Myocarditis Flashcards Preview

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Flashcards in Myocarditis Deck (12):
1

Whilst most recover what may occur?

Persistent low grade myocarditis or dilated cardiomyopathy some 10-20 years later

2

Name the classifications of causes for myocarditis e.g. Viral

Viral, bacterial, protazoal, autoimmune, radiation, drugs, poisoning

3

Name a viral cause

Coxsackie B, adenovirus, echovirus, influenza, rubella

4

Name a bacterial cause

Diphtheria, chlamdyia, coxiella, lymes disease (borrelia burgdoferi)

5

Name a protazoal cause (optional)

Trypansoma cruzi (chagas disease)

6

Name an autoimmune cause

Sarcoidosis, connective tissue diseases

7

Less severe but important symptoms include?

Dyspnoea, chest pain and fatigue

8

Focal inflammation can lead to what?

Arrythmias that may be heard, cause palpitations or even sudden death occasionally

9

What heart sounds might you be listening for?

Soft s1, s3, murmurs from mitral/tricuspid regurgitation

10

What investigations might you do?

ECG, CXR, echo, serum Cr kinase, assays of coxsackie B

11

What is the main goal of treatment?

Supportive, plenty of bed rest and no exercise for several months giving HF drugs if HF is present. Steroids may be given on the rare occasion it is cardiac biopsy proven

12

What is it?

An acute, potentially reversible, inflammation of the myocardium