Tag Archives: infective endocarditis

Figure 1. Transoesophageal echocardiogram image. Hollow arrow marks abscess anterior to a bicuspid aortic valve (AV) and below the level of the pulmonary valve (PV). Solid arrow marks vegetation on the posterior aspect of the aortic valve TOE confirmed a 0.8 cm vegetation at the posteriorcommissure of the aortic valve with an ill-defined, 1.6 cm diameter, loculated lesion anterior to the valve pressing into the right ventricular outflow tract. This was felt to be an abscess cavity (hollow arrow, figure 1). TOE showed no involvement or impairment of flow throughout the length of the left main stem (LMS) or proximal right coronary arteries (LMS

NICE guidance The NICE review tried to determine which cardiac conditions are associated with increased risk of IE; whether dental treatment is associated with acute risk of developing the condition and whether ABP was effective in prevention of cases and deaths. The NICE guideline concluded that patients with structural heart disease were at increased risk of IE but did not find convincing evidence that dental ABP was cost-effective. They calculated that if amoxicillin prophylaxis was effective then the cost of preventing a single case of IE would be circa £12 million. In the absence of high-quality evidence for clinical effectiveness the

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