Document Detail

Right-sided infective endocarditis: an echocardiographic study.
MedLine Citation:
PMID:  425969     Owner:  NLM     Status:  MEDLINE    
Echocardiographic observations are described in 10 patients with right-sided bacterial endocarditis. Six of the nine patients with tricuspid regurgitation had shaggy echoes on the tricuspid valve, which were confirmed to be vegetations on autopsy in two patients. In six patients, right ventricular dilatation was present, and paradoxic septal motion was seen in four. In one of the patients with pulmonic valve endocarditis, the pulmonic valve and right ventricular outflow tract revealed the shaggy echoes in diastole, along with systolic fluttering of the pulmonic valve, right ventricular dilatation and paradoxic septal motion. When the findings are supplemented to the clinical picture, echocardiography is found to be a useful noninvasive adjunct in the diagnosis of acute vegetative bacterial endocarditis involving the right side of the heart, especially if other clinical features, e.g., fever, leukocytosis and positive blood cultures are absent.
M U Sheikh; N Ali; E Covarrubias; L M Fox; M Morjaria; J Dejo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of medicine     Volume:  66     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1979 Feb 
Date Detail:
Created Date:  1979-05-26     Completed Date:  1979-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  283-7     Citation Subset:  AIM; IM    
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MeSH Terms
Endocarditis, Bacterial / diagnosis*,  physiopathology
Pulmonary Valve / physiopathology
Pulmonary Valve Insufficiency / diagnosis*,  physiopathology
Substance-Related Disorders / complications
Tricuspid Valve / physiopathology
Tricuspid Valve Insufficiency / diagnosis*,  physiopathology

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