AATS Endocarditis 2017 Flashcards Preview

ACC/AHA Guidelines > AATS Endocarditis 2017 > Flashcards

Flashcards in AATS Endocarditis 2017 Deck (7)
Loading flashcards...
1

who should get surgical treatment for Endocarditis

  1. signs of heart failure
  2. severe valve dysfunction
  3. Invasion of paravalvular abscess or cardiac fistula
  4. recurrent systemic embolization
  5. large mobile vegetations.
  6. systemic sepsis despite 5-7 days of ab therapy

2

what % of patients that have endocarditis have complications that will require an operation? 

50% 

3

Most common preventable complication of IE 

- what does that mean for the threshold to operate? 

The most common preventable complication is embolization 

that means that there is a lower threshold to operate with mobile vegetation 

4

Surgery for Q-fever endocarditis 

generally indicated for hemodynamic reasons.

If possible, at least three weeks of antimicrobial treatment should be given prior to valve replacement.

 

5

Mortality Rate for infective endocarditis 

in-hospital: 15% to 20%

1-year:  40%.

6

What Organisms that are typical of Endocarditis should raise suspicion. 

  • Viridans streptococci
  • Streptococcus bovis
  • HACEK group (Haemophilus spp, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella spp, and Kingella kingae),
  • S. aureus;
  • community-acquired enterococci

in the absence of a primary focus

7

Frequency of endocarditis amoung patients with Staph Aureus Bacteremia 

30% 

therefore TEE is reasonable