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Questions posted in the
Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.
Question Title: BacteriaForum: The Heart Forum
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I have been having problems relating to mvp for about 1 year. My original doctor related it to stomach problems. so they did a procedure on my stomach. Also I had several dental procedures in the last year. I am going for an echo and doppler would they be able to pick up if you were having signs of bacterial endocarditis on those test and if not how would you know if you had symptoms of this. ___ Dear Ray, The symptoms that a patient with bacterial endocarditis gets are variable but generally include fevers, chills, and general malaise. Some patients experience only a general 'run-down' feeling without fevers. Some will experience symptoms related to the infection of their heart valves, such as shortness of breath. As for the diagnosis of endocarditis, the first thing done after blood cultures are drawn is to do an echocardiogram (transthoracic or TTE) and if that doesn't show any abnormalities but the clinical suspicion is still high, then you proceed with a transesophageal echocardiogram(TEE). A large majority of the time the TTE will show any endocarditis however there are always a few cases that can only be picked up on TEE. A TEE of course is a little more invasive in that the echo probe (like a thin microphone is placed down you esophagus or feeding tube that leads to the stomach, as opposed to the TTE when the echo probe is placed simply on your chest.) Echocardiograms have made the diagnosis of endocarditis much easier as well as more accurate, and those who have their endocarditis diagnosed are much better off than those who do not. Good Luck. Information provided in the heart forum is intended for general medical informational purposes only, actual diagnosis and treatment can only be made by your physician(s).
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