15 results
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
patient underwent septal ... myectomy and MV ... #Vegetations #POCUS ... #clinical #cardiology ... #A4C #S4C
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... results: vegetation ... Predilection for left-sided ... in up to 30% of cases ... Marantic #diagnosis #table
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Here you see a vegetation ... that extends up and ... hits the septum ... #clinical #cardiology ... #a4c #plax
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Tricuspid Vegetations in Endocarditis on POCUS Echocardiogram (s4c)
There are times you do a bedside echo on
Tricuspid Vegetations ... on POCUS Echocardiogram ... bedside echo on a septic ... POCUS #Echocardiogram ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
mobility, thickened and ... disease Infective endocarditis ... (vegetations)/tumor ... (left atrial myxoma ... #differential #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... tumor embolism Septic ... sided vegetations ... Differential #Diagnosis #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Thrombus), Valve (Vegetation ... Paradoxical: Right to Left ... - Most Common Cause ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Though this case ... septum might look ... like asd in 4ch ... An ASD with atria ... #cardiology #a4c