5 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... fever, Infective endocarditis ... ), Spontaneous rupture ... Papillary muscle rupture ... Left ventricular aneurysm
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Severe Aortic Regurgitation ... Leaflet: Traumatic Rupture ... Acute Infective Endocarditis ... Infection: Infective Endocarditis ... Thoracic Aortic Aneurysms
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Additional culture ... consultation • Valve regurgitation ... • Aggressive management ... criticalcare #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... staphylococci Culture ... lesions • Mycotic aneurysm ... Marantic: Emboli > Regurgitation ... #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... aortic and mitral regurgitation ... 90% of IE cases Culture ... lesions • Mycotic aneurysm ... Marantic: Emboli > Regurgitation