How should the development of complications of infective endocarditis (IE) be monitored?

Updated: Jan 03, 2019
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Patients should be monitored for the development of the following complications:

  • Valvular dysfunction, usually insufficiency of the mitral or aortic valves
  • Myocardial or septal abscesses
  • Congestive heart failure
  • Metastatic infection
  • Embolic phenomenon
  • Organ dysfunction resulting from immunological processes

Complications, such as congestive heart failure resulting from valvular insufficiency and embolization, may occur after bacteriologic cure has been achieved. (Note that the diagnosis of developing congestive heart failure or valvular insufficiency is based on clinical findings, not solely on echocardiographic measurements.) The onset of valve dysfunction or moderate-to-severe congestive heart failure should lead to an evaluation for immediate valve replacement.


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