Subject(s)
Palliative Care , Terminally Ill , Aged, 80 and over , Female , Humans , Living Wills , Physician-Patient Relations , United StatesSubject(s)
Health Status , Insurance Coverage , Patients/psychology , Humans , Male , Middle Aged , Narration , Tachycardia, Ventricular , United StatesSubject(s)
Angioplasty, Balloon, Coronary , Chest Pain , Emergency Treatment/psychology , Myocardial Infarction/surgery , Physicians/psychology , Anecdotes as Topic , Health Behavior , Humans , Male , Myocardial Infarction/physiopathology , Stents , Stress, Psychological , Time Factors , Work Schedule ToleranceSubject(s)
Cardiology , Health Maintenance Organizations , Patient Satisfaction , Physician-Patient Relations , Aged , Florida , Humans , Medicare Part C , United States , WorkforceSubject(s)
Acquired Immunodeficiency Syndrome , Referral and Consultation , Resuscitation Orders , Adult , Female , Florida , Humans , Medical Futility , Right to DieABSTRACT
Echocardiographic features of acute aortic regurgitation resulting from bacterial endocarditis have been well documented (Nathan et al., 1980; Weaver et al., 1977; Wray, 1975a), and include thick shaggy echoes from aortic valve in diastole, fine diastolic flutter of aortic valves suggestive of rupture of cusps, and premature closure of mitral valves. Echocardiography being a sensitive noninvasive technique for detecting aortic valve vegetations is heavily relied on for earlier diagnosis and prompt therapy of these patients. Prognosis of echocardiographically positive endocarditis is known to be worse than for echo-negative patients. The following case is being presented because of an unusual echocardiographic manifestation with mid-diastolic aortic valve opening secondary to flail aortic valve from staphylococcal endocarditis of the aortic valve.
