Infective endocarditis and non-infective endocarditis lecture on the nursing management, pathophysiology, treatment, signs and symptoms. In this video, I will discuss in detail the different types of endocarditis (infective endocarditis with the sub-types acute and subacute and non-infective). In addition, I detail the pathogenesis of how a vegetation grows on the heart valve and the complications of endocarditis, such as embolism, heart failure, valve regurgitation/stenosis. Signs and symptoms of IE include petechiae, anorexia, high fever, heart failure, cardiac murmur, Osler's nodes, Janeway lesions, Roth Spots, and splenomegaly. Infective endocarditis can be diagnosed with a TEE (transesophageal echocardiogram) which allows the physician to see the backside of the heart and the heart valves. Patients who are at risk for infective endocarditis include patients with a history if IV drug use, rheumatic heart disease, mitral valve prolapse, or other valve defects. Pathogens can enter into the blood stream through invasive procedures (dental work, implanted devices, central line placement) and infect the valve.
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