# Endocarditis FocusClass ## Metadata - Content type: Course - Canonical URL: https://123sonography.com/courses/endocarditis-focusclass - Published: August 1, 2023 - Last updated: March 21, 2025 - Category: Echo - Course Type: FocusClass ## Overview Designed to provide in-depth understanding and practical insights, this course is essential for healthcare professionals who want to sharpen their diagnostic skills in cardiac care. Our expert instructors cover a wide array of subjects through engaging lectures and real-world examples, including Introduction to Endocarditis, Native Valve Endocarditis, Complications of Endocarditis, Right Heart Endocarditis, Prosthetic Valve Endocarditis, Pacemaker and Central Line Endocarditis, Non-Bacterial Endocarditis, and Guiding Patient Management. This course is also included in Echo MasterClass. Note: This course includes AI-generated translations in Spanish and Arabic. Accuracy is not guaranteed (read more in Terms & Conditions) ## Media ![efc trailer thumbnail](https://123sonography.com/sites/default/files/2024-04/screenshot_2024-04-17_at_14.44.18.png) ## Snapshot - Duration: 4.5 hours - Total CME credits that can be earned: 4 - Chapters: 10 - Lectures: 50 - Quizzes: 9 ## Intended Audience - Cardiologists - Internists - Critical Care Physicians - Anaesthetists - Cardiovascular surgeons ## Faculty - [Prof. Thomas Binder, MD, FESC](/speaker/30) - Cardiologist, Head of Digital Learning; Medical University of Vienna - [Christina Binder-Rodriguez, MD, PhD](/speaker/174) - Cardiologist; Department of Cardiology, Medical University of Vienna ## Learning Objectives - Learn how to diagnose and assess endocarditis. - How to detect complications of endocarditis. - Learn how to apply echocardiography to guide the management of endocarditis. ## Topics - Cardiology - Internal Medicine ## Pricing Options - Supported currencies: AED, CLP, COP, EGP, EUR, INR, MXN, PEN, QAR, USD ### One-Month Access - Payment type: Monthly subscription - Price: €45 - Currency: EUR - Access duration: 1 month - Add to cart: /add-to-cart/216/713 Take the most flexible route with a monthly subscription. You get: - Cancellation possible anytime after 4 months minimum run time - Ability to complete quizzes and earn CME credits ### Half-Year Access - Payment type: One-time payment - Price: €210 - Currency: EUR - Access duration: 6 months - Add to cart: /add-to-cart/216/724 Our shortest option for very fast learners. Ideal for people who have plenty of time to learn. You get: - 6 months access to our course - Ability to complete quizzes and earn CME credits ### One-Year Access - Payment type: One-time payment - Price: €294 - Currency: EUR - Access duration: 12 months - Add to cart: /add-to-cart/216/726 Our most recommended access duration to dive deep into the course. Save 30% on the 6-month option. You get: - 12 months access to our course - Ability to complete quizzes and earn CME credits ### Two-Year Access - Payment type: One-time payment - Price: €504 - Currency: EUR - Access duration: 24 months - Add to cart: /add-to-cart/216/728 If you want to take your time learning, this option is perfect for you. Save 40% on the 6-month option. You get: - 24 months access to our course - Ability to complete quizzes and earn CME credits ## Recommended Blog Posts - [Christmas Wonders – Part 01](/blog/cases/christmas-wonders-part-01) - Often we are confronted with medical dilemmas, catastrophes and situations where all our efforts to help our patients were in vain. ## CME Information ### Introduction The goal of this activity is to provide online education for the course Endocarditis FocusClass. This activity is intended for sonographers, cardiologists, cardiovascular surgeons, internists, anesthetists, and pediatric cardiologists. ### Financial disclosures Christina Binder-Rodriguez does not have any relevant financial relationship with ineligible companies to disclose; Prof. Dr. Binder does not have any relevant financial relationship with ineligible companies to disclose; Staff at Siyemi Learning and 123 Sonography do not have any relevant financial relationship with ineligible companies to disclose. This course is certified for CME, further information on how to claim your CME credits can be found below. ### CME information This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Siyemi Learning and 123 Sonography. Siyemi Learning is accredited by the ACCME to provide continuing medical education for physicians. Siyemi Learning designates this enduring material for a maximum of 4 *AMA PRA Category 1 Credits™*. Physicians should claim only the credits commensurate with the extent of their participation in the activity. ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/accme.png) ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/siyemi.png) ### How to earn your CME credit In order to earn credit, you must watch the videos, take the quiz (pass mark 75%), and complete the evaluation on your dashboard. While you can claim CME certificates as you work through each chapter, if you prefer (e.g. if you are only able to use full credits because you are based in Europe) you can claim a single certificate for your total activity in this course. It will be available to download on your dashboard after you have completed all quizzes and evaluated all chapters. Release date: September 2023 Expiry date: September 2026 ## Curriculum ### Free lectures - Chapter content: 3 lectures and 0 quizzes - Lecture: [Free lecture 1](/courses/endocarditis-focusclass#sg_course_lecture_2629) (Duration: 00:03; Free) - Enjoy the first lecture of this three-part mini-course in Endocarditis FocusClass where Dr. Thomas Binder and Dr. Christina Binder-Rodriguez will take a look at some of the Manifestations - How do patients with Endocarditis actually present. - Lecture: [Free lecture 2](/courses/endocarditis-focusclass#sg_course_lecture_2631) (Duration: 00:04; Free) - In this free lecture Dr. Thomas Binder and Dr. Christina Binder-Rodriguez will take a look at the Native Valves Endocarditis Location and Classification. - Lecture: [Free lecture 3](/courses/endocarditis-focusclass#sg_course_lecture_2630) (Duration: 00:03; Free) - In this last lecture you'll learn about acute vs subacute regurgitation, massive aortic and mitral regurgitation, and see some case examples. ### Overview and Basics In this chapter, we will introduce the critical subject of endocarditis, a condition with significant consequences for patient health. We'll explore the scope of the problem, emphasizing that endocarditis is often associated with high mortality. The discussion will examine why certain individuals are at greater risk than others, along with an overview of the specific heart structures that may be affected. By delving into the pathophysiology of endocarditis, we'll gain insights into how vegetations form and identify the predisposing factors that contribute to this condition. This chapter will also address the vital roles of echocardiography and other imaging techniques in diagnosing endocarditis and discuss the Duke Criteria. Finally, we will clarify the circumstances in which antibiotic prophylaxis is an appropriate treatment strategy. - Chapter content: 9 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.75 - Lecture: [Definition and Epidemiology](/courses/endocarditis-focusclass#sg_course_lecture_2207) (Duration: 00:03) - Lecture: [Clinical Manifestations](/courses/endocarditis-focusclass#sg_course_lecture_2208) (Duration: 00:02) - Lecture: [Pathophysiology](/courses/endocarditis-focusclass#sg_course_lecture_2239) (Duration: 00:03) - Lecture: [Microbiology](/courses/endocarditis-focusclass#sg_course_lecture_2240) (Duration: 00:10) - Lecture: [Manifestation](/courses/endocarditis-focusclass#sg_course_lecture_2241) (Duration: 00:03) - Lecture: [Diagnosis - Role of Echocardiography](/courses/endocarditis-focusclass#sg_course_lecture_2242) (Duration: 00:10) - Lecture: [Other Imaging Modalities](/courses/endocarditis-focusclass#sg_course_lecture_2243) (Duration: 00:08) - Lecture: [Mortality and Risk](/courses/endocarditis-focusclass#sg_course_lecture_2244) (Duration: 00:04) - Lecture: [Prevention](/courses/endocarditis-focusclass#sg_course_lecture_2245) (Duration: 00:03) - CME Quiz: EFC - Overview and Basics (CME: 0.75) ### Native Valve Endocarditis This chapter will focus specifically on native valve endocarditis, a complex yet essential subject. You'll learn about the valves most commonly affected and discover the distinctions between community-acquired and hospital-acquired endocarditis. This section will also provide a concise overview of potential complications and key findings that you can identify using echocardiography. This subject will be further explored in the next chapter. We'll delve into some diagnostic challenges, including conditions that may resemble endocarditis on an echocardiogram, and discuss why fungal endocarditis is considered such a devastating condition. This chapter contains practical examples that highlight critical teaching points, enhancing your understanding of this significant topic. - Chapter content: 6 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Location / Classification](/courses/endocarditis-focusclass#sg_course_lecture_2209) (Duration: 00:04) - Lecture: [Diagnostic Challenges / Scenarios](/courses/endocarditis-focusclass#sg_course_lecture_2210) (Duration: 00:07) - Lecture: [Fungal Endocarditis](/courses/endocarditis-focusclass#sg_course_lecture_2246) (Duration: 00:03) - Lecture: [Differential Diagnosis](/courses/endocarditis-focusclass#sg_course_lecture_2247) (Duration: 00:12) - Lecture: [Your turn to diagnose endocarditis!](/courses/endocarditis-focusclass#sg_course_lecture_2248) (Duration: 00:10) - Lecture: [Associated Findings](/courses/endocarditis-focusclass#sg_course_lecture_2249) (Duration: 00:04) - CME Quiz: EFC - Native valve Endocarditis (CME: 0.5) ### Complications of Native Valve Endocarditis Endocarditis often destroys cardiac tissues, resulting in a broad range of complications for patients. In this chapter, we'll classify and define these various complications, using numerous case examples to illustrate the potential problems. Specifically, you'll learn about septic embolism, including how to assess the risk for this condition. We'll also explore the issues related to valvular destruction, focusing on the problem of valvular regurgitation. Further, we'll discuss paravalvular abscesses involving both the aortic and mitral valves and delve into pseudoaneurysms and fistulas. By presenting these topics clearly and with real-world examples, this chapter aims to enrich your understanding of the multifaceted challenges of endocarditis. - Chapter content: 5 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Overview](/courses/endocarditis-focusclass#sg_course_lecture_2211) (Duration: 00:05) - Lecture: [Septic Embolism](/courses/endocarditis-focusclass#sg_course_lecture_2212) (Duration: 00:05) - Lecture: [Valvular Destruction](/courses/endocarditis-focusclass#sg_course_lecture_2213) (Duration: 00:07) - Lecture: [Regurgitation](/courses/endocarditis-focusclass#sg_course_lecture_2214) (Duration: 00:03) - Lecture: [Paravalvular Complications](/courses/endocarditis-focusclass#sg_course_lecture_2215) (Duration: 00:10) - CME Quiz: EFC - Complications of Native Valve Endocarditis (CME: 0.5) ### Right Heart Endocarditis Right heart endocarditis has unique presentations and sequelae compared to other forms of endocarditis, necessitating special attention. In this chapter, you will learn how to recognize signs of endocarditis and understand associated risk factors. We will guide you on how to image the tricuspid valve to detect vegetations, an essential aspect of diagnosis. Numerous case examples will illustrate the diverse spectrum of right heart endocarditis, enhancing your understanding of this complex condition. Furthermore, this chapter will explore therapeutic options, providing a comprehensive overview of both diagnostic and treatment aspects of right heart endocarditis. - Chapter content: 4 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.25 - Lecture: [Basics](/courses/endocarditis-focusclass#sg_course_lecture_2216) (Duration: 00:04) - Lecture: [Imaging](/courses/endocarditis-focusclass#sg_course_lecture_2217) (Duration: 00:04) - Lecture: [Examples](/courses/endocarditis-focusclass#sg_course_lecture_2218) (Duration: 00:04) - Lecture: [Management](/courses/endocarditis-focusclass#sg_course_lecture_2219) (Duration: 00:05) - CME Quiz: EFC - Right Heart Endocarditis (CME: 0.25) ### Prosthetic Valve Endocarditis Prosthetic valve endocarditis is a serious condition with a high complication rate and significant mortality. This chapter will discuss the classification of this disease, as well as why diagnosis can be difficult. Transesophageal Echocardiography (TEE) is often necessary to accurately diagnose the condition. Additionally, there are various conditions that can mimic prosthetic valve endocarditis, making it challenging to detect. This section includes examples and case studies that demonstrate the different manifestations and complications, such as prosthetic valve abscess, valve dehiscence, valve obstruction, pseudoaneurysm, and fistulas. This comprehensive coverage will enhance your understanding and clinical acumen regarding this critical cardiac issue. - Chapter content: 8 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Facts](/courses/endocarditis-focusclass#sg_course_lecture_2220) (Duration: 00:03) - Lecture: [Classification](/courses/endocarditis-focusclass#sg_course_lecture_2221) (Duration: 00:03) - Lecture: [Diagnostic Challenges](/courses/endocarditis-focusclass#sg_course_lecture_2222) (Duration: 00:05) - Lecture: [Differential Diagnosis](/courses/endocarditis-focusclass#sg_course_lecture_2223) (Duration: 00:05) - Lecture: [Examples](/courses/endocarditis-focusclass#sg_course_lecture_2224) (Duration: 00:03) - Lecture: [Complications - Part 1](/courses/endocarditis-focusclass#sg_course_lecture_2225) (Duration: 00:06) - Lecture: [Complications - Part 2](/courses/endocarditis-focusclass#sg_course_lecture_2226) (Duration: 00:04) - Lecture: [TAVI Endocarditis](/courses/endocarditis-focusclass#sg_course_lecture_2227) (Duration: 00:03) - CME Quiz: EFC - Prosthetic Valve Endocarditis (CME: 0.5) ### Pacemaker and Central Line Endocarditis Pacemaker and central line endocarditis pose a growing problem that requires attention. This chapter explores why individuals with these devices are at an elevated risk of infection and explain the underlying mechanisms that lead to endocarditis. The diagnosis process using echocardiography is discussed, with numerous case examples illustrating how endocarditis can affect both pacemaker leads and central venous lines. Management strategies utilizing the most recent guidelines are presented. This chapter aims to equip you with the knowledge you need to effectively address this emerging challenge by providing insights into the clinical aspects and the latest approaches to care. - Chapter content: 6 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Pacemaker Endocarditis Basics](/courses/endocarditis-focusclass#sg_course_lecture_2228) (Duration: 00:03) - Lecture: [Presentation + Risk factors](/courses/endocarditis-focusclass#sg_course_lecture_2229) (Duration: 00:03) - Lecture: [Case Examples](/courses/endocarditis-focusclass#sg_course_lecture_2237) (Duration: 00:08) - Lecture: [Management](/courses/endocarditis-focusclass#sg_course_lecture_2230) (Duration: 00:03) - Lecture: [CVL Endocarditis - Basics](/courses/endocarditis-focusclass#sg_course_lecture_2231) (Duration: 00:05) - Lecture: [CVL Endocarditis - Case Examples / Prevention](/courses/endocarditis-focusclass#sg_course_lecture_2232) (Duration: 00:04) - CME Quiz: EFC - Pacemaker and Central venous lines (CME: 0.5) ### Non-Infective Endocarditis If you discover a structure on a heart valve without any signs of infection, it's important to consider the possibility of non-bacterial endocarditis. This chapter explores which patients are most likely to develop this condition, the valves that are typically affected, and the specific ways in which these patients may present symptoms. Various case examples are provided to enhance understanding of this unique and important aspect of cardiac care. - Chapter content: 2 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.25 - Lecture: [Overview](/courses/endocarditis-focusclass#sg_course_lecture_2233) (Duration: 00:04) - Lecture: [Case Examples](/courses/endocarditis-focusclass#sg_course_lecture_2234) (Duration: 00:06) - CME Quiz: EFC - Non-bacterial Endocarditis (CME: 0.25) ### Management of IE As an echocardiographer, your role is crucial not only in diagnosing endocarditis but also in guiding decisions on patient management. This chapter explains various therapeutic strategies based on the most recent guidelines for endocarditis, with a focus on determining whether a surgical approach is appropriate for individual cases. Using real-world case examples, this chapter provides practical insights into the application of these strategies, allowing you to translate this knowledge into patient care. - Chapter content: 5 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Principles](/courses/endocarditis-focusclass#sg_course_lecture_2235) (Duration: 00:03) - Lecture: [Indications for Surgery](/courses/endocarditis-focusclass#sg_course_lecture_2250) (Duration: 00:03) - Lecture: [Antibiotics](/courses/endocarditis-focusclass#sg_course_lecture_2251) (Duration: 00:03) - Lecture: [Guidelines](/courses/endocarditis-focusclass#sg_course_lecture_2252) (Duration: 00:10) - Lecture: [Case Examples](/courses/endocarditis-focusclass#sg_course_lecture_2253) (Duration: 00:04) - CME Quiz: EFC - Management of IE (CME: 0.5) ### Summary In this section, we provide a concise overview of the main takeaways from the chapter. This summary will assist you in enhancing and solidifying your comprehension of this crucial topic. - Chapter content: 2 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.25 - Lecture: [Putting it all together](/courses/endocarditis-focusclass#sg_course_lecture_2236) (Duration: 00:05) - Lecture: [Reporting](/courses/endocarditis-focusclass#sg_course_lecture_2238) (Duration: 00:04) - CME Quiz: EFC - Summary (CME: 0.25)