSCORE, 1999 8 EuroSCORE II, 2012 9 Active endocarditis Active endocarditis Age Age Critical preoperative state CCS class 4 angina Cr > 200 µmol/L Chronic pulmonary dysfunction Extracardiac arteriopathy Critical preoperative state Female sex Extracardiac arteriopathy LVEF Female sex Neurological dysfunction IDDM Non-coronary surgery LVEF Pulmonary disease NYHA class Previous cardiac surgery Poor mobility Recent MI Previous cardiac surgery sPAP > 60 mmHg Recent MI Thoracic aortic surgery Renal dysfunction Unstable angina sPAP Urgency Thoracic aortic surgery Ventricular septal rupture Urgency Weight of procedure IE-SPECIFIC SCORES STS-IE, 2011 2 PALSUSE, 2014 10 AEPEI, 2017 11 EndoSCORE, 2017 12 RISK-E, 2017 13 Active endocarditis Prosthetic valve IE BMI > 27Kg/m 2 Age Acute renal insufficiency Arrhythmia* Age Critical preoperative state COPD Age Cardiogenic shock Large intracardiac destruction† eGFR < 50mL/min Cr ≥ 2mg/dL Cardiogenic shock Chronic lung disease Staphylococcus spp. NYHA class IV Female sex Periannular complications ‡ Systemic hypertension Urgent surgery sPAP > 55 mmHg LVEF Prosthetic-valve IE IDDM/NIDDM Sex (female) Number of treated valves/ prostheses Septic shock Multiple valve procedure EuroSCORE ≥ 10% Pathogen isolated on blood specimen culture Thrombocytopenia § Preoperative IABP or inotropes Presence of abscess Virulent microorganism // Prior CABG Prior valve surgery Renal failure (HD) or Cr > 2 mg/dL Urgency *Sustained ventricular tachycardia, ventricular fibrillation, atrial fibrillation, atrial flutter or third degree heart block. † Abscesses or other echocardiography findings suggested the infection was invasive (communication between chambers, wall dissection or large valvular dehiscence). ‡ Abscess, pseudoaneurysm, fistula or prosthetic dehiscence. § < 150,000 platelets/mm 3 . // Staphylococcus aureus or fungi. BMI: body mass index; CABG: coronary artery bypass graft; CCS: Canadian Cardiovascular Society; COPD: chronic obstructive pulmonary disease; Cr: creatinine; eGFR: estimated glomerular filtration rate; HD: hemodialysis; IDDM: insulin- dependent diabetes mellitus; NIDDM: non-insulin-dependent diabetes mellitus; IE: infective endocarditis; LVEF: left ventricular ejection fraction; MI: myocardial infarction; NYHA: New York Heart Association; sPAP: systolic pulmonary artery pressure. 520