Suspect IE

• Duke’s Criteria
  • 2 Major
  • 1 Major + 2 Minor
  • 5 Minor

Complications

• Valve regurgitation → acute volume overload, !CHF (H+W), !Cardiogenic Shock (HF C+W)
  • Aortic Regurgitation
  • MR - Mitral Valve Regurgitation
• Vegetation → septic emboli (occlusion, spread of bacteria, bleeding), inflammation
  • !Stroke (CVA), Janeway lesions, Arterial Embolism ALIs (4), Septic !PE - Pulmonary embolism
• Damages
  • close to AV node → AV Blocks

Surgery in lE

• Remove infected tissue, repair defects
• Repair or replace valve
  • Bioprosthetic: Shorter lifespan, no anticoagulation
  • Mechanical: Longer lifespan, anticoagulation