60 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... #MitralValve #Mitral ... #Valve #endocarditis ... POCUS #Clinical #Cardiology
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
- Prosthetic valves ... - Aortic valve ... disease - Mitral ... #RiskFactors #Cardiology ... #Diagnosis #Differential
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Aortic and Mitral ... Valve Vegetations ... in Endocarditis ... #Endocarditis # ... PLAX #clinical #cardiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential ... #diagnosis #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... consultation • Valve ... • Myocardial abscess ... growth or worsening valve ... arthritis, splenic abscess
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Mitral Valve Vegetations ... isolated aortic or mitral ... #Vegetations #endocarditis ... #Mitral #Valve ... Echocardiogram #clinical #cardiology
Infective Endocarditis - Indications for Surgery - "Fun-HEARTS" Mnemonic

Fungal endocarditis
Heart failure (valve dysfunction)
Enterococcus (VRE) endocarditis
Abscess, annular
Infective Endocarditis ... Mnemonic Fungal endocarditis ... Heart failure (valve ... Abscess, annular ... cardiothoracic #cardiology
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Mitral Valve Vegetations ... isolated aortic or mitral ... #Vegetations #endocarditis ... #Mitral #Valve ... Echocardiogram #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Involves aortic and mitral ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #management #cardiology
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... MitralValve #Infective #Endocarditis ... clinical #a4c #cardiology