Infectious Heart Disease

Question 1

What is caused by pericarditis

Answer 1

impaired diastolic filling which l/t s/s of HF

Question 2

What is the Dressler’s syndrome

Answer 2

Pericarditis that appears weeks to months after an MI.

s/s malaise, fever, increased WBC

Question 3

ECG changes or pericarditis

Answer 3

ST elevation (concave), PR depression

Question 4

Definitive Dx of Myocarditis

Answer 4

endomyocardial biopsy

Question 5

What is caused by rheumatic endocarditis

Answer 5

Mitral vale regurgitation (most common) bc of shortening of the leaflets.
Valvular stenosis

Question 6

S/S of endocarditis

Answer 6

Fever
Murmurs
Splenomegaly
Splinter hemorrhage
Osler’s nodes (nodules in the fingers or toes)
January lesions (hemorrhagic lesions on palms and soles)
Systemic and Pulmonic emboli

Question 7

Tx of rheumatic endocarditis

Answer 7

IV Abx (penicillin) for 4-6 weeks 
Prevent emboli that can lead to stroke

Question 8

S/E of long term Abx use

Answer 8

Renal toxicity.
Ototoxicity
GI problems (N/V)

Question 9

Tx. of Infective Endocarditis

Answer 9

IV Abx for 4-6 weeks

Immediate surgical repair or replacement of affected valve