9 results
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... the surface of valve ... leaflet • Vegetations ... inflammation at vegetation ... vegetation on echo
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Here you see a vegetation ... #MitralValve #Endocarditis ... clinical #cardiology #a4c ... #plax
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... false-negative results: vegetation ... already embolised, Vegetations ... in up to 30% of cases ... #comparison #infective
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... Echocardiogram #PLAX ... #Infective #Endocarditis ... #MitralValve #Vegetation
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... Whipple's disease Infective ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #diagnosis #differential
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 ... Paradoxical emboli via ASD ... Treat underlying cause ... -mm left sided vegetations
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... - Most Common Cause ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #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
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
mitral stenosis - Infective ... /marantic endocarditis ... Vegetations seen ... parachute mitral valve ... Primary #Functional #Differential