David H. Wiener, MD Profile picture
Director of Clinical Operations, Jefferson Heart Institute. ASE Guidelines chair. Advisor to BOD, IAC-Echo. Advocate for high value cardiac care. Opinions mine.
Mar 20, 2020 7 tweets 15 min read
Dec 4, 2018 9 tweets 4 min read
Not All Vegetations Are Infective: Tweetorial on Non Infectious Endocarditis

2 forms
▪Verrucous (Libman-Sacks)
▪Non-Bacterial Thormbotic Endocarditis (NBTE, “marantic”)

Both have thrombotic component & embolic potential
Data from @ase360 guideline below

1/n Who were Libman and Sacks?

Emanuel Libman (1872-1946)
▪Child of Polish Jewish immigrants
▪MD: Columbia
▪Skilled clinician & bacteriologist at Mt. Sinai Hospital. NYC
▪Patients included Albert Einstein and the actress Sara Bernhardt
▪President of the AMA

2/n
Aug 1, 2018 12 tweets 19 min read
#FITSurvivalGuide on Restrictive Cardiomyopathy (RCM) vs Constrictive Pericarditis (CP).

In both:

💠Diastolic RV & LV impaired; systolic function preserved
💠HFpEF phenotype, predominant “R sided” signs (­JVP, edema, ascites)

1/12
@dr_chirumamilla @Pooh_Velagapudi @bcostelloMD 🔑 to understanding different filling:
RCM = myocardial disorder
CP = pericardial disorder.

2/12
@majazayeri @fawazalenezi55 @SanChris999 @GuruKowlgi @Nidhi_Madan9 @sabeedak1 @noshreza @SaggerMawri @nsivcd @DrManiCardio @khandelwalMD @drjohnm @heartdoc45 @zainasadEP @docaward