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cardiology marantic causes criteria mitral nbte regurgitation artery checklist clinical comparison coronary criticalcare duke echocardiogram embolism erythematosus functional infectiousdiseases infective
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... leaflet • Vegetations ... inflammation at vegetation ... non-infective vegetation ... @ID_fellows #NonInfective
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... is required for diagnosis ... false-negative results: vegetation ... already embolised, Vegetations ... @ID_fellows #NonInfective
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Myocardial abscess • Vegetation ... cultures • Large vegetation ... repeat echo (to r/o vegetation ... #criticalcare #diagnosis ... #management
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... with endocarditis ... you can see the vegetation ... #Endocarditis #Vegetation ... ultrasound #POCUS #S4C
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 Marantic Endocarditis Epidemiology: - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
cardiac valvular vegetations ... irregularly shaped vegetations ... Vegetations mostly ... just sit on valve ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations ... #Endocarditis #diagnosis ... #management #cardiology
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... stenosis #Causes #diagnosis ... #differential #
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... Paradoxical emboli via ASD ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential
Endocarditis - Diagnosis and Management Summary What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... infection of heart valves ... affects Aortic valve ... bacteria, ECHO w/ vegetation
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