Infective Endocarditis Flashcards Preview

SBOMS > Infective Endocarditis > Flashcards

Flashcards in Infective Endocarditis Deck (15):
1

Unspecific symptoms of Infective endocarditis?

Weight loss
Fever
Night sweats
SOB
Chest pain

2

Specific Symptoms of infective endocarditis?

Oslers nodes
Janeway lesions
Roth spots
Splinter haemorrhages

3

Definition of infective endocarditis?

Infection of the endocardial surface of the heart, most commonly involving the cardiac valves.

4

Key investigation to perform for suspected infective endocarditis?

Echocardiogram

5

Infective endocarditis R/Fs?

Prosthesis
PMH of IE
Heart transplant
Valvular heart disease
Long term indwelling catheters
Poor dental hygiene
Intravenous drug user (IVDU)

6

Events that lead to the development of infective endocarditis?

1. Endocardial damage

2. Microbes in the bloodstream (Dental cleaning, LRTI, dermatitis, catheters)

3. Adherence + proliferation of microbes in the safety of a protective fibrin clot

7

Complications of infective endocarditis?

HF
Aortic root abscess
MI
AKI (immune complex deposition)
Vessel infarctions to important organs

8

Types of Echocardiogram?

Outside - Transthoracic echocrdiogram (TTE)

Inside - Transoesophageal echcardiogram (TOE)

9

Surgical interventions in IE?

Debridement of infected tissue

Closure of cardiac defects

Valve repair/replacement

Aortic homografts useful for aortic root abscess

10

Patient mortality of IE?

15-20%

11

Criteria for IE diagnosis?

Major:

- Positive blood culture

- Abnormal echo

- New valvular regurge


Minor:

- Fever

- R/F

12

Immediate management of IE?

IV antibiotics

13

What do you need to monitor in IE?

Kidney function
Signs of failing antibiotic treatment
Monitor PR interval

14

Male/Female more likely to have IE?

Male

15

Indications for surgery in IE?

Causing HF, Cardiogenic shock, pulmonary oedema

Uncontrolled infection