Myocarditis Flashcards

1
Q

what is it?

A

This is inflammation of the cardiac muscle

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2
Q

It can be ____ or _____ inflammatory pathology

A

It can be acute or chronic inflammatory pathology

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3
Q

It is commonest in ____ people

A

It is commonest in young people

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4
Q

myocarditis is mainly caused by __________

A

enteroviruses

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5
Q

name some enteroviruses

A

coxsackie A and B

echovirus

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6
Q

which other viruses may be the cause? 6

A

but other viruses are possible (influenza, HIV, polio, hapatitis, mumps, rubeola

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7
Q

what is the pathology in acute phase ?

A

In acute phase- the heart is flabby with focal hemorrhages

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8
Q

what is the pathology in chronic phase ?

A

enlarged and hypertrophic

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9
Q

what are the symptoms?

A

fatigue
palpitations
chest pain
dyspnoea

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10
Q

what are the signs?

A

CCF

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11
Q

An episode of viral myocarditis, perhaps unrecognised and forgotten, may be the initial event that results in ______ _______

A

An episode of viral myocarditis, perhaps unrecognised and forgotten, may be the initial event that results in dilated cardiomyopathy

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12
Q

what investigations should be done?

A
  • CXR
  • ECG
  • Bloods
  • PCR
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13
Q

what is used to do viral PCR for enterovirus?

A

throat swab and stool

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14
Q

what is used to do viral PCR for influenza?

A

throat swab

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15
Q

what may the CXR show?

A

cardiac enlargement

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16
Q

what may the ecg show?

A

demonstrates ST and T wave abnormalities and arrhythmias

17
Q

______ ________ are elevated and

______ titres may be raised

A

cardiac enxymes are elevated

antibody titres may be raised

18
Q

what is the treatent?

A

supportive - treat the arrhythmia