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7/23/2019 Bolile cardiovasculare dobandite http://slidepdf.com/reader/full/bolile-cardiovasculare-dobandite 1/30  1 BOLILE CARDIOVASCULARE DOBÂNDITE Endocarditele infecţioase Miocarditele acte !ericarditele Boala "a#asa$i Tl%r&rile de rit' (i de condcere

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    BOLILE CARDIOVASCULAREDOBNDITE

    Endocarditele infecioaseMiocarditele acte

    !ericarditeleBoala "a#asa$iTl%r&rile de rit' (i de condcere

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    )

    1*Endocarditele infecioase

    1*1*Definiie+endocardita infecioas& ,e*i*- esteafectarea infecioas& se.tic& a endocardli/al/lar (i 'ai rar cel .arietal const0nd din

    'lti.licarea %acterian& .e leini iniialetro'%otice a%acteriene2 relt0nd leini/e3etante (i lcero4/e3etante*

    1*)*!ato3enie+ condiii necesare .entr.rodcerea e*i*+ ano'alii strctrale cardiace2tr%lena fl5li san3in2 %acterie'ia*

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    6

    4 se for'ea& n tro'% ne%acterian74 se ader& 3er'enii care .rodc de5tran

    e5tracellar7

    4 sti'larea siste'li i'n 4 se for'ea&co'.le5e at34atc distrcti/e as.ra estrilor/ecine ,n distr3 %acteriile-7

    4 e'%olii se.tice*

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    8

    1*6*Etiolo3ie4 Stre.tococcs /iridans4 Stafilococcs ares

    4 alte+ Enterococcs2 Stafilococcs e.ider'idis2E*coli2 "le%siella2 !rotes2 fn3i

    1*8*Clinic+ fe%r& s.leno'e3alie artral3ii2 artrit&2 'ial3ii leini .ete(iale2 'aclo4.a.loase sflri recent a.&rte sa 'odificate 'anifest&ri nerolo3ice+9e'i.le3ii2 con/lsii

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    :

    1*:*!araclinic+9e'ocltra .oiti/&

    /ialiarea /e3etaiei ,ec9o- reactani de fa& act&

    co'.l*s*sc&t2 3a'a 3lo%*cresc*

    ane'ie2 lecocito&

    9e'atrie 'icrosco.ic&

    E";+f&r& 'odif*s.ecifice

    CT+/ialiare a%ces cer*

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    *Co'.licaii+4insficien& cardiac& 4tl%r&ri de rit'

    4e'%olii cere%rale2 .l'onare 4con/lsii

    4nefrit&

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    >

    1*?*Trata'ent1*?*1*Etiolo3ic

    49e'ocltr& ne3*+a'[email protected]'icin4str*/[email protected]'icin

    ,aler3ie la .enicilin&+/anco'icin-

    4stafilo*are+o5acilin ,sa [email protected]'icin ,to%ra'icin-

    ,aler3ie la .enicilin&+/anco'icin-

    Trata'ent .arenteral2 doa 'a5i'&2 drata de 84*Trata'ent+4 I;IV ,n .ri'ele 1 ile .re/ine afectarea

    coronarian&- 8 '3H$3Hi : ile

    4 as.irina ,n .re/ine ane/ris'l-+ > 1'3H$3Hi i/

    4 alte+ di.irida'ol 6 4 < '3H$3Hi7 %P4.ass

    coronarian*