Myocarditis

Question 1

Main pattern of myocarditis presentation

Answer 1

Recent onset heart failure
Arrhythmias
Chest pain

Question 2

Myocarditis

Answer 2

Myocarditis, also known as inflammatory cardiomyopathy, includes any pathologic process in which inflammation involving the myocardium is identified.

If suspected, immediate referral is needed

Question 3

Myocarditis and cardiomyopathy

Answer 3

Cardiomyopathy is any situation in which myocardial function is impaired while myocarditis is one cause of dilated cardiomyopathy

Question 4

Myocarditis causes

Answer 4

Infectious agent
Toxins
Drug-related allergies
Chronic virus

Question 5

Myocarditis presentation

Answer 5

Initial presentation can be varied and ranges from mild symptoms of fever, atypical chest pain, fatigue, and palpitations with possible transient electrocardiographic (ECG) changes to potentially fatal cardiogenic shock and/or arrhythmias and sudden death.

Tend to be younger patients

Question 6

Myocarditis Red Flag

Answer 6

Resting tachycardia with exaggerated chronotropic response to exertion
Low fever and tachycardia

Question 7

Myocarditis Lab Finding

Answer 7

Non-specific EKG findings

Elevated ESR, CRP, CPK, BNP

Question 8

Myocarditis Management

Answer 8

Specialist referral
Avoid exercise for 6 months
HF medications - ACE-I, ARBs, Diuretics, Beta Blockers