Myocarditis

Diagnosis 

• Endomyocardial biopsy (gold standard, rarely performed) 

• Clinical presentation 

• Cardiovascular MRI 

Clinical 

• Excessive fatigue, exercise intolerance 

• Chest pain, pericarditis 

• Unexplained sinus tachycardia 

• S3, S4 or summation gallop 

• Abnormal ECG, echocardiogram 

• Dysrhythmia, heart block 

• Heart failure 

• Elevated troponin 

• Cardiogenic shock, sudden cardiac death 

Management 

• Supportive 

• Heart failure therapy as needed 

• Antidysrhythmics as needed 

• Antlviral (lymphocytic myocarditis) 

• Immunosuppressants (chronic myocarditis) 

• IVIG (Giant cell, eosinophilic) 



#Myocarditis #Diagnosis #Management #Cardiology