Pediatric Lectures Unit Cardiovascular system Total Lectures 05

Pediatric Lectures �Unit: Cardiovascular system �Total Lectures: 05 �Lecture no: 05 �Topic: Infective Endocarditis Cardiomyopathy

Cardiovascular system Dr. Saba Haider Tarar MBBS, MCPS, FCPS (Pakistan), MRCPCH(AKP-London) Assistant Professor of Pediatrics.

Infective Endocarditis (I. E) �Definition: Inflammation of endocardial surface, mainly cardiac valves due to any infection. �Etiology: Bacteria, Fungus, rickettsiae Most common; Strep. Viridans, Staph Aureus, Staph Epidermidis, Enterococcus, H. Influenzae, Pseudomonas

�CHD commonly predisposing to I. E are �VSD �AS �PDA �TGA �TOF

Duke Criteria for I. E

Diagnosis �Blood CP �ESR/ CRP �Blood C/S �ECHO �Urine R/E

Treatment �Antibiotics �Supportive care Prophylaxis: �Before any surgical procedure Complications: �CCF, pulmonary emboli, Myocardial abcesses, aneurysms

Cardiomyopathy Definition: Destruction of Myocardium (heart Muscles) Types: Primary: �Dilated, hypertrophic, Restrictive Secondary: �Infections, metabolic/ Toxic insult

T Y P E S

Clinical Features �Dyspnea �Orthopnea �Bronchospasm �CCF �Chest pain �Syncope �Murmurs �Peripheral edema

Investigation �ECG �CXR �ECHO

Treatment �Inotropes �Vasodilators �Diuretics �Anti Arrythmic drugs �Avoid strenuous exercise