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Infective Endocarditis
Infective Endocarditis - Treatments
If left untreated, infective endocarditis (IE) can result in life-threatening complications. As such, IE is typically treated with medication or surgical intervention.
Medication
Most people with infective or bacterial endocarditis can be treated with a high dose of antibiotics administered via an IV drip. Blood cultures will continue be taken throughout the patient’s stay in the hospital to monitor his/her symptoms and the treatment progress. When the symptoms have largely gone away, the patient might be discharged. However, the patient will have to continue with the IV antibiotics at home or with their doctor for several weeks.
If IE is caused by a fungal infection, antifungal medication might have to be taken for life to prevent the infection from recurring.
Surgical procedures
Surgical procedures might be required for those with severe IE infections or to replace a damaged heart valve. The key surgical procedures used to treat IE are
valve repair/replacement
, fluid or pus drainage, and repair of any unusual passageways (fistula) that have developed. Generally, surgery will be recommended to patients with the following:
Persistent symptoms like a high fever even with medication
IE due to fungal infections
Prosthetic (artificial) heart valve
Potential
heart failure
due to valve issues
Build-up of pus or fluid
Opening of an unusual passageway (fistula) in the heart
Valve disease or damage
Generally, the benefits of surgical intervention include:
Increased chances of survival
Lower risk of recurrent IE infections
Prolonged symptom relief
Preservation of heart function which can prevent heart failure
Despite the benefits of surgical intervention for those with IE, this may not always be suitable. Those who are older, have chronic conditions or weaker immune systems might be unable to undergo surgery. Please speak with your doctor to discuss your suitability for these surgical procedures.
Infective Endocarditis - Post-surgery care
Infective Endocarditis - Other Information
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Adult Congenital Heart Disease
Article contributed by
Department of Cardiology
,
National Heart Centre Singapore
;
NHCS Cardiology @ SKH
The information provided is not intended as medical advice.
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