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Endocarditis

Definition

The endocardium is the inner lining of the heart muscle. Endocarditis is an infection of this lining and the heart valves.

Causes

Causes of endocarditis include:
Bacterial Endocarditis
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Risk Factors

Factors that may increase your risk of endocarditis include:

Symptoms

Symptoms of endocarditis include:

Diagnosis

The doctor will ask about your symptoms and medical history. A physical exam will be done. The doctor will check your heart for unusual heart sounds. These are called heart murmurs .
Tests include:

Treatment

Treatment may include:

Prevention

If you have a high risk of infection:
The American Heart Association guidelines recommend that preventive antibiotic therapy should be considered for individuals with the following cardiac conditions:
Avoiding illicit IV drugs will also decrease your risk of infection.

RESOURCES

American Heart Association http://www.heart.org

Mouth Healthy—American Dental Association http://www.mouthhealthy.org

CANADIAN RESOURCES

Canadian Dental Association http://www.cda-adc.ca

Heart and Stroke Foundation of Canada http://www.heartandstroke.com

References

Braunwald E, Zipes DP, Libby P, et al. Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia, PA: WB Saunders Company; 2001.

Cecil RL, Goldman L, Bennett JC. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders Company; 2000.

Conn HF, Rakel RE, et al. Conn's Current Therapy 2001: latest approved methods of treatment for the practicing physician. 53rd ed. Philadelphia, PA: WB Saunders Company; 2001.

Infective endocarditis. American Heart Association website. Available at: http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofCongenitalHeartDefects/Infective-Endocarditis%5FUCM%5F307108%5FArticle.jsp. Updated March 20, 2013. Accessed March 20, 2013.

Infective endocarditis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 5, 2012. Accessed March 20, 2013.

DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Wilson W, Taubert KA, et al. Prevention of infective endocarditis. Guidelines from the American Heart Association. Circulation. 2007;116(15):1736-1754.

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