MRCP UK EXAMINATIONS

CARDIOLOGY

MIXED AORTIC VALVE DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which form of infective endocarditis affects those with healthy valves and manifests as a rapidly progressive illness?
A
Acute
B
Subacute
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -Acute NVE frequently involves normal valves and usually has an aggressive course. It is a rapidly progressive illness in healthy and debilitated persons alike. Virulent organisms, such as S aureus and group B streptococci, typically are the causative agents of this type of endocarditis.

Detailed explanation-2: -Endocarditis is usually caused by an infection. Bacteria, fungi or other germs get into the bloodstream and attach to damaged areas in the heart. Things that make you more likely to get endocarditis are artificial heart valves, damaged heart valves or other heart defects.

Detailed explanation-3: -Clinical presentation Persistent or recurrent low grade fever is the most common symptom of IE. Other symptoms are nonspecific and include malaise, myalgia, arthralgia, anorexia, night sweats and headaches.

Detailed explanation-4: -Without treatment, the infection damages the heart valves and disrupts the normal flow of blood through the heart. This could trigger a range of life-threatening complications, such as: heart failure – where the heart is unable to pump enough blood around the body to properly meet the body’s demands.

Detailed explanation-5: -Acute IE-develops suddenly and may become life threatening within days. Subacute or chronic IE (or subacute bacterial endocarditis)-develops slowly over a period of weeks to several months. 08-May-2020

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