DR Medhat MRCP

Prognosis of Marfan syndrome:
- The life expectancy of patients used to be around 40-50 years.
- With the advent of regular echocardiography monitoring and beta-blocker/ACEinhibitor
therapy this has improved significantly over recent years.
- Aortic dissection and other cardiovascular problems remain the leading cause of
death however.
- If you have one patient who has a family history of Marfan's syndrome has recently
been diagnosed with the condition, the most important investigation to monitor
their condition is echocardiography . هام MRCPسؤال
Infective endocarditis
- Microbial infection of the endocardium (valves,endocardial lining or congenital
anomalies).
The following types of patients are affected:
- previously normal valves (50%, typically acute presentation)
- Rheumatic valve disease (30%)(mainly AR)
- Prosthetic valves
- Congenital heart defects
- Intravenous drug users (IVDUs, e.g. Typically causing tricuspid lesion).
سؤال - The strongest risk factor is previous episode of infective endocarditis
Pathogenesis
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