<prompt> Which of the following is associated with destruction of valves?Acute infective endocarditisLibman sachs endocarditisRheumatic Hea diseaseAll  <response>: Acute endocarditis referes to tumultuous v, destructive infections frequently involving a highly virulent organism attacking va previously normal value and capable of causing substantial morbidity and moality even with appropriate antibiotic therapy and surgery Robbins 9 th edition page no. 393 