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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

561
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...
561
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

271
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...
271
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

589
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...
589
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

827
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
827
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

599
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...
599
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

422
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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Related Experiment Video

Updated: Feb 20, 2026

Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation
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[Lead-related infective endocarditis with massive vegetation causing severe functionnal tricuspid stenosis].

F Aboukhoudir1, V Boulet2, S Rekik3

  • 1Service de cardiologie, centre hospitalier d'Avignon, Avignon, France; EA4278, laboratoire de pharm-écologie-cardiovasculaire, Avignon université, Avignon, France.

Annales De Cardiologie Et D'Angeiologie
|October 21, 2017
PubMed
Summary

Lead-related infective endocarditis, often with negative blood cultures, can cause severe tricuspid stenosis due to large vegetations. This case highlights diagnosis and management strategies for this serious condition.

Keywords:
Endocardite infectieuseInfective endocarditisPacemakerSondes de pacemakerSténose tricuspideTricuspid stenosis

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Lead-related infective endocarditis is a serious condition with a poor prognosis, especially when blood cultures are negative.
  • Obstructive vegetations on cardiac leads can lead to significant valvular dysfunction.

Observation:

  • An 82-year-old woman presented with lead-related infective endocarditis.
  • The endocarditis resulted in massive vegetations on the tricuspid valve.

Findings:

  • The massive vegetations caused severe functional tricuspid stenosis.
  • Hemocultures were negative, complicating the diagnosis.

Implications:

  • This case underscores the importance of considering lead-related endocarditis even with negative cultures.
  • Effective diagnosis and treatment are crucial for managing severe tricuspid stenosis secondary to endocarditis.