Mnemonics for Indications for surgery in Endocarditis

Remember the indications for surgery in endocarditis using the mnemonic PUS RIVER.


  • Prosthetic valve endocarditis (most cases)
  • Uncontrolled infection
  • Supporative local complications with conduction abnormalities
  • Resection of mycotic aneurysm
  • Ineffective antimicrobial therapy (eg Vs fungi)
  • Valvular damage (significant)
  • Embolization (repeated systemic)
  • Refractory congestive heart failure

Hope that mnemonic helped. Got a better mnemonic for the same? Let us know in the comments below.
Also check out these medical mnemonics

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