Myocarditis Flashcards
1
Q
what is myocarditis
A
inflammation of cardiac muscle, commoner in younger people
2
Q
what are symptoms
A
fever
chest pain
SOB
palpatations
3
Q
what are signs
A
arrhythmias
cardiac failure
soft heart sounds, prominent 3rd HS, tachycardia
pericardial rub may be heard
4
Q
what causes it
A
coxsackie A and B
adenoviral infection
non infectious cause - after rheumatic fever, after drug or SLE
5
Q
how is it diagnosed
A
ECG (ST/T abnormalities)
CXR - cardiac enlargement
viral culture / PCR
Elevated CK, troponin
6
Q
what is treatment
A
supportive - treat underlying cause
bed rest in acute phase - avoid athletics for 6mnths
treat complications - ACEI, B blockers, spironolactone, digoxin
7
Q
what is complications
A
HF, MI/stroke, arrhythmias
