最近审阅: 1 十一月 2020
最近更新: 10 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 发热/寒战
  • 盗汗、身体不适、乏力、食欲不振、体重减轻、肌肉痛
  • 虚弱
  • 关节痛
  • 头痛
  • 呼吸短促
  • 脑膜刺激征
  • 心脏杂音
  • Janeway 损害
  • Osler 结节
  • Roth 斑

其他诊断因素

  • 指甲下线状出血
  • 皮肤坏死
  • 胸痛
  • 背痛
  • 上腭瘀斑

危险因素

  • 感染性心内膜炎的既往病史
  • 存在人工心脏瓣膜修复
  • 某些类型的先天性心脏病
  • 心脏移植后(心脏瓣膜病变患者)
  • 存在心脏植入式电子设备或血管内导管(例如血液透析)
  • 获得性退行性瓣膜疾病
  • 二尖瓣脱垂 (mitral valve prolapse, MVP) 伴瓣膜反流
  • 肥厚型心肌病
  • 静脉毒品使用

诊断性检查

首要检查

  • 全血细胞计数(FBC)
  • 血清生化检查和血糖检测
  • 尿液分析
  • 血液培养
  • 心电图(ECG)
  • 超声心动图
更多 首要检查

需考虑的检查

  • 类风湿因子
  • 红细胞沉降率
  • 补体水平
  • 计算机断层扫描
  • 磁共振成像 (MRI)
更多 需考虑的检查

治疗流程

撰稿人

Cardiology Specialist Registrar and Clinical Research Fellow

Department of Cardiovascular Sciences

St George's Hospital Medical School

University of London

London

UK

利益声明

TKA declares that she has no competing interests.

Cardiology Specialist Registrar and Clinical Research Fellow

Department of Cardiovascular Sciences

St George's Hospital Medical School

University of London

London

UK

利益声明

AM is an author of a number of references cited in this topic.

Clinical Lecturer in Cardiology

St George's University of London

London

UK

利益声明

MP declares that he has no competing interests.

Dr Tracey Keteepe-Arachi, Dr Aneil Malhotra, and Dr Michael Papadakis would like to gratefully acknowledge Professor Sanjay Sharma, Dr Jason C. Schultz, Dr Nisha K. Lassi, and Dr Nandan S. Anavekar, previous contributors to this topic. JCS, NKL, NSA, and SS declare that they have no competing interests.

同行评议者展开全部内容

Professor of Pediatrics

SMIMER Hospital

Gujarat

India

利益声明

VD declares that she has no competing interests.

Director

Clinical Epidemiology Unit

Marilia Medical School

Sao Paulo

Brazil

利益声明

LOC declares that she has no competing interests.

Associate Professor of Medicine

Director, Cardiovascular Disease Fellowship Program

Duke University Medical Center

Durham

NC

利益声明

AW declares that he has no competing interests.

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