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Чаще всего заболевание имеет инфекционную природу, но в редких случаях может быть вызвано неинфекционными причинами, например аутоиммунными заболеваниями или некоторыми видами рака [5](https://fomin-clinic.ru/zabolevaniya/endokardit/). \n\nПо течению выделяют: \n* **Острый эндокардит** — характеризуется быстрым развитием симптомов и тяжёлым течением [1](https://www.mos-clinics.ru/diseases/endokardit/). \n* **Подострый эндокардит** — развивается постепенно, симптомы нарастают в течение нескольких недель или месяцев [1](https://www.mos-clinics.ru/diseases/endokardit/). \n* **Хронический эндокардит** — длительное течение с периодами обострений и ремиссий [1](https://www.mos-clinics.ru/diseases/endokardit/).\n\n\n\n## Причины\nОсновная причина — **попадание инфекции в кровь** [1](https://www.mos-clinics.ru/diseases/endokardit/). Это может произойти в результате различных медицинских процедур, таких как стоматологические вмешательства, установка катетеров, хирургические операции, особенно на сердце или сосудах [1](https://www.mos-clinics.ru/diseases/endokardit/). \n\nСреди наиболее распространённых возбудителей бактериального эндокардита — стрептококки и стафилококки, реже встречаются грибковые и другие виды инфекций [1](https://www.mos-clinics.ru/diseases/endokardit/). У людей с ослабленным иммунитетом риск развития инфекционного поражения эндокарда выше [1](https://www.mos-clinics.ru/diseases/endokardit/).\n\n## Симптомы\nСимптомы эндокардита могут быть разнообразными и зависят от остроты процесса, возбудителя инфекции и степени поражения сердца [1](https://www.mos-clinics.ru/diseases/endokardit/). Некоторые признаки: \n* **Острое течение**: внезапное повышение температуры тела, озноб, слабость, утомляемость, головная боль, боли в суставах и мышцах [1](https://www.mos-clinics.ru/diseases/endokardit/). \n* **Подострое течение**: длительная субфебрильная температура, утомляемость, бледность кожных покровов, появление шумов в сердце, которые ранее не выслушивались [1](https://www.mos-clinics.ru/diseases/endokardit/). \n* **Характерный признак**: петехии — мелкие кровоизлияния на коже и слизистых оболочках, а также узелки Ослера — болезненные красные узелки на пальцах рук и ног, и пятна Джейнуэя — безболезненные геморрагические пятна на ладонях и подошвах [1](https://www.mos-clinics.ru/diseases/endokardit/).\n\n## Диагностика\nДиагностика эндокардита основывается на комплексном обследовании, включающем сбор анамнеза, физикальный осмотр, лабораторные и инструментальные методы исследования [1](https://www.mos-clinics.ru/diseases/endokardit/). Некоторые методы: \n* **Эхокардиография** — позволяет визуализировать структуру сердца и оценить повреждения, определить наличие вегетаций — инфицированных тромбов или образований на сердечных клапанах [10](https://axion-med.ru/articles/infektsionnyy-endokardit/). \n* **Лабораторные исследования крови** — могут показать признаки воспаления (повышение уровня лейкоцитов, СОЭ, С-реактивного белка), а также выявить возбудителя инфекции при посеве крови на стерильность [1](https://www.mos-clinics.ru/diseases/endokardit/).\n\n## Лечение\nЛечение эндокардита направлено на устранение инфекции, предотвращение осложнений и восстановление функции сердца [1](https://www.mos-clinics.ru/diseases/endokardit/). **Основной метод** — длительная (обычно 4–6 недель) антибиотикотерапия с использованием внутривенного введения антибиотиков, подобранных с учётом чувствительности выявленного возбудителя [1](https://www.mos-clinics.ru/diseases/endokardit/). В некоторых случаях может потребоваться противогрибковая терапия [1](https://www.mos-clinics.ru/diseases/endokardit/). \n\n**В случае значительного повреждения сердечных клапанов** или развития тяжёлых осложнений может потребоваться хирургическое вмешательство — протезирование поражённого клапана или удаление инфицированных тканей [1](https://www.mos-clinics.ru/diseases/endokardit/). \n\nПосле завершения основного курса лечения эндокардита важную роль играет реабилитация, направленная на восстановление физической активности и улучшение качества жизни пациента [1](https://www.mos-clinics.ru/diseases/endokardit/).","linksData":[{"sourceId":1,"url":"https://www.mos-clinics.ru/diseases/endokardit/","shownUrl":"https://www.mos-clinics.ru/diseases/endokardit/","title":"Эндокардит: симптомы, диагностика, профилактика и лечение","shortUrl":"mos-clinics.ru","isTranslated":false,"description":"","greenUrl":"mos-clinics.ru"},{"sourceId":2,"url":"https://www.smclinic-spb.ru/zabolevaniya/endokardit","shownUrl":"https://www.smclinic-spb.ru/zabolevaniya/endokardit","title":"Эндокардит - 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