Table of Contents
Definition of Endocarditis
Viral or bacterial infection can cause endocarditis; either is potentially life threatening, though bacterial infection is considerably more common.
Bacterial endocarditis is a particular risk for people who have certain forms of cardiovascular disease (cvd) and may follow bacterial infection in other parts of the body.
Endocarditis also occurs as a complication following valve repair or replacement surgery.
Conditions That Increase Risk For Endocarditis
|CARDIOVASCULAR CONDITIONS THAT INCREASE RISK FOR ENDOCARDITIS|
|cardiopulmonary shunt||cyanotic congenital heart disease|
|heart transplantation||hypertrophic cardiomyopathy|
|mitral valve prolapse||previous bacterial endocarditis|
|prosthetic heart valves||rheumatic heart disease|
|uncorrected congenital heart malformations||valvular heart disease|
Symptoms vary with the location and nature of the infection and are often vague, making it challenging for doctors to connect them to the heart
The diagnostic path includes blood cultures to determine the presence of bacteria and echocardiogram to affirm the inflammation.
Treatment for bacterial endocarditis is intensive antibiotic therapy, administered intravenously in a hospital inpatient setting.
Treatment for viral endocarditis is supportive, sometimes requiring hospitalization to administer intravenous fluids and medications to ease the heart’s workload until the infection runs its course.
Complications of either form include endocardial abscesses, valvular abscesses, and damage to the heart valves.
With appropriate treatment most people recover, though some may have residual consequences (such as valve disease) and increased risk for subsequent infections