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endocarditis clinical echocardiogram cardiology pocus diagnosis valve vegetation mitral a4c differential infective plax tricuspid criteria causes psax ultrasound aortic cardiac
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Endocarditis (NBTE / Marantic ... endocarditis, Marantic ... valve leaflet • Vegetations ... inflammation at vegetation ... non-infective vegetation
Marantic Endocarditis Epidemiology: - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
Marantic Endocarditis ... endocarditis (marantic ... cardiac valvular vegetations ... Vegetations mostly ... BryanCUlrich #Marantic
Non-Infective Endocarditis - Pathophysiology Non-infective Endocarditis Pathophysiology: • Valves usually undamaged - Etiology poorly understood but thought
and propagate → Vegetation ... Endocarditis #NBTE #Marantic
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Malignancy (Marantic ... formation • Other vegetations ... also embolize: Marantic ... • Surgery • Marantic ... -mm left sided vegetations
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
false-negative results: vegetation ... already embolised, Vegetations ... infective #NBTE #Marantic
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
• Malignancy (Marantic ... formation • Other vegetations ... also embolize: Marantic ... • Surgery • Marantic ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
- Infective/marantic ... Vegetations seen
Mitral Valve Vegetations on Echocardiogram Surgery may be considered in pts with large (>15 mm) isolated aortic
Mitral Valve Vegetations ... aortic or mitral vegetations ... Ivan_Echocardio #Vegetations
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 Mitral Valve Vegetations on Echocardiogram (PLAX) Surgery may be considered in pts with large (>15 mm) isolated
Mitral Valve Vegetations ... aortic or mitral vegetations ... Ivan_Echocardio #Vegetations
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 Mitral Valve Vegetation Echocardiogram Juicy vegetation on a mitral valve. 31% S. Aureus (IVDUs, IV lines) 17% Strep viridans 11%
Mitral Valve Vegetation ... Echocardiogram Juicy vegetation ... MedCrisis #Mitral #Vegetation
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