Oluwadapo Oluwaseun J
Doctor at BIOS Specialist Hospital
Title: ANTIMICROBIALS INFECTIOUS AND INFECTIVE ENDOCARDITIS
Biography
Biography: Oluwadapo Oluwaseun J
Abstract
INTRODUCTION:
Coronary artery disease had historically been considered to be uncommon in the sub-Saharan African of Negro Origin. This assertion may not be totally true considering the rising trend of cardiac death in the region while coronary artery disease is not a common cause of syncope we report a case of Nigeria who presented with history of recurrent syncope. He underwent coronary angiogram as part of his evaluation and was diagnosed to have coronary artery disease a significant single vessel disease (LAD).
CASE OF PRESENTATION
A 45 year old normotensive,EU glyceamic,non-smoker and non-alcoholic was referred from peripheral hospital to cardiology unit of bios specialist hospital, Nigeria for evaluation of recurrent syncope. He had two episodes of syncope with 72 hour occurring exercise preceded by dizziness, no chest palpations or dyspnoea .initial routine electrocardiogram (ECG) and 24 hour holter (EEG) were essentially normal. Another episode of syncope warranted further investigation. An immediate electrocardiogram taken showed deeply inverted symmetrical T-wave at the anterior leads. He underwent coronary angiogram at institute of cardiovascular Disease (ICVD),madras medical mission, India which revealed distal left main disease and 70-80% stenosis of the proximal (LAD). Circumflex artery was non dominant with normal right coronary artery. He subsequently had PTCA + STENT to LAD. Post revasculation course has been satisfactory with no recurrence syncope
CONCLUSION
In view of the rising trend of cardiac death in the country, there is the need for high index of suspicion for coronary artery and thorough evaluation of patients with syncope.
Therefore, endocarditis -is the term given to microbial intention of the heart valve or endocardium.
WHAT TO DISCUSSED:
In the conference centre we shall discussed on*
#Antimicrobials Infectious and infective endocarditis
#Clinical features of the sub acute illness& investigation.
# Chemo prophylaxis
#Antibiotic treatment regimen in infective endocarditis
#Complications and prognosis