Myocarditis

Question 1

What is myocarditis?

Answer 1

Myocarditis is myocardium inflammation that may progress to chronic dilated cardiomyopathy.

Myocarditis can lead to severe cardiac conditions if not treated properly.

Question 2

What is the most common cause of myocarditis?

Answer 2

Viral infection, specifically parvovirus B19, HHV-6, EBV, Coxsackie, and adenovirus.

These viruses are frequently implicated in cases of myocarditis.

Question 3

What disease is common in endemic areas and can cause myocarditis?

Answer 3

Chagas’ disease (American trypanosomiasis).

Chagas’ disease is caused by the parasite Trypanosoma cruzi.

Question 4

What are non-infective causes of myocarditis?

Answer 4

Granulomatous disease.

Granulomatous diseases can lead to inflammation of the myocardium without infection.

Question 5

List clinical features of myocarditis.

Answer 5

• Fever
• Tachycardia
• Cardiomegaly (on CXR)
• Increased cardiac enzymes in absence of MI

Clinical features can vary and are important for diagnosis.

Question 6

What is the treatment for myocarditis?

Answer 6

Rest and standard therapy for heart failure.

Treatment focuses on managing symptoms and supporting heart function.