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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Endocarditis I: Introduction01:25

Endocarditis I: Introduction

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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Related Experiment Video

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An In Vitro Model of a Parallel-Plate Perfusion System to Study Bacterial Adherence to Graft Tissues
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Acquired Gerbode Defects Associated with Infective Endocarditis.

Allan Davies1, Katy Lai2, Bruce Bastian1

  • 1Cardiovascular Department, John Hunter Hospital, Newcastle, NSW, Australia.

Heart, Lung & Circulation
|December 4, 2015
PubMed
Summary
This summary is machine-generated.

Infective endocarditis can rarely cause acquired Gerbode defects, a serious complication. Advanced imaging like 2D and 3D transesophageal echocardiography is crucial for diagnosing these rare cardiac defects.

Keywords:
EchocardiographyInfective endocarditisVentricular septal defects

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Infective endocarditis carries significant mortality and complication risks.
  • Acquired Gerbode defects, a left ventricle to right atrium shunt, are an exceptionally rare complication.
  • These defects arise from bacterial invasion of the membranous septum.

Purpose of the Study:

  • To report two complex cases of infective endocarditis with acquired Gerbode defects.
  • To highlight the diagnostic utility of advanced echocardiographic techniques.

Main Methods:

  • Case report of two patients with infective endocarditis.
  • Utilized two-dimensional (2D) transesophageal echocardiography.
  • Employed three-dimensional (3D) transesophageal echocardiography for detailed anatomical assessment.

Main Results:

  • Successfully diagnosed acquired Gerbode defects in both complex infective endocarditis cases.
  • Demonstrated the value of 2D and 3D transesophageal imaging in visualizing the defect and surrounding structures.
  • Detailed the specific imaging findings associated with these rare defects.

Conclusions:

  • Acquired Gerbode defects are a rare but critical complication of infective endocarditis.
  • Two- and three-dimensional transesophageal echocardiography are essential tools for accurate diagnosis and characterization.
  • Prompt recognition and imaging are vital for patient management.