249 results
Prosthetic Mitral Valve Endocarditis - No bueno!

- Dr. Said Alsidawi @AlsidawiMD

#Prosthetic #MitralValve #Endocarditis #Echocardiogram #POCUS #Clinical
Prosthetic Mitral ... Valve Endocarditis ... AlsidawiMD #Prosthetic ... #MitralValve #Endocarditis
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and prosthetic ... valve endocarditis ... #Infective #Endocarditis
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
for Infective Endocarditis ... High Risk: - Prosthetic ... Previous infective endocarditis ... #Infective #Endocarditis
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... Culture-negative Prosthetic ... Diphtheroids Prosthetic ... amzn.to/2LmUODZ #Endocarditis
Complications of Staph Aureus Bacteremia
 • CNS Infections
 • Septic pulmonary embolism (0.9% - 18.8%)
 •
) • Infective endocarditis ... 6% - 24%) - Prosthetic ... 1.4-18.8%) - Prosthetic
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
for Infective Endocarditis ... Diphtheroids Prosthetic ... #Infective #Endocarditis
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... extending past the prosthetic ... #MitralValve #Endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... valvular disease • Prosthetic ... Influenza Prosthetic ... Valve Endocarditis ... emboli • S. aureus prosthetic
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Acute Infective Endocarditis ... , Acute Prosthetic ... Infection: Infective Endocarditis ... Degeneration, Prosthetic
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib, prosthetic ... , LV aneurysm, Endocarditis