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A cardiologist will help in treating the disease. The disease proceeds like sepsis with damage to organs and the development of numerous complications, hence another name for this pathology - septic endocarditis. The disease is characterized by the primary localization of the pathogen on the heart valves and endocardium, and somewhat less frequently on the wall of the aorta or large arteries. The disease is accompanied by bacteremia and occurs with destruction (destruction) of Baclofen pills, embolism and thrombohemorrhagic lesions of internal organs. Infectious endocarditis is not a chronic disease, and if there are repeated episodes of the disease (after 1 year or later), then we are talking about a new case of endocarditis caused by another pathogen, but developed against the background of an existing heart defect.
WHAT IS BARIATRIC SURGERY AND WHAT ARE THE TYPES?
Currently, the problem of infective endocarditis is especially relevant, since the incidence has increased 3-4 times. In general, the disease is characterized by a severe course and mortality remains high (reaches 30%, and among older people - more than 40%). The average age of patients is 43-50 years. Men get sick 2-3 times more often than women; at the age of over 60 years, the ratio reaches 8.1. With the development of new groups of antibiotics, it is possible to buy Baclofen online this infection and achieve a cure.
- Symptoms Forms Causes Diagnostics Treatment Complications and consequences Prevention. Symptoms of infective endocarditis.
- In some cases, there may be no symptoms, especially in elderly and debilitated patients.
- Most patients experience some or all of lioresal pills. Several factors play a role in pathogenesis.
WHAT IS BARIATRIC SURGERY AND WHAT ARE THE TYPES?
Damage to the endocardium and valvular apparatus is caused by accelerated blood flow due to congenital and acquired heart defects, electrodes or catheters. Mechanical damage causes the release of extracellular proteins, the production of tissue factor, and the deposition of fibrin (thrombi, thrombovegetations) in the damaged area. This non-bacterial thromboendocarditis can exist for many years, and in the presence of an infectious factor (tooth extraction, various surgical interventions, dental procedures) it facilitates the attachment of bacteria and local infection.
- There are several stages in the development of this disease.
- Infection of thrombovegetations causes the formation of warty growths and gross disturbances in the structure of the valves.
- It is possible to develop inflammation without previous damage to take lioresal pills - this happens when infected with highly virulent microorganisms (fungi, Staphylococcus aureus) that have increased adhesive ability.
The attachment of ozobax pills to the valves is also influenced by several factors, which can be divided into local and general.
Local include congenital and acquired changes in valves and hemodynamic disturbances inside the heart.
In the transition of bacteremia to IE, the state of the body’s natural defenses, which are a common factor, is important.
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Predisposing conditions create artificial valves. Weakening of ozobax pills to concomitant diseases, age, use of immunosuppressive drugs, drugs and alcohol (meaning chronic alcoholism) has a negative effect. Persistent bacteremia stimulates humoral and cellular immunity and triggers immunopathological mechanisms inherent in inflammation. At this stage, circulating immune complexes (CIC) are formed and their levels increase. CECs contain bacterial antigens. Circulating in the blood, they enter and are deposited in tissues and organs. kidneys, serous membranes, vessels, synovial (articular) fluid and synovial membranes, myocardium. This is how systemic manifestations of the disease develop.
- Bacteria stimulate thrombus formation; in the composition of blood clots, bacteria alternate with fibrin.
- Vegetations appear on the valves and endocardium (most often in places with the highest blood pressure), rapidly increasing in size.
- When they reach a size of 1 cm, they become mobile, breaking away from the place of attachment, entering the arterial flow (if endocarditis of the left chambers of the heart occurs) and causing thromboembolism in various organs - the brain, kidneys, arteries of the extremities, spleen.
- In case of defeatand right chambers, blood clots enter the pulmonary circulation, causing infarction pneumonia. Vasculitis and hemorrhages develop in many organs.
- At the site of attachment of vegetations, a polypous-ulcerative process occurs; inflammation can be so severe that complete destruction of the valve leaflets occurs or abscesses are formed that spread to the fibrous ring and further into the myocardium.
- If abscesses affect the conduction pathways, rhythm and conduction disturbances occur.
Abscesses of the fibrous ring in the presence of prostheses lead to the formation of fistulas (fistulas, canals) and the prosthesis can come off. According to the clinical and morphological form. Primary - damage to unchanged valves. Secondary - damage against the background of congenital/acquired changes in valves, septa and blood vessels (rheumatic, atherosclerotic lesions and previous endocarditis). Acute, lasting up to two months. Subacute, lasting more than two months.
Inactive, in which there are no laboratory and clinical signs of inflammation. Active, manifested clinically and laboratory. Extracardiac complications including emboli, organ abscess, cerebrovascular accident, peripheral vascular aneurysms, nephritis, infarction pneumonia, vasculitis, myocarditis and serositis. Intracardial complications - embolic myocardial infarction, abscesses of cardiac structures, intracardiac pathological shunts. By the presence or absence of implanted devices. Natural valves (left and right parts of the heart). Prosthetic valves (left and right heart). Intracardiac pacemakers or cardioverters.
Early prosthetic endocarditis occurs within a year after prosthetics. Late - after a year after the operation. Back in the 60s, they argued about the existence of pathogenetic connections between rheumatism (acute rheumatic fever in this terminology) and infective endocarditis. The diseases are connected only by the presence of endocarditis. ARF is a systemic disease of connective tissue, but with predominant damage to the valvular apparatus of the heart with the formation of myocardial defects. Rheumatic endocarditis in acute rheumatic fever is closely associated with streptococcal infection of the pharynx (beta-hemolytic streptococcus A is isolated during microbiological examination and confirmed by serology), and polyarthritis is symmetrical in nature. Rheumatic endocarditis most often occurs with damage to the mitral valve, the defect forms slowly. The course of the disease is not so severe and against the background of anti-inflammatory and antibiotic therapy, there is a rapid reversal of symptoms and an improvement in laboratory parameters.