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Prosthetic Mitral Valve Endocarditis - No bueno!

- Dr. Said Alsidawi @AlsidawiMD

#Prosthetic #MitralValve #Endocarditis #Echocardiogram #POCUS #Clinical
Prosthetic Mitral ... Valve Endocarditis ... AlsidawiMD #Prosthetic ... #MitralValve #Endocarditis
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
for Infective Endocarditis ... High Risk: - Prosthetic ... valves - Aortic ... valve disease ... #Infective #Endocarditis
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... Culture-negative Prosthetic ... Valve - Early: ... Diphtheroids Prosthetic ... amzn.to/2LmUODZ #Endocarditis
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and prosthetic ... valve endocarditis ... #Infective #Endocarditis
Complications of Staph Aureus Bacteremia
 • CNS Infections
 • Septic pulmonary embolism (0.9% - 18.8%)
 •
) • Infective endocarditis ... - Native valve ... 6% - 24%) - Prosthetic ... valve (51%) • ... 1.4-18.8%) - Prosthetic
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... a replacement valve ... extending past the prosthetic ... #MitralValve #Endocarditis
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
for Infective Endocarditis ... Native valves ... Diphtheroids Prosthetic ... valves: - Staphylococcus ... #Infective #Endocarditis
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Acute Infective Endocarditis ... , Acute Prosthetic ... Valve Dysfunction ... Degeneration, Prosthetic ... Valve Dysfunction
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... fever, Infective endocarditis ... Ehlers Danlos) • Prosthetic ... valve: Paravalvular ... Mitral annulus valve
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... infection of heart valves ... affects Aortic valve ... indwelling lines, prosthetic ... /cardiac valve disease