Cardiac surgery in infective endocarditis with ICH linked to brain deterioration?

according to a recent study published in the Journal of the American Heart Association, Cardiac surgery within 30 days in infective endocarditis with intracranial haemorrhage was not associated with higher mortality,rather with an increased rate of neurological deterioration.

The researchers evaluated the impact of early surgery in patients with infective endocarditis (IE) with Intracranial haemorrhage (ICH) on postoperative neurological deterioration and all‐cause mortality.

The study included 355 patients among 16 studies out of which Nine studies examined the impact of surgical timing. Only one study examined the fate of patients with infective endocarditis and with Intracranial haemorrhage who were treated conservatively despite having an indication for cardiac surgery, showing higher mortality rates than those who underwent surgery.it was observed that early surgery was associated with a higher risk for neurological deterioration.

Thus, it was concluded that cardiac surgery for infective endocarditis (IE) within 30 days of Intracranial haemorrhage (ICH) was not associated with higher mortality, but with an increased rate of neurological deterioration.