Myocarditis Flashcards

1
Q

What is myocarditis?

A

Inflammation of the heart muscle

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2
Q

What causes myocarditis?

A

Infection (Coxsackie virus, fungal, bacterial or parasitic)
Cocaine
Chemo & other drugs
Autoimmune e.g. rheumatic fever and SLE
Sarcoid
Idiopathic

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3
Q

How does myocarditis present?

A

With:
Chest Pain
Tachypnoea/Tachycadia
Cyanosis
Arthralgia
Infection symptoms - Sore throat/malaise/fever/headache/fatigue

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4
Q

How do we test for myocarditis?

A

EC
Biomarkers - CRP = inflammation — cTn + Creatine Phosphodiesterase = myocardial damage
ECHO/MRI/CXR
Biopsy + PCR
FBC - including antibody levels

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5
Q

How do we treat myocarditis?

A

Mostly Its self limiting
Can treat infection - Antibiotics, IV immunoglobulins, Antifungals etc
NSAIDS & Prednisalone CCS as anti-inflammatorys
ECMO - Extra-corporeal Membrane Oxygenation

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