Guidelines
Indications for CV Sx Assessment

Indications for CV Sx Assessment

Hemodynamic/Structural Indications

Heart failure

Shock

Disruption or perforation of valve

Cardiac abscess, new heart block, pseudoaneurysm, fistula

Infectious Indications

Fungal IE

Staphylococcus prosthetic IE

Persistent bacteremia or lack of clinical improvement after 7d of adequate therapy

Relapse after full course of therapy

Embolic Indications

Persistent vegetation after systemic major emboli

Vegetation >10mm, especially on anterior mitral leaflet

Multiple major embolic events

Increase in vegetation size after 14d appropriate therapy