65 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 ... #endocarditis # ... abscess #Echocardiogram ... #POCUS #Clinical
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Aortic and Mitral Valve ... Vegetations in Endocarditis ... on POCUS - PLAX ... aortic & mitral valves ... #Vegetations #Endocarditis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... • Myocardial abscess ... Consider repeat echo ... growth or worsening valve ... arthritis, splenic abscess
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... signs/symptoms or echo ... Non-Bacterial Thrombotic Endocarditis ... common, Aortic root abscess ... #NonInfective #Endocarditis
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 ... / pSeudomonas endocarditis
Prosthetic Mitral Valve Endocarditis - No bueno!

- Dr. Said Alsidawi @AlsidawiMD

#Prosthetic #MitralValve #Endocarditis #Echocardiogram #POCUS #Clinical
Prosthetic Mitral Valve ... Endocarditis - ... #MitralValve #Endocarditis ... Echocardiogram #POCUS
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 ... left-sided heart valves ... vegetation on echo ... signs/symptoms or echo
Complications of Staph Aureus Bacteremia
 • CNS Infections
 • Septic pulmonary embolism (0.9% - 18.8%)
 •
18.8%) • Epidural abscess ... ) • Iliopsoas abscess ... ) • Infective endocarditis ... - Native valve ... - Prosthetic valve
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... cultures • 2D Echo ... Complications: Abscess ... aureus prosthetic valve
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... organisms - ECHO ... vegetation, dehiscence, abscess ... criteria #Endocarditis