6 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
), Spontaneous rupture ... rupture • Papillary ... Papillary muscle rupture ... Regurgitation #differential ... #diagnosis #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Additional culture ... Obtain single blood culture ... worsening valve function ... #diagnosis #management
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... MV chordae may rupture ... laterally from myocardial ... #Differential # ... Diagnosis #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... 90% of IE cases Culture ... staphylococci Culture ... #diagnosis #management ... #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Ventricular Free Wall Rupture ... Ventricular Septal Rupture ... Papillary Muscle Rupture ... • Contained rupture ... #cardiology #differential
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... infarction • ... recommend against future ... • During a future ... #management #cardiology