15 results
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
, Marantic endocarditis ... the surface of valve ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
is required for diagnosis ... false-negative results: vegetation ... already embolised, Vegetations ... infective #NBTE #Marantic ... #diagnosis #table
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... consistent with a vegetation ... secondary to endocarditis ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... formation • Other vegetations ... (NTBE) Differential ... -mm left sided vegetations ... #Endocarditis #diagnosis
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
Marantic Endocarditis ... (marantic endocarditis ... Vegetations mostly ... just sit on valve ... Diagnosis #Management
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Also, LV dilation ... Clinical #POCUS #Echocardiogram ... #Endocarditis #
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
Tricuspid Valve ... Endocarditis on ... Left Ventricle (LV ... this underfilled LV ... POCUS #Clinical #Echocardiogram
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Diagnosis Framework ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... with endocarditis ... #Endocarditis #Vegetation ... #Tricuspid #Valve ... cardiology #clinical #echocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Direct: Clot (LV ... (Vegetation, Thrombus ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #