Tennessee cardiologists concerned by surge in opioid-related endocarditis
A recent story in the Knoxville News Sentinel examined how the opioid crisis in the United States is putting cardiology departments in a difficult spot.
More and more younger patients are being diagnosed with endocarditis, a condition long tied to IV drug use. But those who misuse and abuse opioids are at high risk for readmission or death.
“We can do this high-risk surgery and give them a new heart valve, but if we operate and get them through the surgery, they go right back to using drugs,” said Lawrence Lee, MD, a cardiothoracic surgeon at the University of Tennessee Medical Center. “We’ve had people reuse within a week of going home. If they infect the (replacement) tissue valve, that’s even harder to treat.”
Thomas Pollard, MD, a cardiologist at Parkwest Medical Center in Knoxville, Tennessee, hopes outcomes can improve as hospitals push patients into rehab after surgery, instead of having them spend six weeks in the hospital.
“I’m hopeful I will show them they’re not going to spend any more money, or maybe even less money, than they were before,” Pollard said
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