Endocarditis is a rare medical condition. It is characterized by the inflammation of the heart valves and the endocardium. It occurs when bacteria move into the blood circulation and attack the heart’s lining. This is why it is also known as infective or bacterial endocarditis. Infective endocarditis should not be left untreated because it can cause permanent damage and eventually death.
Endocarditis can be acute or chronic, depending upon the state of the disease. Acute endocarditis develops rapidly within days, while chronic endocarditis takes months or weeks to develop.
Studies have revealed that it occurs more commonly in men than in women. It is also prevalent in people with weaker immune systems and in those who have conditions like:
● Damaged heart valves
● Cardiomyopathy (Enlargement of the heart muscle)
● Narrowing of heart valves
Normally, your immune system destroys harmful organisms and prevents them from causing any serious problems within your body. But when microorganisms bypass your immune system, they tend to cause many dysfunctions, endocarditis being one of them.
Bacteria such as Streptococcus and Staphylococcus aureus are the main agents behind this infection. Other causative agents include:
● Streptococcus Bovis
● Viridian streptococcus
● Coagulase-negative staphylococci
● Haemophilus influenzae
Factors that lead to infective endocarditis are:
● Drug addiction
● Artificial heart valve
● Improper dental hygiene
● Previous infective endocarditis
● Impaired immune system
● Abnormal heart valve due to valve replacement surgery
● Heart defect by birth
● Chlamydia and gonorrhea (sexually transmitted infections)
● Intestinal disorders
● Implanted devices such as pacemakers
Here is a list of the most common symptoms of infective endocarditis.
● Skin rash
● Chest pain
● Blood in urine
● Unusual heart sounds
● Pain in joints and muscles
● Shortness of breath
● Unhealed cuts
● Swollen legs, feet, and abdomen
● Splinter hemorrhages
● Difficulty in swallowing
● Osler nodes (fingers and toes having painful nodes)
Bacterial endocarditis can be diagnosed in several ways.
1. Complete blood count.
2. CT scan: It shows whether the bacteria has affected your brain or chest.
3. X-ray: It shows if the bacteria has affected your lungs or not.
4. C reactive protein.
5. Endocardiogram: It shows abscesses, holes, or any kind of growth on heart valves.
6. Blood cultures.
7. Erythrocyte sedimentation rate: In this diagnostic test, a test tube is filled with liquid. Next, the blood cells are introduced into the tube. The speed with which the blood cells fall to the bottom is directly proportional to the incidence of an inflammatory condition, such as endocarditis.
Your treatment options for endocarditis include long-term antibiotic therapy and surgery.
● Blood samples are taken before prescribing.
● Antibiotics such as vancomycin or ampicillin/sulbactam and an aminoglycoside are prescribed. For medications, you can book an online appointment at Shifa4U.
● If the patient has prosthetic valves, then rifampin is also added to the treatment regimen.
● Therapy extends from 4 to 6 weeks.
It is reserved for chronic endocarditis. Surgery is the choice of treatment when:
● The patient experiences a stroke.
● There are large lumps or abscesses within the lining of the heart.
● The patient doesn’t respond to antibiotics or antifungal treatment.
● Blood starts flowing back to the heart.
● More than one blood clot is present.
● The patient has an ongoing high fever.
Farah Jassawalla is a graduate of the Lahore School of Economics. She is also a writer, and healthcare enthusiast, having closely observed case studies while working with Lahore's thriving general physicians at their clinics.
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Dr Rizwan Uppal, the founder of IDC, believed that proper and timely diagnosis is the key to successful treatment. An all under one roof diagnostic service with the name of Islamabad Diagnostic Center (IDC) Pvt. Ltd was established in the beautiful City of Islamabad more than a decade ago.
This brain child of Dr Rizwan was not possible without the support of his two brothers and Executive directors, Dr Rehan Uppal and Dr Imran Uppal. Since the day of inception, Dr Rehan has been a great assistance and immense help in IDC progress and evolution. IDC’s main strength lies in use of state of the art technology, in the hands of qualified and experienced team of doctors and technologist on 24/7 basis. There is still no such setup of equivalent scale and quality in Pakistan.
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IDC has taken lead in providing all type of novel studies like Real Time PCR for Hepatitis B/C and MTB, CR DR system, latest Open MRI, Digital CMOS OPG and 4D real time ultrasonography, Digital Holter Recorder & Ambulatory BP Monitor, ETT, Spirometry, Mammography, Fluoroscopy and ECHO in Rawalpindi & Islamabad tests that are not available anywhere in Pakistan are carried out in collaboration with SynLab Services (Germany) and The Doctor’s Lab (TDL) UK. Besides quality, accuracy & reliability, IDC takes pride in offering quickest turn-around times (TAT). Special cold chain shipment is provided by FedEx & DHL to meet IDC standards.
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Prof Dr. Essa M Abdulla recently received the Eli Lilly Gold Medal 2000, presented by Prof Ata-ur-Rahman, Federal Minister of Science & Technology, for the most outstanding Microbiologist and teacher in Pakistan. The laboratory founded in 1987,when Prof. Essa returned after having a rich teaching experience for 40 years abroad.
CERTIFIED From ISO and Our organization aspires to achieve commendable standards of performance, giving physicians and patients the personal and professional commitment they expect and deserve.
In 1996, we set out to establish a medical diagnostic center that caters to the needs of patients and diagnosticians alike. Our focus has always been on providing a quality service in a timely manner. We take pride in the fact that years later, today, with a network of collection centers in and out of Lahore, AL-Nasar Lab® & Diagnostic Centre remains the provider of a wide variety of medical services for the most competitive rates in the industry. Our Mission is to provide reliable, timely, high quality, cost-effective and innovative diagnostic services & information to our patients and clients
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We value your time and pride ourselves on offering fast, efficient, & accurate imaging and diagnosis by our internationally trained & recognized specialists.
Our radiologists are the most experienced in MRI/CT scanning in the whole country.
1st of its kind in Pakistan – we utilize advanced medical technologies & equipment only available at Heart, Brain, & Body Scan
Precise, quick , & efficient same day service – we value your time.
Picture Archive & Communication System (PACS)
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Toshiba ELAN 1.5 Tesla MRI
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Toshiba Aquilion 64 Slice CT Scan
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Two Open-bore MRI machines
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Complete Nuclear Medicine – Diagnostic and Therapeutic
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Siemens Open MRI
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To make use of best diagnostic testing services and delivering them at doorsteps of patients, doctors and healthcare service providers. To offer the “BEST ADVANCED CARE” through our core values of excellence, reliability, punctuality, novelty, safety, accuracy and sincerity. We work on the philosophy of “PATIENT HEALTH & WELLNESS FIRST”
Chairman Message (Dr Zahid Asgher)
WE, at Doctors Diagnostic Centre, started our journey with the responsibility of creating centre of brilliance providing the utmost quality of Medical Diagnostics to the patients
VISION & MISSION
National Accreditation Board for Testing and Calibration Laboratories (NABL), Ministry of Science and Technology, Government of Pakistan accreditation has been applied for. We are also external quality assurance participant in Pakistan, Lahore/ Voluntary inter laboratory Analytical Comparison (VILAC). EQAS External Quality Assurance Scheme (Bio-Rad) For Both CHEMISTRY /IMMUNOASSAYS. CMC Vellore External Quality Assessment Scheme.
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