It typically happens in the subacute setting after a myocardial infarction (heart attack), in which the infarcted muscle of the heart thins out and tears.
en.wikipedia.org Both acute, fulminant disease and indolent, subacute presentations have been reported in the literature.
en.wikipedia.org Other strains of streptococci ("bovis" and "equines") can also cause subacute endocarditis, usually in patients who have a form of gastrointestinal cancer.
en.wikipedia.org Specifically, residents receive subacute care involving intensive therapies, behavior modification, psychopharmacology, nursing assessment and intervention, diagnostic evaluation, and educational planning.
en.wikipedia.org In the subacute form of infective endocarditis, the vegetation may also include a center of granulomatous tissue, which may fibrose or calcify.
en.wikipedia.org