Thank you for your query at DoctorSpring.com
I understand your query even though it is slightly complicated.
If the particle does get stuck in heart, there will be inflammation yes. If the venous blood flow ( the current ) increases then it can dislodge the particle as well as the clot. Yes.
In this case, if it still stays in the same place another process of inflammation will start and can be easily caught since there will be symptoms, and will be evident in the ECHO.
However if it gets dislodged, then it will act as an emboli and can even cause death if it lodges in the lung, or lead to DVT if it travels via IVC to the veins in the leg.
Hope this answers your query,
Patient replied :
Thank you for your answer.
My concern start from this thinking- litttle wood particle which got stuck in the layer could not be checked by eco. And inflammation on endocardium somtimes could not deliver the symptom if it is not by infectious endocartis.
So.My concern is it possible not to know the symptom while small particle got stucking in the layer of endocardium for 1yr if particle got stuck not firmly.
in my point of view if particle got stuck firmly, there would be inflammtion and bleeding stop and encapsulated...so we could think what is going to happen next.
My concern is if particle be shaked by blood flows.is it more easy for person to know the symptom? More hard to know the symptom or checking by eco.
In my point of view, it makes more clot and delodged so more easy to know or more hard to know?
Sorr to bother you again.
Yes firstly if the particle lodges ( no matter where it lodges and however small it is ), it will be picked up by the echo and also produce symptoms, to warrant an investigation immediately.
Even if it dislodges and lodges somewhere else, it will act like an emboli, and finding it out will be easier because the symptoms will be almost instantaneous.
Feel free to discuss further,
Patient replied :
Thank you very much.
There is some misunderstanding. Sorry my mistake.
What I really want to know is if particle got stuck firmly, i could understand the wound healing process. But if not firmly stuck and little shaked by blood pressure (not move somewhere,), i want to know wound healing process. Capillary on the layer of endocardium maybe got cut by little particle and bleeding start. What if continuesily particle shake and irrated the wound part... bleeding could stop and what happen and that is easily checked.
More easy to know? Sorry to bother you againthank you.
See that is my point. It won't happen like that the particle gets a little shaken and moves away. The clotting process happens in seconds so wherever the particle manages to reach, it will be surrounded by inflammatory cells almost in 5-10 seconds being recognised as a foreign body. And such small particles won't be able to cause a great deal of damage to the capillaries of endocardium. Finally if the clot somehow gets dislodged, then it becomes dangerous in the way where the emboli lodges.