A 53yo had a dental extraction after which he recently had a mitral valve prolapse, high temp of
39C, cardiac failure and new cardiac murmur. What is the single most likely dx?
- a. Atheroma
- b. Congenital
- c. Regeneration
- d. Infection
- e. Neoplastic
0 voters
Ans. The key is D. Infection. [Infective endocarditis (IE) is defined as an infection of the endocardial
surface of the heart which may include one or more heart valves, the mural endocardium, or a septal
defect. Its intracardiac effects include severe valvular insufficiency, which may lead to intractable
congestive heart failure and myocardial abscesses. If left untreated, IE is almost inevitably fatal.Dental
extraction is a risk factor for infective endocarditis].
A 46 year old African-Caribbean man is found to have BP 160/90mmHg on 3 separate occasions.
What is the best initial treatment?
- a. ACEi
- b. Beta-blockers
- c. ARBs
- d. None
- e. CCB
0 voters
Ans. The key is E. CCB. [If age less than 55 years but Afro-Caribbean origin then CCB].