Infective endocarditis and what you can do to avoid it
- Endocarditis is a rare infection of the inside the heart or the main arteries.
- It most commonly affects one or more of the heart valves but may also occur around holes between the heart chambers, at the site of abnormalities in the walls of arteries or at the site of previous heart or arterial surgery.
- It is a serious condition and can cause major damage to the heart valves and may even cause stroke or death.
- Most endocarditis occurs in patients already known to have heart abnormalities.
- Most patients with congenital heart disease are at increased risk of getting endocarditis.
- The only exceptions being isolated atrial septal defects or patients who have had completely curative treatment.
ADVICE FOR DENTISTS
The safest option for dental work is via local anaesthetic but if the treatment cannot be performed with the child awake a general anaesthetic will be necessary.
For patients who require a general anaesthetic for dental treatment, the patients with the following simple cardiac lesions can have their treatment performed in the local District General Hospital.
If the patient has a more complicated cardiac condition, the advice as to whether the patient can be treated locally or at the specialist centre will have to be given on an individual basis based on the patient’s up to date medical condition.
If you require advice about elective dental treatment then please contact Dr J Scheffczik, Paediatric Cardiac Anaesthetist based at Leeds General Infirmary for advice:
Dr J Scheffczik email: email@example.com
If the patient requires urgent dental treatment with general anaesthetic please contact the paediatric cardiac anaesthetist on call or the paediatric cardiologist on call via the hospital switchboard at Leeds General Infirmary. Tel 0113 2432799
Please see flow chart below for more detailed information